Alignment Health
501 - 1000 employees
Founded 2013
⚕️ Healthcare Insurance
💰 $135M Series C on 2020-03
Healthcare Insurance • Insurance • Healthcare
Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.
Auditor, Delegate Claims
🔥 12 hours ago
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Alignment Health
501 - 1000 employees
Founded 2013
⚕️ Healthcare Insurance
💰 $135M Series C on 2020-03
Healthcare Insurance • Insurance • Healthcare
Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.
📋 Description
• Conduct audits in accordance with regulatory, contractual, and industry standards • Validate Corrective Actions are effective • Report audit findings to facilitate organizational awareness • Manage multiple audits and related projects simultaneously
🎯 Requirements
• 3-5 years of claims experience in an HMO, Medicare Advantage, and/or IPA setting • 1-2 years minimum experience conducting oversight audits of delegated entities and/or ancillary providers • Strong knowledge of Medicare audit processes • Exceptional organizational skills • Excellent verbal and written communication skills
🏖️ Benefits
• Health insurance • 401(k) matching • Paid time off • Professional development opportunities
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