Minimum Qualifications:

Minimum two (2) years experience evaluating internal controls or auditing experience.

Minimum two (2) years of experience in a leadership role with or without direct reports.

Bachelors degree in Business, Health Care Administration, Operations Research, Public Health Administration, Finance, or related field AND minimum five (5) years of experience in compliance, financial insurance, health care administration, or a directly related field. OR Minimum eight (8) years of experience in compliance, financial insurance, health care administration, or a directly related field.

Additional Requirements:

Knowledge, Skills, and Abilities (KSAs): Quality Assurance Audits; Due Diligence Processes; Audits; Internal Controls; Financial Reporting; Benefit Audits; Quality Assurance Process; Internal Audit Processes; Negotiation; Written Communication; Compliance Management; Maintain Files and Records; Union Partnerships; Advising and Managing Partners; Company Representation; Consulting; Corporate Partnerships; Stakeholder Management; Coordination; Incident Escalation; Key Performance Indicators; Managing Complexity; Project Management; Risk Assessment; Service Focus; Investigations Management; Member Service; Insurance Regulations, Policies, and Procedures; Insurance Contracts; Underwriting; Quality Improvement; National/Multi-~State Sales and Account Management; Systems Thinking; Business Acumen; Business Planning; Business Process Improvement; Risk Management; Data Entry; Computer Literacy; Accountability; Autonomy; Stress Tolerance; Insurance; Customer Satisfaction; Health Plan Operations

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