The Manager, Healthcare Operations Audit in Health Plan Operations is responsible for overseeing and managing the audit function within the health plan, ensuring compliance, accuracy, and operational efficiency across all relevant business processes. This role is essential in assessing and auditing key operational areas such as Utilization Management (UM), claims processing, call center operations, administrative functions, and other health plan services. The Audit Manager leads a team of auditors, provides strategic insights into audit findings, and drives process improvements based on audit results. Additionally, the role ensures that audits comply with all relevant regulatory requirements, internal policies, and industry best practices.