- 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
- 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
- The County of Los Angeles (Los Angeles, CA)
- …management, all in compliance with applicable laws (eg, California Environmental Quality Act), rules and regulations and policies and procedures. + Supervises ... final approval. + Reviews and approves all requests to auditor controller for payments to confirm the requests are...Ideas + Using Time Efficiently + Working to High Quality Standards + Adapting to Change + Deductive Reasoning… more