- UCLA Health (Los Angeles, CA)
- …and reconcile various reports * Oversee 1099 reporting * Handle year-end audit and system upgrades/enhancements * Manage ACH authentication, security of business ... supervisor experience * Background working in a fully integrated payable system * Healthcare experience a plus * Ability to perform well with frequent interruptions,… more
- LA Care Health Plan (Los Angeles, CA)
- …Claims is responsible for various tasks within the Financial Compliance Unit, including audit of claims processed by medical groups and health plans contracted with ... responsible for all aspects of assigned claim audits, including audit testing and completion of the audit ...responsible for other ongoing tasks as assigned by the Manager of Financial Compliance. These assignments may include claims… more
- Medtronic (Irvine, CA)
- …can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down ... talents to an industry leader in medical technology and healthcare solutions - we're a market leader and growing...and recommendations to senior leadership and the board. + Audit Support: Support internal and third-party audit … more
- Elevance Health (Los Angeles, CA)
- …multiple lines of business, multiple functions, and multiple systems. + Trend audit results and perform data analysis on trends to determine/recommend adjustments to ... review, questions from team and business partners, and interpretation of guidelines and audit process. + Facilitate and lead meetings with business to review … more
- Elevance Health (Costa Mesa, CA)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- Medtronic (Northridge, CA)
- …can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down ... North America, Europe, and Asia, our mission is to deliver cutting-edge healthcare solutions with unmatched operational excellence. We are seeking an experienced… more
- Highmark Health (Sacramento, CA)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- Walgreens (Castro Valley, CA)
- …interpersonal. + Participates and assists in community events as requested by Store Manager , Healthcare Supervisor, District Manager or Pharmacy Manager ... preventive healthcare services. + Assists and supports the pharmacy manager in analyzing performance data including pharmacy financial, customer service, and… more
- Walgreens (San Francisco, CA)
- …preventive healthcare services. + Assists and supports the pharmacy manager in analyzing performance data including pharmacy financial, customer service, and ... well as medical providers and participates in 3rd party audit . + Follows-up with medical providers' offices to clarify...asset protection and inventory management. Reviews KPI's with Pharmacy Manager , Store Manager , and Healthcare … more
- The County of Los Angeles (Los Angeles, CA)
- …+ Performs administrative work related to role as Emerging Infectious Disease and Healthcare Recovery and Business Continuity Program Manager . + Participates in ... developing and implementing the Quality Improvement program for these sections. + Reviews audit and monitoring tools on an on-going basis to ensure applicability and… more