- Conduent (Los Angeles, CA)
- …and be part of a culture where individuality is noticed and valued every day. ** Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would ... in depth pharmacy audits on behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a wide variety of pharmacy … more
- LA Care Health Plan (Los Angeles, CA)
- …Plan Partners (PP), Preferred Provider Groups (PPG), Specialty Health Plans (SHP) and Pharmacy Benefit Manager (PBM) including LA Care's Claims Department. This ... the safety net required to achieve that purpose. Job Summary The Specialty Plans Auditor III is responsible for planning audits and audit work programs that address… more
- The Cigna Group (Sacramento, CA)
- …referrals, and select outpatient services. May review initial liability disability claims to determine extent and impact of insured's medical condition, medical ... + May be required to participate in customer and auditor visits. + Participates in special projects as deemed...Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and… more
- Molina Healthcare (San Diego, CA)
- …+ Develop custom health plan reports related to managed care data like Medical Claims , Pharmacy , Lab and HEDIS rates + Assists and collaborates with the ... License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested in applying… more