• Pharmacy Claims Auditor CPhT

    Conduent (Los Angeles, CA)
    …be part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like ... behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a...claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be… more
    Conduent (06/21/25)
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  • Claims Quality Auditor

    UCLA Health (Los Angeles, CA)
    …to the next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned ... to the auditor . You will review claims (paid, pending, and denied) for accuracy, appropriate application of benefits, authorization for services, contract… more
    UCLA Health (08/08/25)
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  • Onsite Pharmacy Auditor (based…

    Prime Therapeutics (San Diego, CA)
    …passion and drives every decision we make. **Job Posting Title** Onsite Pharmacy Auditor (based in California) **Job Description** The Onsite Pharmacy Auditor ... pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting… more
    Prime Therapeutics (06/28/25)
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  • Specialty Health Plans Auditor III, $5,000…

    LA Care Health Plan (Los Angeles, CA)
    Specialty Health Plans Auditor III, $5,000 SIGN ON BONUS Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Specialty Health Plans Auditor III is offering a $5,000 Sign On Bonus....and corrective action plans monitoring of financial solvency and claims processing compliance for specialty health plans and vendors.… more
    LA Care Health Plan (07/06/25)
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  • Law Enforcement Auditor

    The County of Los Angeles (Los Angeles, CA)
    LAW ENFORCEMENT AUDITOR Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4668332) Apply  LAW ENFORCEMENT AUDITOR Salary $109,807.68 - ... No 10 In the execution of the Law Enforcement Auditor duties, you will have to make site visits...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
    The County of Los Angeles (08/04/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Walnut Creek, CA)
    **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
    Elevance Health (08/23/25)
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  • Coding Auditor Educator

    Highmark Health (Sacramento, CA)
    …and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting ... Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician...skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and… more
    Highmark Health (08/08/25)
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  • Order Checker Auditor - 3PM Start

    Lineage Logistics (Colton, CA)
    …the plant to determine and ensure meet company standards + Report damages and claims to inventory control + Arrange stock parts in a specific order for assembly ... by other workers + Process inbound/outbound orders safely and accurately **ADDITIONAL DUTIES AND RESPONSIBILITIES** + Work with other machinery and material handling equipment **MINIMUM REQUIREMENTS (KNOWLEDGE, SKILLS, ABILITIES)** + Basic math skills +… more
    Lineage Logistics (08/28/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Sacramento, CA)
    …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... be able to work core business hours on EST time between (9am-5pm). + Willingness to travel up to 10% to conduct audits at site locations. + Ability to manage multiple or competing priorities and meet deadlines + Must be passionate about contributing to an… more
    Humana (08/23/25)
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  • Order Checker Auditor

    Lineage Logistics (Riverside, CA)
    …and virtual product inventories via daily activities of cycle counting, claims management and accounts administration within the facility. Manage data concerned ... with ordering, receiving, storing, issuing, and shipping products for/from the facility. Order shipping materials supplies and equipment to maintain inventory throughout the facility. **KEY DUTIES AND RESPONSIBILITIES** + Keep inventory, purchasing, shipping… more
    Lineage Logistics (08/12/25)
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