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CO-Denver,
IN
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Career Field |
Premium Audit, Loss Control/Risk Management
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| Insurance
Discipline |
All
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Assistance |
Not Available
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| Job
Duration |
Full Time |
| Salary
Offered |
Open |
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WellPoint is the nation';s leading health benefits insurer and a Fortune Top 50 company. At WellPoint, we are dedicated to improving the lives of the people we serve and the health of our communities. WellPoint strives to be the most trusted choice for consumers and a leader in affordable quality care with an unyielding commitment to meeting the needs of our diverse customers.
Bring your expertise to our innovative, performance-focused culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.
Compliance Audit Specialist
Location: Any WellPoint location; Indianapolis, IN, Mason, OH or Denver, CO preferred.
Responsible for ensuring program integrity by establishing an audit process that is efficient and effective in monitoring operations, and compliance with Federal, State laws and regulations, CMS, OIG, as well as contractual obligations. Primary duties may include, but are not limited to: Performs audits to ensure the fundamental systems of internal controls are in place and functioning; general business controls of, but not limited to, Claims and Call Center Operations, Accounting & Reporting, Information & Technology, Financial, Human Resources, Training and Compliance Program Integrity. Assist management in identification and analysis of relevant risks to achieving predetermined business objectives. Assist in developing and refining the Corporate Risk Matrix report. Provides technical support and other consulting activities to those departments within the MBU regarding compliance and audit recommendations. Prepares appropriate written audit findings and recommendations for approval by the audit management team.
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