- 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
- 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 (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
- 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
- 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
- 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 (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 (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
- 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
- Qualcomm (San Diego, CA)
- …achieving Qualcomm's business objectives. Using Qualcomm's risk-based audit methodology, the senior auditor will assist in the execution of internal audits with a ... Designing audit procedures to evaluate control effectiveness + Developing innovative data analytic test approaches applicable to audit objectives + Performing audit… more
- Qualcomm (San Diego, CA)
- …business objectives. Using Qualcomm's risk-based audit methodology, the senior / staff IT auditor will assist in the execution of internal audits with a focus on ... Designing audit procedures to evaluate control effectiveness . Developing innovative data analytic test approaches applicable to audit objectives . Performing audit… more
- Sharp HealthCare (San Diego, CA)
- …workload and priority concerns.Utilizes internal and professional resource tools to provide quality audit results.Performs concurrent audits according to a ... set by CMS, local Medicare Administrative Contractor (MAC) and other third party payers.Performs provider quality audits to ensure provider is billing to… more
- The Walt Disney Company (Glendale, CA)
- …educational opportunities, and special extras that only Disney can provide . Learn more about our benefits and perks at https://jobs.disneycareers.com/benefits ... **Responsibilities:** + Assist the Managers and Directors in high quality execution of the annual audit plan in accordance...such as the development of risk and control matrices, data analytics within key processes under audit, drafting of… more
- Qualcomm (San Diego, CA)
- …Designing audit procedures to evaluate control effectiveness. + Developing innovative data analytic test approaches applicable to audit objectives. + Performing ... Ability to work independently and multi-task to meet deadlines, producing high- quality deliverables. + Positive attitude, professional maturity and good work ethic.… more
- DoorDash (San Francisco, CA)
- …, and the overall ordering experience. Our mission is to implement scalable data solutions and provide insights that directly influence our strategic product ... Senior Manager to lead our Discovery, Search, and App Quality teams. About the Role As a Senior Manager...teams. About the Role As a Senior Manager of Data Science/Analytics, you'll be leading a team of … more
- DoorDash (San Francisco, CA)
- …advertiser performance and quantify the success of marketing strategies + Maintain high quality catalog content and accurate reporting data by building robust ... Promotions team operates at the intersection of e-commerce and advertising. We provide digital marketing solutions to help CPG brands advertisers reach DoorDash… more
- DoorDash (San Francisco, CA)
- …for Data Lake and Data Warehouse + Develop and implement data quality checks, conduct QA and implement monitoring routines + Improve the reliability ... of our ETL processes + Manage a portfolio of data products that deliver high- quality , trustworthy ...As part of the hiring and/or promotion process, we provide Covey with job requirements and candidate submitted applications.… more
- DoorDash (San Francisco, CA)
- …self-healing capabilities, cost-efficient architectures, and tiered platform offerings to make high- quality data ingestion seamless for all internal teams. About ... + Shape the ingestion platform's role within the broader data ecosystem, ensuring deep integration with quality ,...As part of the hiring and/or promotion process, we provide Covey with job requirements and candidate submitted applications.… more
- DoorDash (San Francisco, CA)
- … systems such as data processing, complex/high volume real-time insights, data quality and reliability frameworks, cost efficiency etc.. The following areas ... lake, OLAP etc.), querying infrastructure as well as data compliance, quality and governance. The adjacent...As part of the hiring and/or promotion process, we provide Covey with job requirements and candidate submitted applications.… more
- DoorDash (San Francisco, CA)
- …Flink, Kafka, Airflow, Delta Lake, and Iceberg to build and maintain a scalable, high- quality data ingestion framework. As a key player in this innovative and ... will + High Impact: Contribute to powering multiple business lines with high- quality , low-latency data directly integrated into online systems, driving billions… more