• 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 ... pharmacy audits on behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a wide variety of pharmacy records against our… 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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  • Specialty Health Plans Auditor III…

    LA Care Health Plan (Los Angeles, CA)
    Specialty Health Plans Auditor III Claims Job Category: Customer Service Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... required to achieve that purpose. Job Summary The Specialty Health Plans Auditor III Claims is responsible for all aspects of planning, execution, reporting and… more
    LA Care Health Plan (09/03/25)
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  • Claims Compliance Auditor I

    Centene Corporation (Sacramento, CA)
    …PT to as late as 8:30am PT. **Position Purpose:** Perform regulatory claims compliance audits to support health plan operations. Completes retrospective claims ... a monthly, quarterly and annual basis to ensure regulatory compliance. + Perform claims compliance audits for either federal or state programs. + Evaluate processes… more
    Centene Corporation (08/30/25)
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  • Claims Examiner

    Insight Global (Irvine, CA)
    …with strong understanding of medical terminology. Previous experience as a medical claims examiner or auditor preferred. Experience with claim investigation, ... An employer in the Irvine area is seeking a Claims Examiner II. This is a hybrid position, working...be responsible for the investigation, determination, and reporting of claims processing through auditing billing processes, including pre and… more
    Insight Global (08/08/25)
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  • Internal Auditor / Accountant-…

    The County of Los Angeles (Los Angeles, CA)
    INTERNAL AUDITOR / ACCOUNTANT- AUDITOR Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4103628)  INTERNAL AUDITOR / ACCOUNTANT- ... CA Job Type Full time Job Number S0675I Department AUDITOR -CONTROLLER Opening Date 09/02/2025 Closing Date 9/19/2025 5:00 PM...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
    The County of Los Angeles (09/02/25)
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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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  • 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 ... and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance,...to Prime's travel and expense policy + Analyze pharmacy claims to identify those at the highest risk for… more
    Prime Therapeutics (06/28/25)
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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)
    …Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or ... and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong education/training background… more
    Highmark Health (08/08/25)
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