Compliance Auditor
Clever Care Health Plan
Clever Care Health Plan in Southern California is seeking a Pharmacy Part D Oversight Auditor to lead independent auditing of Part D clinical compliance, MTM elements, and delegated PBM controls, ensuring timely, accurate, audit-ready documentation. You will coordinate with UM/Part C on benefit coordination, prepare dashboards, and deliver Board-level reporting while adhering to CMS requirements. Requires PharmD or RPh preferred, BS in Pharmacy, and 3–5+ years of Part D auditing. #J-18808-Ljbffr
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Compliance Auditor in Huntington Beach, CA vacancy
- Consultative Search Group is in search of a Senior Internal Auditor in Huntington Beach, CA. This role involves planning and executing operational, financial, and compliance audits across various regions, ensuring compliance with internal controls and regulations. The ideal...Suggested
- Crowe in the United States seeks a Large Banking AML and Sanctions Auditor (Temporary) to join our Regulatory Compliance Financial Crime practice. The role focuses on independent testing and internal audit engagements across banks, MSBs, fintechs, and asset managers. Responsibilities...SuggestedTemporary work
- ...University of California - Irvine Health is seeking an auditor to perform comprehensive audits covering financial, compliance, and information systems in accordance with professional standards. The role involves assessing complex risks and presenting findings to management...Suggested
University of California
Irvine, CA2 days ago - ...medical/dental) insurance plans underwritten by the Western Growers Assurance Trust (WGAT) and those of Pinnacle, Inc. (PCMI) are in compliance with the respective employers’ summary plan descriptions. Position reports to the Supervisor, Benefit Installation & Distribution...SuggestedWork at office
Western Growers Health
Irvine, CA4 days ago - ...Inventory Auditor Our customer provides inventory services to the healthcare delivery industry. They audit inventories of medical... ...of our customers' supply chain and pharmacy operations team. Compliance with our customers' requirements is essential to our ability to...Suggested
$79.2k
Senior Auditor Req ID: 140705 Payroll Job Title: 007575-AUDIT PROFL 3 Location: Irvine, California Organization: UCI Campus Division... ...typically assess operating, accounting and administrative controls, compliance with policies and procedures, safeguarding of assets,...Full timeLocal area$28.85 - $31.35 per hour
...Compliance Auditor Irvine, California Avanath is proud to be named one of the top property management companies to provide affordable housing for the workforce. Cultivating the American Dream is the purpose that binds the Avanath team. At Avanath, every day is...Work at officeLocal areaFlexible hours$500 per month
Location: Costa Mesa, California, United StatesSalary: $92,880 - $160,218Company: Elevance HealthPosted: 2026-09-01DRG Coding Auditor - MS-DRG and APR-DRGSign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service.Virtual...Full timeWork at officeLocal area$70.6k - $139.8k
...Stewardship. These values define who we are. We expect all of our people to act ethically and with integrity at all times. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete...Full timeSeasonal workLocal areaWorldwideHome office$28.04 - $43.34 per hour
...Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance. This includes data entry, processing of mail, preparation of audit information, and correspondence with government contractors...Hourly payFull timeTemporary workFor contractorsWork at officeLocal areaRemote workShift work$80k - $90k
...Pharmacy Part D Auditor Huntington Beach Office - Huntington Beach, CA 92647 Overview Salary Range $80,000.00 - $90,000.00... ...Auditor owns independent auditing and monitoring of Part D clinical compliance: CDAG (coverage determinations, exceptions, redeterminations),...Full timeWork at officeRemote work$72.8k - $80k
...Angeles or Orange County. Job Summary The Risk Adjustment Coding Auditor is responsible for conducting retrospective and prospective... ...diagnosis validation reviews, provider documentation assessments, and compliance monitoring activities to support accurate Medicare Advantage...Full timeWork at officeRemote work- BDO USA, LLP is seeking an Assurance Senior tasked with coordinating daily audit duties, planning, fieldwork and wrap-up, and preparing financial statements with disclosures. The role requires GAAP use and client contact for questions, with potential involvement in reviews...
- A leading accounting firm in Costa Mesa is seeking an Assurance Senior responsible for coordinating audit plans, preparing financial statements, and providing performance feedback. This role requires a Bachelor’s degree in Accounting or Finance, CPA exam eligibility, and...
$126k - $138k
...BiVACOR Inc in Huntington Beach, California is looking for an experienced QMS Internal Auditor who will play a crucial role in ensuring quality standards and regulatory compliance for our life-saving artificial heart technology. This position requires strong expertise...BiVACOR Inc
Huntington Beach, CA2 days ago- Experienced or Senior Internal Quality Auditor (Level 3 or 4)Company:The Boeing CompanyBoeing Defense, Space & Security (BDS) is seeking... ...Requirement:This position must meet U.S. export control compliance requirements. To meet U.S. export control compliance requirements...Permanent employmentFull timeContract workInterim roleVisa sponsorshipWork visaRelocation packageFlexible hoursShift work
- A growing and innovative organization is seeking a Financial Systems Analyst to support and enhance critical finance systems, reporting processes, and business intelligence initiatives. This role will partner with Finance and cross-functional teams to identify opportunities...
- ...well-established manufacturing company seeks a Senior Internal Auditor to join their dynamic team. The Senior Internal Auditor,... ...planning, execution, and reporting of operational, financial, and compliance audits across the organization. This responsibility includes developing...
$140k - $150k
...design, execute, and oversee risk-based financial, operational and compliance audits across Revelyst's operations. This role plays a... ...processes, systems and internal controls.Coordinate with external auditors as needed and assist with external audits.Advise departments...Work at officeForesight Sports
Irvine, CA17 hours ago- ...and the personal attention our clients rely on. As an ABAS Manager, you will oversee the performance of engagement teams, ensure compliance with quality control policies, manage client deliverables and budgets, and play an active role in developing the people and the practice...
$101k - $203k
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 full potential. Our exceptional people are the key to our unrivaled, culture...Full timeWork experience placementInternshipLocal areaRemote workFlexible hours$65k - $85k
...mission, it’s what we do every day for clients and associates. Learn more about Sunflower Bank, N.A. at sunflowerbank.com. IT Staff Auditor II Sunflower Bank, N.A. is looking for an energetic, highly motivated individual to fill the position of full-time IT Staff Auditor...Full timeFlexible hoursSunflower Bank
Irvine, CA1 day ago$100.7k - $129.3k
...Position Summary: The Senior Auditor will work on high-impact audits and consultative projects across various aspects of the business... ...the organization. This position is key in ensuring compliance is maintained with the Company's established policies and procedures...Full timeWork experience placementWork at officeLocal areaIrvine Company
Irvine, CA1 day ago$83.94k - $120.03k
...Job Description Job Description Technology Auditor, Integrated Risk Management Company Overview Hyundai AutoEver America (HAEA), the dynamic IT powerhouse behind Hyundai Motor Corporation, a Fortune 500 global leader in the automotive industry. As a key affiliate...Work experience placementRemote workHyundai Autoever America
Irvine, CA15 days ago- ...Job Description Job Description Job Title: Pharmacy Auditor Location: Irvine, CA Reports to: Program Supervisor/Solutions... ...maintain integrity and identify discrepancies, trends, or potential compliance issues Prepare accurate reports and documentation to...Work at officeFlexible hours
RIS Rx
Irvine, CA15 days ago $103.2k - $129k
...clients and improve patient outcomes. Your Role: As an individual contributor, performs a wide variety of activities to ensure compliance with applicable quality and regulatory requirements by conducting internal and external audits, data and documentation reviews and...Full timeMonday to FridayNight shiftWeekend work- ...overseeing a standardized clinical audit framework that ensures compliance with CMS, NCQA, DMHC, DHCS, delegated health plan requirements... ...Develop enterprise Inter-Rater Reliability (IRR) programs and auditor calibration processes. Monitor audit trends, identify...Flexible hours
Advanced Medical Management
Long Beach, CA8 days ago - ...assessment, audit planning, and audit program developmentLead and execute operational focused audits, as well as occasional financial and compliance audit testingIdentify, document, and evaluate control design and control operating effectiveness within business processes during...Remote work3 days per week
- Davis Farr LLP is searching for a Staff Auditor(s) to join a flourishing company who is routinely included in Orange County Business... ...development and implementation of accounting policies, take part in compliance and communicate with other auditors relating to annual audits...Work at officeLocal area
$101k - $203k
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 full potential. Our exceptional people are the key to our unrivaled culture ...Work experience placementInternshipLocal areaRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Compliance Auditor. Be the first to apply!
Related searches
- medical claims auditor Huntington Beach, CA
- regulatory compliance Huntington Beach, CA
- compliance team leader Huntington Beach, CA
- corporate compliance Huntington Beach, CA
- finance compliance Huntington Beach, CA
- vendor compliance Huntington Beach, CA
- director quality assurance regulatory affairs Huntington Beach, CA
- compliance technician Huntington Beach, CA
- legal compliance Huntington Beach, CA
- health compliance Huntington Beach, CA