Job Title: Claims Compliance Analyst
Profession: Non-Clinical - Finance/Accounting
Specialty: Claims Processor
Schedule
Shift: Day 5x8-Hour (07:00 - 15:30)
Block Schedules: No
Contract Details
Start Date: 05/11/2026
Job Duration: 13 weeks (3 months per overview)
Onsite/Remote: Onsite
Location: 9557 Greenleaf Ave, Whittier, CA 90601
Facility Guidelines
COVID-19 Vaccine: Not Required
Flu Vaccine: Required (Medical/Religious Exemptions and Declinations Allowed)
Position Summary
Maintains positive working relationships with internal and external customers, health plans, providers, and/or members by seeking a partnership approach that aligns with company goals and vision.
Key Responsibilities
Coordinates health plan audit activities, including preparation and preliminary results on non-compliant claims to the Claims Director.
Assists with audit control checklists to prevent claims payment untimeliness.
Collaborates with Managed Care Management Team and auditors to align QA programs with claims operations and related areas, preventing non-compliance.
Adheres to internal SOPs and industry guidelines per state/federal regulatory agencies.
Prepares and submits monthly, quarterly, and ad-hoc reports to health plans (e.g., Monthly Timeliness, ODAGs, Part C, claims universe).