Compliance Auditor

About Us:

Exciting opportunities are available due to our continued Growth and Expansion.

For more than 20 years, the JMH Health Plan has been committed to serving the healthcare needs of the South Florida community, providing managed health services and benefits. The JMH Health Plan is a fully licensed Health Maintenance Organization (HMO) in the State of Florida and accredited by the Accreditation Association for Ambulatory Health Care.

Our commitment to service excellence has resulted in the JMH Health Plan’s consistent ranking as one of the top health plans for customer satisfaction in Miami-Dade and Broward Counties.

We offer advancement opportunities, a competitive salary and one of the best benefits programs found anywhere! 

We are seeking a candidate for the Compliance Auditor position.

• The Auditor will have knowledge of accounting, finance or healthcare administration with a basic understanding of issues such as billing/coding, utilization/case management, risk management, regulatory compliance and internal auditing.

• Five (5) years of experience required in a responsible position in healthcare, in a discipline requiring analytical skills (such as medical audits, strategic planning, etc.).

• Intermediate level of PC literacy required.

• Experience with a healthcare payment system, fraud investigations and/or investigation and resolution of operational system problems is desired.

• A HS diploma is needed; Bachelor's degree preferred; certification in medical coding preferred