Organization: Kern Health Systems
Location: Bakersfield, CA
Date Job Posted: March 13, 2023
Share with Others:
Kern Family Health Care, 2900 Buck Owens Blvd., Bakersfield, California, United States of America Req #1905
We appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and work history will help us potentially place you in a position that meets your objectives and those of the organization. Qualified applicants are considered for positions without regard to race, color, religion, sex (including pregnancy, childbirth and breastfeeding, or any related medical conditions), national origin, ancestry, age, marital or veteran status, sexual orientation, gender identity, genetic information, gender expression, military status, or the presence of a non-job related medical condition or disability (mental or physical).
KHS reasonably expects to pay starting compensation for the Compliance Analyst position in the range of $35.50- $47.48 / Hourly
Our Mission.. Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system.
Under the direction, of the Compliance Manager, this position is responsible for analytical compliance and business-related activities including the generation and analysis of reports into professional compliance documents.
The Compliance Analyst will work closely with the Compliance Manager in order to develop business process improvement recommendations based on findings from both internal and external audits. Strong verbal and written communication skills are required for communicating at all levels within the company. Critical thinking and the ability to deal with both qualitative and quantitative information to develop professional materials for internal customers is essential. This position may require interaction with KHS Stakeholders from time to time.
Associates Degree or equivalent. Bachelor’s degree in Health Services Administration from an accredited institution or equivalent; AND four (4) years’ experience within the financial, claims, legal or regulatory support preferably in the health care industry.
Six (6) years’ experience within the financial, claims, legal or regulatory support preferably in the health care industry.
Five years (5) Experience in health insurance and HMO compliance is highly desirable.
Claims, Utilization Management, and other health plan departmental processes and procedures; project management process; reporting tools and analysis, report generation, implementation of business controls.
Adapt to a rapidly evolving work environment; work independently and manage multi-task responsibilities; work well and communicate with a variety of personnel and providers.
We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis.