State Claims Auditor - Compliance & Contract Review
$3,844 - $4,811 per monthState of California
The State of California is hiring for an auditing role focusing on the legality and validity of claims. Responsibilities include auditing claims for payment from the State Treasury, reviewing contracts, and validating financial obligations. Ideal candidates will demonstrate strong organizational and communication skills. This position supports state compliance with regulations. Salary ranges from $3,844.00 to $4,811.00 per month. Applications are open until June 9, 2026. #J-18808-Ljbffr State of California
$3,844 - $4,811 per month
...per Month New to State candidates will be... ...prepayment audits of claims from state... ...legality, validity, and compliance with laws and regulations... ...and comply with contract terms, CalHR, and... ...‑related Tasks Review grants, contracts,... ...for lead auditor review. Prepare claim...Contract workClaimsWork at office$21.2 - $34.69 per hour
...following Pacific time zone states: California, Nevada, Oregon,... ...commercial, or auto liability claims. Candidates must be able to... ...Claims Resolution Claims Review Communication Customer... ...with the Office of Federal Contract Compliance Programs. To view the FMLA...Contract workClaimsCurrently hiringWork at officeRemote workVisa sponsorshipWork visa$50k - $65.3k
...following Pacific time zone states: California, Nevada, Oregon,... ...commercial, or auto liability claims. Candidates must be able to... ..., Claims Resolution, Claims Review, Communication, Customer... ...with the Office of Federal Contract Compliance Programs. To view the FMLA poster...Contract workClaimsCurrently hiringWork at officeRemote workVisa sponsorshipWork visa$150k - $200k
...dashboard. Conduct post-investment reviews and analyze variance between... ..., pricing strategy, contract economics, and new program launches... ...billing, utilization impacts, claims dynamics). Experience supporting... ...role is fully remote within the state of California. Preference will...Contract workClaimsFor subcontractorLocal areaRemote work$102.96k
...function, including insurance, claims management, risk control,... ...coverages. Assists in performing contract reviews and analysis of financial... ...incident costs. Ensures compliance of both Team Member and guest... ...as OSHA and IHS/ food codes, state/tribal compact requirements,...Contract workClaimsWork at office- ...Description The Managed Care Compliance Specialist is... ...to AB1455 and Medicare Claims Processing Guidelines.... ...laws and regulations, contract documentations, amendments... ...regulations and any applicable state regulations pertaining... ...all aspects of the review for performance management...Contract workClaims
- ...Description Summary: A Hospital Claims Auditor is responsible for the... ...claims processes as well as compliance, in accordance with outside... ...Hospital Clients. Research, reviews and contacts provider services... ...Conduct in-depth research of contract issues, system-related...Contract workClaims
$35.82 - $50.24 per hour
Attorney-Represented Bodily Injury Claims Adjuster - PST/MST (Remote)... ...following Pacific time zone states: California, Nevada, Oregon,... ..., Claims Resolution, Claims Review, Communication, Customer... ...with the Office of Federal Contract Compliance Programs.To view the FMLA...Contract workClaimsRemote jobCurrently hiringWork at officeVisa sponsorshipWork visa$56.7k - $94.9k
SUMMARY Claim Representative I: This is the entry level professional... ...while complying with state legislation to avoid penalties... ...abilities, such as experience in reviewing, investigating and closing... ...herein is intended to create a contract. #J-18808-Ljbffr Blue Cross...Contract workClaimsRemote jobTraineeshipWork at office$5,000 - $5,500 per month
...Categories: Confidential, Compliance/Legal,... ...investigation of claims under the scope of... ...laws at the federal, state, and local levels.... ...the Bureau of State Auditor by determining records... ...relative to contract interpretation/administration... ...performance reviews with...Contract workClaimsFull timeWork experience placementWork at officeLocal areaRemote work$142k - $213k
...Applications and Analytics leads claims-related services,... ..., ensuring regulatory compliance, accurate payments, and... ...to regulations and contract terms; minimize pended... ...directions and expectations. Review and approve workflows,... ...population. Apply state and federal regulations...Contract workClaimsFull time$206.91k - $331.07k
...Every application is reviewed bya real human member... ...Reporting to the Chief Compliance Officer, this position... ...legal and administrative contracting issues and overall... ...Stark Law, and False Claims Act Medi-Cal, Medicaid... ...requirements, and regulations State regulatory agencies,...Contract workClaimsFull timeTemporary workPart timeLive inWork at officeLocal areaRemote work$365 per month
...reporting activities comply with state and Office policies. Process vendor payments, prepare claim schedules, resolve invoice... ...employment. The California State Auditor’s Office is not an E-Verify... ...deadlines, ensuring accuracy and compliance. You have strong verbal and...ClaimsPermanent employmentTemporary workSummer workWork at officeRemote workWeekend work- ...automated systems to review applications. Every application... ...risk management, and compliance, we ensure the... ...strategies that support contract analysis, trend... ...structures, including member, claims, clinical, and... ...to work in the United States on a full-time, ongoing...Contract workClaimsFull timeTemporary workPart timeLive inWork at officeLocal areaRemote work
- ...safety and regulatory compliance while fostering a positive... ...reprimands and reviews, both written and verbal... ...warranty and service contract commitments/requirements... ...Manage and track warranty claims and understand... ...lenders along with local, state, and federal regulatory...Contract workClaimsTemporary workFor contractorsWork at officeLocal areaImmediate startRemote work
$160k - $180k
...program with emphasis on compliance, risk mitigation,... ...for Sanitation team and contract manufacturing Supervisor... ...impact from quality holds, claim rates, micro compliance... ...meetings (Tier 1-3) to review FSQA KPIs,... ...pomegranate juice in the United States as well as the worldwide...Contract workClaimsFull timeWorldwideShift work- 6AM City, LLC is seeking a Hospital Claims Auditor located in California, Missouri. This role is responsible for ensuring the quality of... ...organizational and communication skills are essential. Join us to make a difference in healthcare compliance. #J-18808-Ljbffr 6AM City, LLCClaims
$90k - $115k
Senior Field Premium Auditor page is loaded## Senior Field Premium Auditorlocations... ...in Alaska, and other western states.At Republic, we believe in... ..., and legal requirements.* Reviews and analyzes moderately... ...specific exposures.* Reviews claim activity on policies to ensure...ClaimsFull timePart timeSeasonal workWork at officeLocal areaRemote work- ...pre-auth processes to improve speed, compliance, and patient experience. Analyze... ...to payer and provider systems (EHR, claim processing, benefit management). Experience... ..., executive order, or federal, state, or local government contract #J-18808-Ljbffr Cloud Hybrid...Contract workClaimsPermanent employmentLocal area
- ...protected status. Job Summary The Contracts Manager - Facilities... ...Construction at Getty will oversee the review, drafting, and execution of... ...Projects, this role ensures compliance with institutional policies,... ...requirements, and manages claims to protect Getty’s interests...Contract workClaimsFull timeFor contractorsWork at office
$82.8k - $120k
...families, agencies, and referents Ensure compliance to regulations set forth by The Joint... ...California Work authorized in the United States and native or bilingual English proficiency... ...Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at...Contract workRemote jobFull timeFor contractorsFor subcontractorWork at officeLocal areaVisa sponsorshipNight shiftWeekend work- ...communication with clients, courts, claim representatives, and opposing... ...and attention to detail.* **Compliance Monitoring:** Ensure data... ...against public policy of the State of Indiana and a... ...laws with the Office of Federal Contract Compliance Programs.To view the...Contract workClaimsHourly payWork at officeRemote workWork from homeWork visa
$150k - $200k
...law attorneys for a long-term contract engagement with a California-based... ...advising employers on federal, state, and local employment law... ...issues. Responsibilities include reviewing corporate onboarding documentation, advising on compliance and exemption classifications,...Contract workLong term contractPermanent employmentFull timePart timeLocal areaRemote workFlexible hours- ...University Health System is seeking two Coding Compliance Auditors (Administrative Services Manager I) to... ...Key Responsibilities Conduct thorough reviews of medical records to ensure compliance... .... Monitor compliance with federal and state regulations, including Medicare,...Work experience placement
- The State of California seeks a Staff Services Management Auditor to conduct audits and reviews of entities participating in CalRecycle programs. Candidates should have experience in financial or compliance audits and hold a Bachelor’s degree in Accounting, Finance, or...
- ...is comprised of independent contract reviewers (1099) compensated on a per-... ...prospective and retrospective claims. The Physician Reviewer will... ...healthcare professionals in compliance with client specific... ...resources such as national, state, and professional association...Contract workClaimsExtra incomeRemote work
- Opendoorhealth is seeking a Contract Administrator to manage the entire contract workflow, ensuring compliance with legal standards and business objectives. The position requires... ...across departments, and support for claims management. Candidates must have a degree in...Contract workClaimsRemote job
- Department: Claims Operations Reports To: Claims Supervisor... ...Examiner is responsible for reviewing, analyzing, and... ...claims while maintaining compliance with federal and state regulations and providing... ...accordance with benefit plans, contract terms, coding guidelines,...Contract workClaimsWork at officeLocal areaRemote work
- ...published more than 20 peer-reviewed studies, and delivered... ...in overall healthcare claims costs. Lyra is... ...scheduling).We are looking for contract psychiatrists who are... ...quality.Ethics and Compliance – Ensure compliance... ...license in at least one state.Experience providing...Contract workClaimsFor contractorsRemote work
$94k - $156k
...tracking supplier performance scorecards, and contract management.* Build/leverage RFx templates... ...to different audiences* Travel out of state or internationally up to 20% of the time*... ..., organizations, and internet sites claiming to represent Pharmavite in recruitment activities...Contract workClaimsWork at officeLocal areaWork from home
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to State Claims Auditor - Compliance & Contract Review. Be the first to apply!

