Claims Compliance Analyst

Job Title: Claims Compliance AnalystProfession: Non-Clinical - Finance/AccountingSpecialty: Claims ProcessorScheduleShift: Day 5x8-Hour (07:00 - 15:30)Block Schedules: NoContract DetailsStart Date: 05/11/2026 Job Duration: 13 weeks (3 months per overview)Onsite/Remote: OnsiteLocation: 9557 Greenleaf Ave, Whittier, CA 90601Facility GuidelinesCOVID-19 Vaccine: Not RequiredFlu Vaccine: Required (Medical/Religious Exemptions and Declinations Allowed)Position SummaryMaintains 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 ResponsibilitiesCoordinates 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).