Vendor Audit and Compliance Specialist

Company	Cambia Health Solutions
Location	Salt Lake City, UT, USA, Post Falls, ID, USA, Yakima, WA, USA, Tacoma, WA, USA, Medford, OR, USA, Burlington, WA, USA, Tukwila, WA, USA, Salem, OR, USA, Boise, ID, USA, Pocatello, ID, USA, Spokane, WA, USA, Moscow, ID, USA, Bellevue, WA, USA, Portland, OR, USA, Bend, OR, USA
Salary	$91800 – $124200
Type	Full-Time
Degrees	Bachelor’s
Experience Level	Senior

Bachelor’s degree and 6 years of progressive experience in health care administration, as a project leader or project support or a related experience, or an equivalent combination and education is required.
At least three years of experience must be in coordination and oversight of health-care related delegation activities and contracting.

Serves as the delegation Subject Matter Expert (SME), managing corporate-level projects and implementing administrative policies while providing team leadership and resource support.
Develops and maintains comprehensive oversight policies for delegated functions, including credentialing, utilization management, case management, appeals, and claims processing, ensuring compliance with regulatory and accreditation requirements.
Conducts thorough delegation oversight reviews, either on-site or virtually, utilizing standardized audit tools to evaluate performance and prepare detailed reports of findings.
Manages the corrective action process by working with delegates to develop and implement improvement plans, monitoring progress, and escalating unresolved issues when necessary.
Leads cross-divisional committees and develops comprehensive reports on delegation activities for leadership, while managing delegation-related reporting systems and defining business requirements.
Coordinates effectively with internal departments and external delegates to schedule reviews, maintain communication channels, and ensure timely completion of all delegation-related activities.
Responds to internal and external requests for proposals (RFPs) and information while serving as a key liaison between management levels and maintaining oversight of delegated contracts.