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Salary Range:&nbsp;&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. <h4>Job Summary</h4>The Delegation Oversight Compliance Auditor III is responsible for planning, coordination, and conducting comprehensive compliance audits and reviews to assess adherence to regulatory requirements, contractual obligations, and internal policies for L.A. Care subcontracted providers.&nbsp; Additionally, the Auditor III will provide updates and recommendations to Management on quality and delegation oversight responsibilities, participate in fraud, waste, and abuse investigations as applicable, and oversee pre-delegation and annual audits for new and existing delegated entities to drive continuous improvement and adherence to regulatory standards by ensuring delegates are compliant with regulatory requirements. Acts as a Subject Matter Expert (SME), serves as a resource and mentor for other staff.<h4>Duties</h4>Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consults across business operations, providing mentorship, and contributing specialized knowledge. Ensures that the facts and details are correct so that the project’s/program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provides training, recommends process improvements, and mentors junior level staff, department interns, etc. as needed.Regulatory:Researches, analyzes, and interprets contractual, state, and federal regulatory, and accreditation requirements. Stays abreast of changes in healthcare regulations, laws, and industry standards; analyzes regulatory developments and assesses their impact on the organization. Updates existing audit tools and creates audit tools based on the regulatory requirements. Assists management team with informing team of regulatory changes to ensure alignment with regulatory requirements and industry best practices.Audit:Plans, coordinates, and conduct with other auditors and conducts comprehensive compliance audits and reviews to assess adherence to regulatory requirements, contractual obligations, and internal policies for L.A. Care subcontracted providers including, but not limited to, Participating Physician Groups, Plan Partners, and Specialty Health Plans/Vendors. Independently conducts complex audits, including scoping, research, tool development, field work, reporting, and corrective action plan validation. Identifies, documents, and trends audit issues and provides appropriate coaching and shares best practices with delegated entities to assist with performance improvement. Investigate and Risk Assessment:Investigates and escalates allegations of non-compliance, fraud, or misconduct; develops and implements corrective action plans to address identified issues and prevent recurrence. Conducts risk assessments to identify compliance risks and develops strategies to mitigate risks and strengthens internal controls. Alerts management of identified new or emerging compliance risks and makes recommendations on DOA’s audit plan or monitoring plan to other business unit. Serves as a subject matter expert in compliance auditing, risk assessment, risk mitigation planning and regulatory interpretation and application. <h4>Duties Continued</h4>Collaboration:Leads entrance calls, exit conferences, and technical calls with delegates. Collaborates with cross-functional teams, including but not limited to Legal, Compliance, Quality Assurance to address compliance-related challenges and delegate’s performance deficiencies, and implement effective solutions. Assists management to establish processes to track program effectiveness; monitor and analyze data to identify trends and areas for improvement. Works closely with Delegation Oversight Audit management on and to co-lead projects.Reports:Prepares and presents comprehensive reports and presentations to senior leadership, internal Committees, external entities, summarizing compliance activities, findings, and recommendations. Reviews and provides feedback on work papers of other Auditors to ensure accurate testing, results, and reports, and to ensure adherence to departmental procedures and protocols.Training:Develops and delivers compliance training programs for internal staff members, such as Delegation Oversight Audit team, and other business units within L.A. Care. In addition, to develop training programs for delegates as external entities ensuring awareness of compliance requirements and promoting a culture of compliance throughout the organization and with delegates. Leads and manages compliance projects and initiatives, auditors’ trainings. Develops training materials, updates audit tools, performs risk assessments, policy development, and process improvement efforts. Perform other duties as assigned.<h4>Education Required</h4>Bachelor's Degree in Healthcare Administration or Related FieldIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4><h4>Experience</h4>Required:At least 4 years of audit experience in compliance, delegation oversight, or audit within the healthcare industry.Demonstrated experience developing and delivering training programs and making presentations to internal staff and providers.Experience in health care service plans with significant delegation arrangements. Experience working with Policies and Procedures.<h4>Skills</h4>Required:Ability to manage multiple priorities, projects and meet deadlines.Superior written and verbal communication skills.&nbsp;Ability to draft policies and procedures. Exceptional analytical and problem-solving skills, with a meticulous attention to detail.Strong communication and collaboration abilities, with the capacity to engage effectively with stakeholders at all levels.Ability to create a work environment that fosters team building and encourages a collaborative approach to achieving departmental and organizational goals.Proficient in Microsoft Office, Excel, and PowerPoint.In-depth knowledge of federal and state laws, Medicaid regulations, and healthcare compliance standards.<h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Certified HealthCare Compliance (CHC)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4>Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul> Nearest Major Market: Los Angeles Job Segment: Healthcare Administration, Medicaid, Audit, Healthcare, Finance

L.A. Care Health Plan

Delegation Oversight Compliance Auditor III

Insperity&nbsp;provides the most comprehensive suite of scalable HR solutions available in the marketplace with an optimal blend of premium HR service and technology. With more than 90 locations throughout the U.S., Insperity is currently making a difference for thousands of businesses and communities nationwide.Behind our success is the unshakeable belief in the value of our people. We value diversity, inclusivity, and a sense of belonging. We celebrate work and life events, and we partner with our clients and communities to make great things happen.We have received recognition numerous times as a top place to work, most recently ranking on Glassdoor’s “Best Places to Work in the U.S. 2024” list, and U.S. News &amp; World Report’s “Best Companies to Work for 2024” list. In addition, we have been recognized for having one of the country’s Top 50 Midsize Early Talent Programs by RippleMatch’s 2024 Campus Forward Awards. There is no better time to be a part of Insperity, and our best work is yet to come. Learn more at Insperity.com.Associate Payroll Specialist - Seasonal InternHybrid work scheduleWe are currently seeking an Associate Payroll Specialist Intern to join our team for the 2025 summer. This position works on projects/assignments with Payroll Specialists. This role assists in processing payroll information and produces client specific payroll checks, invoices and standard payroll reports for Insperity's client companies. This position is also responsible for upholding the integrity of the client and employee data base and ensures all compliances are met.Responsibilities:<ul><li>Learns through completion of work assignments by applying up-to-date knowledge in subject area to meet deadlines; following procedures and policies and applying data and resources to support projects or initiatives;&nbsp;supporting the completion of priorities, deadlines, and expectations; communicating progress and information; identifying and recommending ways to address improvement opportunities when possible; and escalating issues or risks as appropriate.</li><li>Observes, learns and services a specified number of clients by receiving employee paperwork, which includes new hires, employee changes and terminations.</li><li>Receives payroll information from clients or Payroll Specialists, processes payroll information and produces client specific payroll checks, invoices and standard payroll reports.</li><li>Ensures accuracy of payroll input, balancing input to payroll worksheet and payroll reports to clients.</li><li>Coordinates with the Finance Department, when necessary, and follows through with the client to ensure funds are received.</li><li>Provides backup documentation to Finance Department, if needed, for wires.</li><li>Maintains accurate delivery instructions for each payroll in the system.</li><li>Trains with the Payroll team, Supervisor and Payroll Trainers to develop skill levels.</li><li>Builds and maintains client load to gain payroll experience and knowledge of accepted payroll practices.</li><li>Attends weekly department training meetings and reviews procedure manual on an ongoing basis.</li><li>Establishes clear communications with client, employees and team members in order to better serve the client.</li><li>Consults with Supervisor and Payroll Trainer when responding to new or different questions from clients and employees.</li><li>Pursues self-development and effective relationships with others by sharing resources, information, and knowledge with coworkers and customers; listening, responding to, and seeking performance feedback; acknowledging strengths and weaknesses; assessing and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback. Contributes to the completion of projects and department objectives as specified by the manager.</li><li>Attends events designed to connect Interns and Associates working across different functional areas throughout Insperity.</li></ul>Qualifications:<ul><li>High School Diploma or equivalent is required. Actively pursuing or having obtained a bachelor’s degree is required. A bachelor’s degree in business administration, Human Resources or a related field is preferred.</li><li>GPA of 3.0 or higher</li><li>Assists in operating data entry equipment; maintaining and monitoring employee records with accuracy and detail with narrow time limitations; maintaining records, posting data and making arithmetic calculations with speed and accuracy; clerical methods and techniques relating to maintaining large filing systems accurately and efficiently.</li><li>Ability to solve problems and make decisions, following established company policy guidelines; methods and techniques relating to establishing and maintaining customer service; communicating clearly and concisely, verbally and in writing; following verbal and written instructions; working independently from general instructions; and maintaining effective work relations with those encountered in the course of employment.</li></ul>At Insperity, we celebrate the diversity of our employees and our leadership. Insperity is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. &nbsp;We will consider for employment qualified applicants with criminal histories.As required by the state of California, Insperity provides a reasonable range of minimum compensation for roles that may be hired in California. Actual compensation is influenced by a wide array of factors including but not limited to skill set, level of experience, and specific office location. For the state of California only, the pay for this role is $22.00/hour.

Insperity

Associate Payroll Specialist - Seasonal Intern

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