California Licensed Health Plans Auditor
VirtualVocationsFullerton, California, United Statesjob_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 • Fullerton, California, United States
Job_description.internal_linking.related_jobs
Associate - Medical Claims Audit.Miller Kaplan is a different kind of CPA firm; we believe in building a legacyyours.We want to give our clients the very best, and we understand that begins with he...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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
At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life.
Career development with an international company where you can g...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Looking for a career where attention to detail meets meaningful client impact?.We’re hiring a Remote Physical Auditor to play a key role in ensuring accurate and compliant insurance audits.In...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Linking purposes / extensions not open for submittals 1 year contract.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Claims Medpay Adjuster - Medicare Specialist.This position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of property and / or liability lines of in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus,.
UCI Health Community Network in Orange and Los Angeles count...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
This position is a temporary role facilitated through one of our contracted agencies and is not a direct employment opportunity with IEHP.
The contracted agency offers an assignment length of up to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
A construction services company in California is looking to add an experienced professional to their team as their newVice President of Safety & Fleet.
In this role, the Vice President of Safety & F...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Onsite – Huntington Beach, CA.This includes supervising daily operations, leading quality assurance programs, and collaborating with executive leadership to align departmental strategies with...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
General Liability Claims Examiner (Public Entity).By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Location : Upland, CADuration : 4 monthsReason for coverage : full FTE open Schedule : 3-5 days per week, every weekShift : Monday Friday, 8a-5pCall : rotating 1 : 3, more details pendingPatient volume : 15...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Over four decades of servicing California in insurance defense.This Jobot Job is hosted by : Mallory Schreiner.Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending u...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Khesed provides outpatient mental health therapy for the underinsured, and we prioritize kindness, accessibility, and inclusivity in the way that we grow.
We believe that clients and clinicians thri...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Focus on the core content of the job post, removing all extra metadata, navigation, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.Remove all emojis, sp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Represented Bodily Injury Claims Adjuster.Kemper is one of the nation's leading specialized insurers.Our success is a direct reflection of the talented and diverse people who make a positive differ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
This includes supervising daily operations, leading quality assurance programs, and collaborating with executive leadership to align departmental strategies with organizational goals.The ideal cand...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Subcontracts Specialist, Indirect.At Vast, our mission is to contribute to a future where billions of people are living and thriving in space.
We are building artificial gravity space stations, allo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Under general supervision, the Medical Professional Expert provides assistance and support in accordance with assignments and directions from the supervisor.
Have specialized knowledge or expertise ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
Associate - Medical Claims Audit
Miller Kaplan Arase LLPBurbank, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Managing Director Healthcare Audit
RSMIrvine, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Associate Program Director, Digital Health
AbbottSylmar, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Premium Insurance Auditor
ReSource ProWest Covina, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Non-Clinical - Health and Information Management - Auditor
E-SolutionsOrange, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims MedPay Adjuster - Medicare Specialist
AAALong Beach, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Sr. Director, CN Finance - Lakewood & Los Alamitos - FT Days
University of California - Irvine HealthLakewood, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Behavioral Health Care Manager, Licensed (Contract)
IEHPRancho Cucamonga, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Physician / California / Permanent / Vice President of Safety & Fleet Job
Tandym HealthSanta Ana, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Sr. Claims Director
Webilent Technology, Inc.Huntington Beach, CA, USserp_jobs.job_card.temporary
- serp_jobs.job_card.promoted
Liability Claims Examiner (Public Entity) | Must Reside in California
SedgwickBrea, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Physician / Pathology / California / Locum or Permanent / California Pathology - Locums Hire Job
Pacific Companies, Inc.Upland, CA, USserp_jobs.job_card.permanent
- serp_jobs.job_card.promoted
Attorney
JobotIrvine, CA, USserp_jobs.job_card.full_time
Licensed Therapist - California
Khesed WellnessLong Beach, California, United Statesserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Sr. Premium Auditor
ChubbIrvine, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Healthcare Process Risk Senior Associate (Internal Audit)
Grant Thornton LLPNewport Coast, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Represented Bodily Injury Claims Adjuster
KemperCerritos, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Sr. Claims Director (Huntington Beach)
Webilent Technology, Inc.Huntington Beach, CA, USserp_jobs.job_card.part_time +1
- serp_jobs.job_card.promoted
Subcontracts Specialist, IndirectLong Beach, California, United States
VastLong Beach, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Health Educator
Coast Community College DistrictCosta Mesa, CA, United Statesserp_jobs.job_card.temporary