• Provider Data Quality…

    LA Care Health Plan (Los Angeles, CA)
    Provider Data Quality Auditor II (ALD) Job...at the right time. Mission: LA Care's mission is to provide access to quality health care for Los ... net required to achieve that purpose. Job Summary The Provider Data Quality Auditor...root-cause analyses and recommend effective alternative solutions to handle Provider and Member inquiries, and to provide … more
    LA Care Health Plan (05/15/25)
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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 ... + Research over and under-payment inquiries/appeals + Compile and maintain statistical data consistent + Maintain departmental production and quality standards… more
    UCLA Health (05/08/25)
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  • Claims Quality Auditor

    UCLA Health (Los Angeles, CA)
    …new direction. You can do all this and more at UCLA Health. The Claims Quality Auditor serves as the primary point of contact for submission and resolution ... of Provider Dispute Resolutions and Appeals. They will assess and...will assess and complete appropriate documentation for tracking PDR/Appeals data and conduct all pertinent research to evaluate, respond… more
    UCLA Health (04/26/25)
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  • Manufacturing Quality Auditor

    ManpowerGroup (Compton, CA)
    Manpower is hiring for a Quality Auditor who will be reviewing and evaluating quality management systems, processes, and products to ensure compliance with ... + **Identifying Issues:** Detect discrepancies, non-conformances, and potential weaknesses in quality systems. + **Analyzing Data :** Evaluate data … more
    ManpowerGroup (04/09/25)
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  • Contract Program Auditor / Emergency…

    The County of Los Angeles (Los Angeles, CA)
    CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4263643) Apply  CONTRACT PROGRAM ... AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Salary $79,689.84 - $107,390.16...centers and related health facilities to ensure that appropriate quality of care is maintained by private agencies with… more
    The County of Los Angeles (02/17/25)
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  • Specialty Health Plans Claims Auditor III

    LA Care Health Plan (Los Angeles, CA)
    …at the right place at the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income ... Specialty Health Plans Claims Auditor III Job Category: Accounting/Finance Department: Financial Compliance...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
    LA Care Health Plan (02/24/25)
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  • Delegation Oversight Compliance Auditor III

    LA Care Health Plan (Los Angeles, CA)
    …for LA Care subcontracted providers. Additionally, the Auditor III will provide updates and recommendations to Management on quality and delegation oversight ... Delegation Oversight Compliance Auditor III Job Category: Administrative, HR, Business Professionals...the right time. Mission: LA Care's mission is to provide access to quality health care for… more
    LA Care Health Plan (04/11/25)
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  • Financial Compliance Auditor III Claims

    LA Care Health Plan (Los Angeles, CA)
    …at the right place at the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income ... Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
    LA Care Health Plan (04/05/25)
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  • Senior Auditor

    Robert Half Management Resources (Glendale, CA)
    Description We are looking for an experienced Senior Auditor with a strong background in financial auditing and Sarbanes-Oxley (SOX) compliance to join our team on a ... visits to auditors, review the site review reports for quality , then issue the reports to a standard distribution...Excel user who is proficient at analyzing and manipulating data as needed, and using Excel formulas/functions such as… more
    Robert Half Management Resources (05/15/25)
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  • Coding Auditor Educator

    Highmark Health (Sacramento, CA)
    …prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation ... meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system...as it relates to the DRG/APC and other clinical data quality management factors. With technical direction… more
    Highmark Health (05/09/25)
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