- 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...provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and… more
- 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
- 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 - ... benefits that include Medical and Dental coverage, Group life insurance , Accidental Death and Dismemberment Insurance , Health...No 10 In the execution of the Law Enforcement Auditor duties, you will have to make site visits… more
- 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
- 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 ... skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- Humana (Sacramento, CA)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... Knowledge/understanding of laws and regulations governed by the Department of Insurance and CMS **Preferred Qualifications** + Compliance regulations knowledge and… more
- 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 ... stable, reliable work environments, medical, dental, and basic life and disability insurance benefits, 401k retirement plan, paid time off, annual bonus eligibility,… more
- Insight Global (Irvine, CA)
- …working with excel In the job experience of EHR systems and medical insurance claims management softwares Knowledge of state, federal, and applicable regulations ... with strong understanding of medical terminology. Previous experience as a medical claims examiner or auditor preferred. Experience with claim investigation,… more
- DoorDash (Sunnyvale, CA)
- …DoorDash is seeking a talented Engineering Manager to lead our newly formed Dasher Insurance team, part of the Dasher Engagement pillar, which focuses on three key ... DoorDash as a trusted partner in Dashers' financial journeys. The Dasher Insurance team is revolutionizing safety and security for our most valuable partners-our… more
- DoorDash (San Francisco, CA)
- … Insurance team protects and strengthens our business by managing corporate insurance programs and mitigating risk across Actuarial, Claims Operations, and ... growth. About the Role As a Manager, Risk and Insurance , you'll lead risk management initiatives, ensuring our ...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more