Description
AppleOne is proud to present:
I am currently staffing for a Financial Auditor with Health Plan industry expertise. This is a contract to hire position with a Hybrid work option. Please see details listed below and email me your resume to be considered.
We are seeking an experienced Health Plan Auditor with a strong background in auditing and financial analysis. This role will play a critical part in ensuring compliance, financial solvency, and regulatory requirements across provider groups, specialty health plans, and vendors.
Location: Los Angeles, CA 90017
Compensation: $50/hr. to $57/hr.
Key Responsibilities:
- Conduct financial audits and analysis for specialty health plans and vendors.
- Perform risk assessments, root cause analysis, and cost evaluations.
- Review financial statements, identify issues, and develop corrective action plans (CAPs).
- Manage Medicaid/Medicare auditing (strong plus).
- Support quarterly/annual DMHC filing submissions.
- Liaise with CMS on claim audit sections.
- Create and maintain standardized templates, policies, and procedures.
- Collaborate across departments, providers, and vendors to ensure compliance.
- Mentor junior staff and support process improvement initiatives.
Requirements:
- Bachelor’s degree in Accounting or related field (or equivalent experience).
- 3+ years conducting financial audits.
- 5+ years in managed health care industry.
- 2+ years of accounting experience.
- Strong financial statement analysis skills.
- Proficiency in Microsoft Excel, Power point, and Share point.
- Excellent communication, analytical, and problem-solving skills.
Licenses/Certifications (one required):
- CPA, CMA, CIA, or CFE
This is a great opportunity for a motivated, detail-oriented auditor who thrives in a fast-paced health care environment and is passionate about ensuring accuracy, compliance, and financial integrity.
Email your resume to apply
Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
#1002
Experienced (Non-Manager)