California Licensed Health Plans Auditor
VirtualVocationsMinneapolis, Minnesota, 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 • Minneapolis, Minnesota, United States
Job_description.internal_linking.related_jobs
AlliedTravelCareers is working with All Medical Personnel to find a qualified Behavioral Health Tech in Lakeville, Minnesota, 55044!.
Specialty : Paraprofessional - Behavioral Health.Attends work on ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Celebrated as one of Minnesota's Top Workplaces! Knutson Construction is accepting applications for a Director of Healthcare to join our team!.
Together We Make Dreams Real" that is our purpose as ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Gig Workers Wanted! Are you tired of working for someone else? Have you thought about building a business for yourself? If you answered yes to either question – Welcom...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond.
We deliver personalized health care experiences an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Begin a rewarding career—join American Baptist Homes of the Midwest as our Director of Electronic Health Records, where your commitment and compassion will directly impact the lives of others...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Hopkins, MN (Onsite) Full-Time.Compensation : $600 - $800 / weekly.This role is responsible for auditing the quality of incoming loads, ensuring compliance with established standards, and identifying ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Claims Pricing Strategy Leader.At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.
The work you do here impacts t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
As a Medical Claims Adjuster with Wilson-McShane Corporation, you will be processing medical, and short-term disability claims.
This position has direct impact on the participants and families of th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Parking Lot Attendant / Lot Auditor.The Parking Lot Attendant helps ensure a smooth, safe, and organized parking experience for guests.
This role includes directing traffic, assisting customers, mon...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Job Class : Revenue Tax Specialist, Intermediate.Who May Apply : This vacancy is open for bids and for all qualified job seekers simultaneously.
Bidders will be considered through 10 / 14 / 2025.The work ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Next Generation Associate Underwriter Accident & Health.The purpose of this role is to support Accident & Health (A&H) underwriters in preparing quotes, following up with producers, and reviewing p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Job Opportunity at Guy Carpenter.We are seeking a talented individual to join our team at Guy Carpenter.This role will be based in Edina, Minnesota.
This is a hybrid role that has a requirement of w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
US-IN-Evansville | US-IL-Chicago | US-MN-Lake Elmo | US-MN-St Louis Park.Old National Bank has been serving clients and communities since 1834.
With over $70 billion in total assets, we are a region...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions.With a track record of excellence and reliability, we have proudly serve...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Health Management Intern Employer Services.Award-winning, inclusive, Top Workplace culture doesn't happen overnight.It's a result of hard work by extraordinary people.
The industry's brightest tale...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days )
At PwC, our people in audit and assurance focus on providing independent and objective assessments of financial statements, internal controls, and other assurable information enhancing the credibil...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Remote Medical Benefits Representative.Key Responsibilities Perform inbound and outbound calls assisting patients with prescription benefits Verify insurance, billing,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond.
We deliver personalized health care experiences an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
Travel Behavioral Health Tech in Lakeville, MN
AlliedTravelCareersSaint Paul, Minnesota, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Inpatient Care Management Medical Director - Remote
UnitedHealth GroupMinneapolis, MN, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Director of Healthcare
Knutson ConstructionMinneapolis, MN, USserp_jobs.job_card.full_time
Premium Auditor
Davies Risk ServicesBrooklyn Park, MN, USserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Medical Director, Population Health
MedicaMinnetonka, MN, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Director of Electronic Health Records
American Baptist Homes of the MidwestEden Prairie, MN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Vendor Compliance Auditor
Capstone LogisticsHopkins, MN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Director, Claim Pricing - Remote
UnitedHealth GroupMinnetonka, MN, USserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
MEDICAL CLAIMS ADJUSTER
Wilson-McShane CorpMinneapolis, MN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
HSP Auditor - Twin Cities
Parking Management CompanyMinneapolis, MN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Tax Fraud Auditor - Revenue Tax Specialist, Intermediate
USA JobsSaint Paul, MN, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Next Generation Associate Underwriter Accident & Health
QBE InsuranceMinneapolis, MN, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
AVP Reinsurance Specialist (Accounting & Claims)
Marsh McLennanMinneapolis, MN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
SOX Auditor
Old National BankSt. Louis Park, MN, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Premium Insurance Auditor (Hybrid)
ARMStrong Insurance ServicesSaint Paul, MN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Health Management Intern - Employer Services
Marsh McLennanMinneapolis, MN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Assurance Manager - Health Industries
PwC (US)Minneapolis, MN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Medical Benefits Rep
VirtualVocationsMinneapolis, Minnesota, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Compliance Program Consultant, Mental Health Parity
MedicaMinnetonka, MN, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Director - Pain Management Specialist - Remote
UnitedHealth GroupMinneapolis, MN, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time