- UCLA Health (Los Angeles, CA)
- …career 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 the auditor . You will review claims (paid, pending,...maintain statistical data consistent + Maintain departmental production and quality standards Salary Range: $30.56 - $60.82 HourlyQualifications We're… more
- UCLA Health (Los Angeles, CA)
- …in an exciting 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 ... reports for the department. Additional responsibilities include: + Reviewing claims for accuracy, appropriate application of benefits, contract interpretation and… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for various… more
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans Claims Auditor III Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...to achieve that purpose. Job Summary The Specialty Plans Auditor III is responsible for planning audits and audit… more
- Elevance Health (Los Angeles, CA)
- …applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
- Northrop Grumman (Redondo Beach, CA)
- …part of history, they're making history. Northrop Grumman is seeking a Supplier Quality Engineer specialized in PWB (Printed Wire Board) commodities to join our ... improvements aligned to department and organizational goals + Mitigate supplier quality risk to prevent/minimize business impact from supplied material defects +… more
- Molina Healthcare (Los Angeles, CA)
- **JOB DESCRIPTION** **JOB SUMMARY:** The Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and ... on how to use reports related to Risk and Quality /HEDIS for Medicaid, Marketplace and Medicare/MMP. **ESSENTIAL JOB DUTIES:**...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more