Hybrid Appeals & Grievances QA Auditor II
L.A. Care Health Plan
A leading healthcare organization is seeking an Appeals and Grievances Quality Assurance and Auditing Specialist II to oversee audit processes and ensure compliance with regulatory guidelines. This full-time position in Los Angeles emphasizes quality review and improvement in grievance and appeals management. Required qualifications include an associate's degree and 4+ years' experience in healthcare auditing. Flexibility in working hours is necessary, along with strong skills in analysis and team dynamics. Competitive salary and benefits offered. #J-18808-Ljbffr L.A. Care Health Plan
$67.19k
...Appeals And Grievances Quality Assurance And Auditing Specialist Ii Job Category: Customer Service Department: CSC Appeals & Grievances... ...(A&G) Quality Assurance (QA) and Auditing Specialist II is responsible... ...hours, on weekends, holidays, a hybrid remote schedule, occasional...SuggestedFull timeRemote workShift workWeekend work- ...applications as needed to improve departmental productivity. Hybrid Remote = must currently live in Los Angeles area or willing to relocate... ...hospital or healthcare setting. Strong grasp of SQL, Python, IIS Web Server, and MS .net framework (Visual Studio or C highly...SuggestedLive inWork at officeRemote workRelocation
$32 - $33 per hour
...Title: Auditor II Location: Los Angeles CA, Jersey City, NJ, Charlotte, NC, or Dallas, TX Duration: 6+ month contract to start, conversion to perm possible Compensation: $32.00-$33.00/hour Work Requirements : US Citizen, GC Holders or Authorized...SuggestedPermanent employmentContract workLocal areaFlexible hours$88.85k
...Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent...SuggestedFull time- L.A. Care Health Plan is seeking a Delegation Oversight Clinical Auditor RN II in Los Angeles, California. The role involves ensuring compliance with Utilization Management regulations and performing various audits. Applicants must possess an Associate's Degree in Nursing...Suggested
$88.85k
RN Job: Delegation Oversight Clinical Auditor RN II Shift: Full Time Pay Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Job ID: 13052 Location: Los Angeles, 90017 Job Description The Delegation Oversight Clinical Auditor RN II is responsible for...Full timeShift work- ...State Controller's Office is hiring a Staff Services Management Auditor in Los Angeles. This auditor role involves conducting financial... ...a resume and complete an examination. The position supports hybrid telework and contributes to enhancing public accountability through...Work at officeLocal areaRemote work
- Working Nurse is hiring for the RN Job: Delegation Oversight Clinical Auditor RN II in Los Angeles. This full-time position focuses on ensuring compliance with Utilization Management regulatory requirements through audits and liaisons between Plan Partners and L.A. Care...Full time
$28 per hour
A leading transcription services provider is hiring an On-Site Quality Control Reviewer in Glendale, CA. This part-time role offers flexible hours (12 hours/week) at $28/hour. You'll ensure quality standards are maintained by reviewing completed work and reporting on daily...Part timeFlexible hours$1,200 - $1,400 per day
SQA Services is seeking a Senior Pharmaceutical Quality Auditor to lead supplier audits in Southern California. Candidates should have over 15 years of quality experience in regulated industries, with at least 5 years as a lead auditor. Responsibilities include conducting...Permanent employmentFlexible hours$22.5 - $24.5 per hour
This position is responsible for maintaining routine auditing functions and providing feedback on departmental activities, to assure compliance with all health plan and regulatory agencies, including CMS, DMHC, and DHS. This position includes the responsibility for routine...Hourly payTraineeshipCasual workWork at officeImmediate startRelocation packageFlexible hours$1,200 - $1,400 per day
SQA Services is seeking a Senior Pharmaceutical Quality Auditor to support ongoing supplier audits in Southern California. The ideal candidate will have over 15 years of experience in pharmaceutical GMP auditing and at least 5 years of leading audits independently. Responsibilities...Permanent employment- Job Highlights Title : Audit Manager II Type : Full Time Experience : Required Function... ...Manager II who will guide a team of auditors to assess risks, develop detailed audit... ...Manages audit teams and schedules Office or hybrid work setting Standard hours with peak‑...Full timeWork experience placementWork at office
$23 per hour
Call Center CSR Opportunity Our client, a leading organization in the financial services industry, is seeking a dedicated and motivated Call Center CSR to join their team. As a Call Center CSR, you will be part of the Customer Support Department supporting a high-volume...Full timeContract workTemporary workShift work$85k - $100k
...is based in Hawthorne, CA, and requires being onsite - remote or hybrid work will not be considered COMPENSATION AND BENEFITS: Pay... ...regulations, applicant must be a (i) U.S. citizen or national, (ii) U.S. lawful, permanent resident (aka green card holder), (iii) Refugee...Permanent employmentContract workTemporary workInternshipRemote workWeekend work$60k - $65k
NKSFB, LLC in Los Angeles is seeking a Staff Auditor to join our Audit Department. This role offers a unique blend of entertainment and... ...client relationships. We offer competitive benefits, a hybrid work schedule, and a salary range of $60,000 to $65,000 annually...- ...has 2-4 years of relevant experience, a Bachelor’s degree, and strong analytical skills. The position offers a competitive salary up to $120,000, a 10% discretionary bonus, and flexible hybrid work arrangements. #J-18808-Ljbffr Hong Kong Study Skills Research InstituteFlexible hours
$115.44k - $148.15k
...Medicare and Medicaid. Candidates should have a Bachelor's degree and 3+ years of relevant experience in claims administration. The position offers a hybrid work model and a competitive salary range of around $115,441 to $148,149 annually. #J-18808-Ljbffr Astrana Health, Inc.$79.69k - $107.39k
...CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Print ( Apply CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT... ...classes*** of Administrative Assistant III or Research Analyst II, Behavioral Science Option II: A Bachelor's degree**** from an...Permanent employmentFull timeContract workWork at officeLocal area- ...controls. Candidates should have a Bachelor's degree in accounting and at least 2+ years of experience in public accounting. This hybrid position offers opportunities for career growth within a collaborative office environment with strong leadership support. #J-18808-...Work at office
$87.52k - $117.94k
...SENIOR CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Print ( Apply SENIOR CONTRACT PROGRAM AUDITOR / EMERGENCY... ...of Los Angeles class of Contract Program Auditor* OPTION II: Four years' experience auditing and evaluating hospitals, and related...Permanent employmentFull timeContract workLocal area- ...for. What will you be doing in this role? The Claims Auditor is responsible for ensuring the accuracy of claims processing based... ...process improvement suggestions to Management Monitors appeals from providers, members and health plans to make sure they are...Work experience placementRemote work
- ...Solution Center Audit Readiness Specialist II is responsible for the execution,... ...authorization request and coverage determination, Appeals and Grievances across all lines of business). This... ...to track, trend, and analyze results of QA scorecards for training and quality...
$165k - $250k
...balance personal life and work as our #1 priority. HIRING NOW: Audit/Assurance Senior Manager Location: Torrance, CA - (Hybrid) We are looking for a highly motivated and experienced Audit/Assurance Senior Manager to lead audit and assurance engagements...Work at officeLocal areaRemote work$55k - $62.5k
...benefits debit card. Employee Assistance Program: Confidential support for personal or work-related challenges. FAMILY: Hybrid & Remote Flexibility: Work-life balance matters! Enjoy flexibility based on your role. Insurance Benefits: Basic life insurance,...Work at officeLocal areaRemote workVisa sponsorshipWork visaFlexible hoursDay shift$120k
Internal Auditor Our Client, a leading global investment management firm is seeking an Internal Audit Associate to join its growing team... ...) Comprehensive benefits package Flexible work arrangements [hybrid schedule 3 days onsite] #J-18808-Ljbffr Hong Kong Study Skills...Flexible hours- ...examination, but they must produce evidence of graduation or the equivalent before they can be considered eligible for appointment.) Or II Completion of a prescribed professional accounting curriculum given by a residence or correspondence school of accountancy, including...Permanent employmentFull timeWork at office
$88k - $132k
...Posting Type Remote/Hybrid Job Overview ABOUT THE ROLE The Senior Financial Systems Analyst serves as the end-to-end process... ...solutions Participate in all stages of the SDLC, including QA and UAT, for Zuora-related changes and dependent system impacts...Remote workHome office- ...solutions to corporate, individual and nonprofit clients since 1834. Along with excellent benefits, McGuireWoods offers most employees a hybrid remote option allowing flexibility and work-life balance. Our Applicant Disclosures describe your rights. Our Privacy Statement...Work at officeRemote work
- ...internal stakeholders. Interacts with internal auditors and stakeholders, and supplier... ...experience in supporting and/or executing QA roles for engineering, material management... ...California, Colorado and other US State Acts U.S. Hybrid Work Model Effective September 5, 2023,...For contractorsWork experience placementWork at officeLocal areaRemote workRelocationVisa sponsorshipFlexible hoursShift work3 days per week
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Hybrid Appeals & Grievances QA Auditor II. Be the first to apply!
- safety auditor Los Angeles, CA
- field auditor Los Angeles, CA
- remote auditor Los Angeles, CA
- pharmacy auditor Los Angeles, CA
- sox auditor Los Angeles, CA
- medical claims auditor Los Angeles, CA
- energy auditor Los Angeles, CA
- remote nurse auditor Los Angeles, CA
- revenue auditor Los Angeles, CA
- coding auditor Los Angeles, CA


