Compliance Auditor II Inland Empire Health PlanCompliance Auditor IIRancho Cucamonga, California$80,059.20–$106,059.20 / yearFull timeMinimum or five (5) or more years in managed care operations requierd, working with one or more of the following areas: Utilization Management, Claims, Pharmacy Operations, Compliance, Delegation Oversight, Quality Management, Care Management, and/or Grievances and Appeals. Performs validation audits to determine if actions have been taken to mitigate identified risks and conducts routine monitoring across the Plan to address compliance concerns and emerging risks.
NewSenior Accountant, SEC Reporting Arrowhead PharmaceuticalsSenior Accountant, SEC ReportingLos Angeles, CA$100,000–$115,000 / yearArrowhead is leading the field in bringing the promise of RNAi to address diseases outside of the liver, and our clinical pipeline includes disease targets in the liver and lung with a promising pipeline of preclinical candidates. Reporting to the Senior Accounting Manager, the Senior Accountant, SEC Reporting will prepare SEC Reporting related tasks, prepare higher risk areas as part of the accounting close process, and assist with ASC 842, ASC 718 and other technical accounting areas.
Senior Quality Systems Auditor BiVACORSenior Quality Systems AuditorHuntington Beach, California$126,000–$138,000 / yearLead and conduct internal audits of all QMS processes, including design controls, production & process controls, CAPA, complaint handling, supplier quality, document/record control, sterilization, and clinical device release. We are seeking an experienced QMS Internal Auditor to plan, execute, and report on internal quality system audits in accordance with ISO 13485:2016, 21 CFR Part 820, and FDA IDE requirements.
Clinical Network Compliance Auditor, RN Supervisor SCAN Health PlanClinical Network Compliance Auditor, RN SupervisorLong Beach, CaliforniaHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. Performs and provides oversight to the Managed Care Plan's (MCP) Department of Health Care Services (DHCS) auditing team responsible for conducting and overseeing both initial and subsequent reviews of Primary Care Provider (PCP) sites.
Accounting Manager Brilliant CornersAccounting ManagerLos Angeles, CA$105,000–$125,000This position will have responsibility for all aspects of the accounts payable and accounts receivable accounting cycles and is the primary accounting liaison for multiple departments, co-managing monthly closings and supervising accounting staff. We implement a broad array of scattered-site, one-on-one supportive housing, and clinical case management programs through partnerships with developmental services, homeless services, veterans’ services, and health care sectors.
NewQuality Auditor PerformixQuality AuditorCosta Mesa, CaliforniaThe Quality Auditor performs in-process inspections, final product audits, shipping validations, and process compliance reviews while partnering with Operations, Manufacturing, Engineering, Continuous Improvement, and Supply Chain teams to drive quality excellence. This role supports quality activities across warehousing and logistics operations, panel board manufacturing, and the production line responsible for equipment dismantling and rework activities.
NewDelegation Operations Auditor, Senior Blue Cross and Blue Shield AssociationDelegation Operations Auditor, SeniorLong Beach, CAWe are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. The Delegation Operations Auditor, Senior supports the improvement of credentialing practices and promotes high-quality care and patient safety within the network.
NewFinancial Compliance Auditor III Claims L.A. Care Health PlanFinancial Compliance Auditor III ClaimsLos Angeles, CARequired: At least 4 years of experience performing claims audits or claims processing related to Medi-Cal, Medicare, and/or other managed care product lines similar to L.A. Care's mission is to provide access to quality health care for Los Angeles Countys vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
Night Auditor Pacific Hospitality GroupNight AuditorIrvine, CaliforniaThe employee must occasionally walk, climb stairs, stand, crouch/bend/stoop, reach, smell, and grasp and lift objects weighing up to 50 pounds. Pacific Hospitality Group provides a unique value proposition to investors and team members through our owner/operator approach.
Field Auditor Premium Insurance Robert E. Nolan Company, Inc.Field Auditor Premium InsuranceSan Bernardino, CARemote$175–$350 / hourServing 2,000+ carriers, brokers, wholesalers, and MGAs, ReSource Pro is a recognized market leader in insurance workflow optimization, data and technology services, and strategic operating model transformation. Individual pay decisions are based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity relative to other ReSource Pro employees.
Field Auditor Premium Insurance ReSource ProField Auditor Premium InsuranceGlendale, CARemote$175–$350 / hourServing 2,000+ carriers, brokers, wholesalers, and MGAs, ReSource Pro is a recognized market leader in insurance workflow optimization, data and technology services, and strategic operating model transformation. Individual pay decisions are based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity relative to other ReSource Pro employees.
Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaCoding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CaliforniaIn accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments – and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
Night Auditor Irvine OperationsNight AuditorIrvine, CaliforniaThe employee must occasionally walk, climb stairs, stand, crouch/bend/stoop, reach, smell, and grasp and lift objects weighing up to 50 pounds. Physical requirements: while performing the duties of this job, the employee isfrequentlyrequired to sit, and push/pull,the employeeis constantly required tohear and talk.
Senior Internal Auditor Consultative Search GroupSenior Internal AuditorHuntington Beach, CAThe senior internal auditor will also assist internal audit management with periodic reporting to the audit committee, development of the annual internal audit plan, and championing internal control and corporate governance concepts throughout the business. The Senior Internal Auditor, reporting to the Internal Audit Senior Manager, is responsible for performing the planning, execution, and reporting of operational, financial, and compliance audits across the organization.
Safety Coordinator Pyramid Consulting, IncSafety CoordinatorCarson, CA$36–$44 / hourKey Responsibilities: The Safety Coordinator ensures workplace safety by developing and implementing safety policies and procedures, conducting training, and monitoring compliance. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners.
DRG Coding Auditor - Ms-Drg And Apr-Drg Elevance HealthDRG Coding Auditor - Ms-Drg And Apr-DrgCosta Mesa, CA$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Senior Accounting Assistant Military, Veterans and Diverse Job SeekersSenior Accounting AssistantRiverside, CaliforniaProvide technical supervision to staff maintaining and compiling computer generated spreadsheets, tracking incoming revenue, auditing daily deposits reconciliations, preparing daily deposits and reconciliation and revenue distribution reports, posting and reconciling trust funds and revenue ledgers. Prepare reports on the status of service accounts, contracts, grants, fee receipts, entitlements and reimbursed programs, accounts receivable, accounts payable, trust accounts; prepare regular reports of revenues and expenditures which are sent directly to management.
NewInstallation Auditor (50574) Western Growers AssociationInstallation Auditor (50574)Irvine, CADo everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning and executing work in a helpful and collaborative manner, being willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating positive impact, and being diligent in delivering results. The Installation Auditor ensures accurate setup of new and renewing health benefit plans by auditing documentation for compliance with Western Growers Assurance Trust (WGAT) and Pinnacle Claims Management, Inc (PCMI).
Urgent Hiring - Accounting Lead Cosmo AppliancesUrgent Hiring - Accounting LeadChino, CAFull timeAs a fast-growing brand, we’re known for seamlessly integrating performance, technology, and design to transform the kitchen beyond traditional form and function. This role combines routine accounting tasks, primarily in accounts payable and receivable, with general administrative duties.
Lead Internal Auditor HF FoodsLead Internal AuditorCity of Industry, Louisiana$90,000–$130,000 / yearThe Lead Internal Auditor is an experienced, business-focused audit professional responsible for leading financial, operational, compliance, and Sarbanes-Oxley Act of 2002 (“SOX”) audit activities across HF Foods Group. Reporting to the Head of Internal Audit, this role independently manages audit engagements from planning through reporting, evaluates internal controls, identifies risks, process improvements, and partners with management to strengthen the Company's control environment.