- Sharp HealthCare (San Diego, CA)
- …for the position, and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp ... HealthCare 's (SHC's) compliance audit program. The position...**Essential Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility… more
- RTX Corporation (Fullerton, CA)
- …a safer, more secure world. We are seeking a **Quality Management System (QMS) Compliance Auditor ** to work in our Fullerton, CA, location. The successful ... and the ability to work independently. The Quality Management System (QMS) Compliance Auditor will be responsible for performing program, process, manufacturing… more
- Insight Global (Los Angeles, CA)
- …Health Plan Auditor to conduct financial audits within a managed healthcare environment. This role involves evaluating internal controls, ensuring compliance ... experience in financial auditing 5+ years of experience in the managed care, healthcare , or insurance industry 2+ years of accounting experience Must hold at least… more
- RGP (Los Angeles, CA)
- Play a critical role in ensuring financial solvency and regulatory compliance for healthcare partners. This position offers the opportunity to lead audits, ... lines of business, including Medi-Cal, Covered California, D-SNP, and PASC-SEIU. The Auditor will ensure adherence to state and federal regulations (DMHC, DHCS, CMS)… more
- Insight Global (Los Angeles, CA)
- Job Description Insight Global is looking for a Sr. Financial Compliance Auditor for one of the largest health systems in the country. This person will be ... plans contracted with LA Care, focusing on regulatory and contractual compliance across Medi-Cal, Medicare, Covered California, and PASC-SEIU programs. Serves as… more
- Abbott (Alameda, CA)
- …female executives, and scientists. **The Opportunity** This role for the Staff Quality Auditor will serve as experts for the compliance team with respect ... Abbott is a global healthcare leader that helps people live more fully...and share industry trends through ongoing research. + Maintain compliance files. + Be a certified lead auditor… more
- City National Bank (Los Angeles, CA)
- * AUDITOR II- TREASURY/FINANCE* WHAT IS THE OPPORTUNITY? The Auditor II will work within a team and on occasion as an individual contributor on audit assignments ... testing internal controls and ensuring compliance with bank policies, procedures, and regulatory requirements, focusing...where audit responsibilities are assigned. * Assists the Senior Auditor and or Audit Manager in the development of… more
- Humana (Sacramento, CA)
- …a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for...**great attention to** **detail** **and have** **a passion for healthcare ? Do you have a solid background in medical… more
- Humana (Sacramento, CA)
- … auditing experience + Ability to analyze large data sets + Knowledge of healthcare compliance , mainly primary care and risk adjustment, pharmacy knowledge a ... conducts compliance related audits to assess internal controls, examining healthcare records and processes, and analyzing and reporting risks. + Influence… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Quality Auditor II Job Category: Customer Service Department: Even MORE Quality Location: Los Angeles, CA, US, 90017 Position Type: Full ... that purpose. Job Summary The Customer Solution Center Quality Auditor (QA) II is responsible for monitoring and actively...Compiles quality data on a daily/monthly basis to measure compliance with internal policies and procedures as well as… more