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AIDS Healthcare Foundation

Contracts and Audit Specialist

Posted Yesterday
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In-Office
Los Angeles, CA, USA
Mid level
In-Office
Los Angeles, CA, USA
Mid level
Ensure provider contracts comply with state and federal requirements, manage corrective actions, obtain letters of agreement for non-contracted providers, keep contracting documents and templates current, and validate provider network data with IT to meet network adequacy and enrollee/provider requirements.
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Job Summary & Responsibilities

Ensuring that provider contracts are compliant with current state and federal requirements and that any corrective actions assigned to the Care Management Division are completed and documented.  The Specialist also assists Care Management Division operations with obtaining any needed letters of agreement (LOA) with non-contracted providers when need medical services are not readily availbe in the AHF’s provider networks.

Ensuring that its provider contracting operations are compliant with ever changing state and federal regulations and contracting documents, including provider recruitment materials are accurate and current.  He or she ensures that AHF is up-to-date with contracting documents and templates.  He or she, in collaboration with AHF’s IT Department, validates that provider network data submissions are error-free, which ensures compliance with state and federal network adequacy requirements and enrollee and primary care provider satisfaction.

 

 

 

 

Preferred Qualifications

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!

 

Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?

 

If so, AIDS Healthcare Foundation is the place for you!

 

Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.

  

AHF’s core values are:

 

  • Patient-Centered
  • Value Employees
  • Respect for Diversity
  • Nimble
  • Fight for What’s Right

Please review our Advocacy page for the latest news on how AHF is Fighting for What’s Right! Advocacy News.

 

Benefits at AHF

 

AHF offers comprehensive benefits to help our employees do and be their very best! These benefits are intended to enhance employee physical, financial, spiritual and professional health. 

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