What are the responsibilities and job description for the Healthcare Operations Specialist position at Sunshine State Health Plan?
About the Role
As a Medical Management Auditor, you will have the opportunity to make a significant impact on our 28 million members by ensuring the accuracy and integrity of clinical systems entry and processes. This role is responsible for auditing corporate, health plan, and specialty company staff related to clinical systems entry and/or processes.
This position requires strong analytical and problem-solving skills, as well as the ability to work collaboratively with various stakeholders. You will develop and maintain audit processes and tools, conduct audits, train audit staff, and facilitate compliance with auditing policies.
