Talent.com
California Licensed Health Plans Auditor

California Licensed Health Plans Auditor

VirtualVocationsDayton, Ohio, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Specialty Health Plans Auditor III, Claims.

Key Responsibilities

Lead planning, execution, reporting, and corrective action monitoring for claims processing compliance across specialized health programs

Conduct annual claims audits and ensure compliance with regulatory and contractual requirements

Act as a Subject Matter Expert, mentoring staff and shaping best practices for continuous improvement

Qualifications

Bachelor's Degree in Accounting, Finance, or a related field, or equivalent education and / or experience

Minimum 5 years of experience in claims audits or claims processing related to managed care product lines

Demonstrated background in managed care, healthcare, or health insurance

Proven experience in healthcare claims audit and financial compliance

Proficiency in Microsoft Office (Excel, PowerPoint, and SharePoint)

serp_jobs.job_alerts.create_a_job

Health Plans Auditor • Dayton, Ohio, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Property Adjuster Specialist - Field

Property Adjuster Specialist - Field

USAADayton, OH, US
serp_jobs.job_card.full_time
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Audit Associate - Fall 2026

Audit Associate - Fall 2026

RSMDayton, OH, US
serp_jobs.job_card.full_time
We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their ful...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Insurance Agent

Insurance Agent

Meridian Capstone Insurance, Inc.Forest Park, OH, US
serp_jobs.job_card.full_time
Montgomery, OH 45242 (In-person).You will earn commission on your first dollar of business.Licensed P&C licensed agents ask about our sign on bonus. Each agent has a monthly marketing allowance....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
SQF BRC Auditor

SQF BRC Auditor

EAGLE Certification GroupDayton, OH, US
serp_jobs.job_card.full_time
The Food Safety auditor is responsible for conducting audits in facilities (and farms for SQF) in accordance with both the audit scheme and EAGLE protocol. Auditors travel to client sites, perform i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Internal Auditor IV

Internal Auditor IV

CareSourceDayton, OH, US
serp_jobs.job_card.full_time
The Internal Auditor IV is primarily responsible for managing the Internal Audit Control Assurance Program while also working in a self-directed team environment to execute internal audits as defin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
P&C Insurance Agent

P&C Insurance Agent

Meridian Capstone Insurance, Inc.Monroe, OH, US
serp_jobs.job_card.full_time
Montgomery, OH 45242 (In-person).You will earn commission on your first dollar of business.Licensed P&C licensed agents ask about our sign on bonus. Each agent has a monthly marketing allowance....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Director - West Chester, OH

Medical Director - West Chester, OH

Veterinary Emergency Group (VEG)West Chester, OH, US
serp_jobs.job_card.full_time
VEG is a rapidly growing emergency company with hospital locations across the United States.Our mission is helping people and their pets when they need it most. We are revolutionizing emergency medi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Independent Insurance Agent - Top Carriers + Paid Training

Independent Insurance Agent - Top Carriers + Paid Training

Meridian Capstone Insurance, Inc.Centerville, OH, US
serp_jobs.job_card.full_time
Montgomery, OH 45242 (In-person).You will earn commission on your first dollar of business.Licensed P&C licensed agents ask about our sign on bonus. Each agent has a monthly marketing allowance....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Clinical Director (Legacy Impact Residential)

Clinical Director (Legacy Impact Residential)

Atlantic Health StrategiesDayton, OH, US
serp_jobs.job_card.full_time
Legacy Impact is dedicated to empowering individuals on their journey toward lasting recovery and mental wellness.We believe that with compassionate support, evidence-based care, and a strong sense...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Licensed Financial Professional

Licensed Financial Professional

The Gainey AgencyDayton, OH, US
serp_jobs.job_card.full_time +1
serp_jobs.filters_job_card.quick_apply
Licensed Financial Professional.Commission-Based + Bonuses | Part-Time or Full-Time.Are you driven, coachable, and passionate about helping others? Gainey Financial Group is expanding, and we’re lo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Director - Virtual / Hybrid Part-Time (Legacy Impact Residential)

Medical Director - Virtual / Hybrid Part-Time (Legacy Impact Residential)

Atlantic Health StrategiesDayton, OH, US
serp_jobs.job_card.part_time
Legacy Impact is dedicated to empowering individuals on their journey toward lasting recovery and mental wellness.We believe that with compassionate support, evidence-based care, and a strong sense...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Director, Provider Contracts (Must reside in Georgia)

Director, Provider Contracts (Must reside in Georgia)

Veterans StaffingDayton, OH, US
serp_jobs.job_card.full_time
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Property and Casualty Insurance Agent

Property and Casualty Insurance Agent

Meridian Capstone Insurance, Inc.Miamisburg, OH, US
serp_jobs.job_card.full_time
Montgomery, OH 45242 (In-person).You will earn commission on your first dollar of business.Licensed P&C licensed agents ask about our sign on bonus. Each agent has a monthly marketing allowance....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
[US] Safety Solutions Implementation & Consulting Specialist

[US] Safety Solutions Implementation & Consulting Specialist

Benchmark GensuiteMason, OH, US
serp_jobs.job_card.full_time
Safety Solutions Implementation & Consulting Specialist.Innovate with Benchmark Gensuite as a Safety Solutions Implementation & Consulting Specialist. Everyone wants to make the world a bett...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Public Health Instructor and Curriculum Developer

Public Health Instructor and Curriculum Developer

VENESCO LLCDayton, OH, US
serp_jobs.job_card.full_time
Provide instructional and curriculum development support for public health training programs.Serve as a subject matter expert in public health education and deliver classroom instruction across mul...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
EAGLE Auditor

EAGLE Auditor

EAGLE Certification GroupDayton, OH, USA
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
The Food Safety auditor is responsible for conducting audits in facilities (and farms for SQF) in accordance with both the audit scheme and EAGLE protocol. Auditors travel to client sites, perform i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Permanent Population Health Evaluator Non-Clinical - Administrative

Permanent Population Health Evaluator Non-Clinical - Administrative

Aya HealthcareDayton, OH, US
serp_jobs.job_card.permanent
Whether you have your eye set on a specific hospital or found a place you'd love to call home, we can help.As the nation's largest healthcare staffing agency, we'll get you in the door faster throu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less
  • serp_jobs.job_card.promoted
Health Partner Incentive Analyst III

Health Partner Incentive Analyst III

CareSourceDayton, OH, US
serp_jobs.job_card.full_time
Health Partner Incentive Analyst III.The Health Partner Incentive Analyst III is responsible for compiling and analyzing financial and clinical data related to health partner incentive programs.Pre...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Medical Director - Cincinnati, Ohio

Medical Director - Cincinnati, Ohio

GpacBlue Ash, Ohio, United States
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
I am seeking a Medical Director for a full-service veterinary hospital that places the care, diagnosis, and treatment of pets as their primary concern. The individual in this role will manage the ho...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Licensed Insurance Agent - Independent Agency,Base + Commission

Licensed Insurance Agent - Independent Agency,Base + Commission

Meridian Capstone Insurance, Inc.Centerville, OH, US
serp_jobs.job_card.full_time
Montgomery, OH 45242 (In-person).You will earn commission on your first dollar of business.Licensed P&C licensed agents ask about our sign on bonus. Each agent has a monthly marketing allowance....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days