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.
Senior Social Compliance Auditor - Northwest Region UL Solutions IncSenior Social Compliance Auditor - Northwest RegionAgoura Hills, CARemote$90,000–$120,000 / yearUL Solutions is seeking experienced professionals in the Northeast Region near Massachusetts, New Jersey and Connecticut to join our mission of promoting responsible sourcing and protecting human rights across global supply chains. We help our customers innovate, launch new products and services, navigate global markets and complex supply chains, and grow sustainably and responsibly into the future.
Night Auditor Lodging DynamicsNight AuditorAnaheim, CAPart timeLocation:Life as a Night Auditor:Greet guests upon arrival, check them in and provide them with any information they need to enjoy their stayProcess invoices, post checks to vendors and distribute employee checksRespond to guest complaints, requests and emergenciesReconcile all accounts in a timely mannerVerify that all EOD work has been performed by other departmentsSchedule guest wake-up calls and reservations for the following dayRespond to guest inquiries, concerns and complaints as neededAnswer phones and place reservationsWhat we're looking for:Excellent communication and math skills2+ years' experience in customer service or hospitalityAble to learn computer functions and other on-the-job skillsStrong eye for detailsGood problem-solving skillsAbility to multitaskSolid customer service skillsStrong written and verbal communication skillsExceptional customer service skillsWhat to expect in your first few months:First you will learn about the hotel and all of our amenities! This mission focuses on elevating human dignity by providing exceptional services and opportunities to our employees, guests, and investors.
Order Selector/Auditor VWT Vallarta Supermarkets IncOrder Selector/Auditor VWTSylmar, CA$22.50–$24.75 / hourWe may collect your name, driver's license or state identification card number, passport number or other government identification number (including U.S. work authorization number), Social Security information, residence/postal address, email address(es), phone number(s), and other contact information during the application and recruitment process. For purposes of this notice, "Personal Information" means information that identifies, relates to, describes, is capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular California resident or household, or as otherwise defined under the CCPA/CPRA, including consumers, employees, and job applicants.
Risk Adjustment Coding Auditor Clever Care Health Plan IncRisk Adjustment Coding AuditorHuntington Beach, CA$72,800–$80,000 / yearThe Risk Adjustment Coding Auditor is responsible for conducting retrospective and prospective coding audits, diagnosis validation reviews, provider documentation assessments, and compliance monitoring activities to support accurate Medicare Advantage risk adjustment reporting and CMS audit readiness. The position supports enterprise risk adjustment initiatives through audit activities, RADV preparedness, chart review validation, vendor oversight, provider education, and continuous quality improvement efforts aimed at enhancing coding accuracy, documentation integrity, and risk score accuracy.
Pharmacy Part D Auditor Clever Care Health Plan IncPharmacy Part D AuditorHuntington Beach, CA$80,000–$90,000 / yearThe Pharmacy Part D Oversight Auditor owns independent auditing and monitoring of Part D clinical compliance: CDAG (coverage determinations, exceptions, redeterminations), MTM program elements (targeting, CMR/TMR), and delegated PBM controls; ensures timeliness, accuracy, and member impact remediation are documented and audit-ready. By way of leadership approach, mobilize others to create extraordinary results, and unite people to turn challenges into successes by championing the following: Model the Way: Clarify values by finding your voice and affirming shared values.
Senior Auditor CONTACT GOVERNMENT SERVICESSenior AuditorLos Angeles, CA$80,000–$150,000 / yearAnalyze and calculate ability to pay settlements and judgments, including analyzing debt covenants, borrowing capacity, adjusted earnings and earnings per share, financial ratios, accounts receivable and accounts payable, aging schedules, tax considerations, assessing collectability, and developing payment terms and schedules. CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses, which serve a significant role in determinations regarding investigations, prosecutions, settlements, and recovery in these matters, which can be voluminous and complex.
Auditor CONTACT GOVERNMENT SERVICESAuditorLos Angeles, CA$50,000–$100,000 / yearCGS is seeking a highly skilled Auditor to provide general auditing and accounting services in support of fraud investigations involving potentially complex financial transactions and complex organizations attempting to evade detection. Experience and expertise in performing the requisite services in Section 3 Preferred qualifications: Experience reviewing and understanding medical records and knowledge of medical billing procedures, including experience using STARS and/or Business Objects.
Night Auditor Lodging Dynamics Hospitality GroupNight AuditorAnaheim, CAThis mission focuses on elevating human dignity by providing exceptional services and opportunities to our employees, guests, and investors. Location: Life as a Night Auditor: Greet guests upon arrival, check them in and provide them with any information they need to enjoy their stay.
Medical Review Nurse II - SNF/MDS Auditor MachinifyMedical Review Nurse II - SNF/MDS AuditorCA$85,000–$100,000 / yearMust be able to independently work within Microsoft Office products including Word, Excel, PPT, to Include creating/saving documents in folders, setting up and utilizing spreadsheets, copying and pasting data from one document to another. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country.
Part-Time Night Auditor General AccountsPart-Time Night AuditorAnaheim, CaliforniaChecking in guests, showing that classic “customer service” smile, and always having fun with this awesome team is what we want from you. Maintain responsibility and accountability for the hotel property and the safety of guests, and have authority for the hotel operations while on duty.
Night Auditor PT OLS Hotels & ResortsNight Auditor PTVenice, CAPossess knowledge of all hotel features, services, hours of operation, room numbers and types, room layout, decor, room rates, packages/promotions, daily house count and room availability status with expected arrivals and departures, scheduled in-house activities and their locations and times. From memorable moments at the front desk, to thoughtful room touches, to inspired onsite programming, the Springboard team is committed to empowering the traveler's journey-inviting them to experience the frequency of each hotel's locale, pushing authentic human connection, exploration, and discovery, while also driving revenue.
Medical Auditor - Remote YO AI LabsMedical Auditor - RemoteLos Angeles, CARemoteWe are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments.
GCP Auditor - Global R&D Audit AmgenGCP Auditor - Global R&D AuditThousand Oaks, CaliforniaIn addition to the base salary, Amgen offers a Total Rewards Plan, based on eligibility, comprising of health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities that may include: A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. As an organization dedicated to improving the quality of life for people around the world, Amgen fosters an inclusive environment of diverse, ethical, committed and highly accomplished people who respect each other and live the Amgen values to continue advancing science to serve patients.
Medical Records Technician (CODER AUDITOR) INPATIENT/OUTPATIENT U.S. Department of Veterans AffairsMedical Records Technician (CODER AUDITOR) INPATIENT/OUTPATIENTLos Angeles, CA$61,722–$80,243 / yearOne year of creditable experience equivalent to the journey grade level of a MRT (Coder-Outpatient); OR, An associates degree or higher and three years of experience in clinical documentation improvement (candidates must also have successfully completed coursework in medical terminology, anatomy and physiology, medical coding, and introduction to health records); OR, Mastery level certification through AHIMA or AAPC and two years of experience in clinical documentation improvement; OR, Clinical experience, such as Registered Nurse (RN), Medical Doctor (M.D.), or Doctor of Osteopathy (DO), and one year of experience in clinical documentation improvement. An associates degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy and physiology, medical coding, and introduction to health records); OR, (3) Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding.
NewNurse Auditor, Delegation Oversight AltaMedNurse Auditor, Delegation OversightMontebello, CA$68,640–$82,368 / yearThe Delegation Oversight Nurse Auditor is responsible for performing delegation oversight auditing activities to ensure delegates comply with upstream health plan contractual requirements. Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations.
Pharmacy Compliance Auditor Clever Care Health PlanPharmacy Compliance AuditorHuntington Beach, CAThe Pharmacy Part D Oversight Auditor owns independent auditing and monitoring of Part D clinical compliance: CDAG (coverage determinations, exceptions, redeterminations), MTM program elements (targeting, CMR/TMR), and delegated PBM controls; ensures timeliness, accuracy, and member impact remediation are documented and audit-ready. Validate MTM targeting criteria, Comprehensive and Targeted Medication Review (CMR/TMR) completion, and annual CMS submission/attestation compliance under §423.153 and current year guidance.
NewNurse Auditor, Delegation Oversight AltaMed Health Services CorpNurse Auditor, Delegation OversightMontebello, CA$68,640–$82,368 / yearThe Delegation Oversight Nurse Auditor is responsible for performing delegation oversight auditing activities to ensure delegates comply with upstream health plan contractual requirements. Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations.
Warehouse Associate / Inventory Control Auditor - Torrance, CA Humano LLCWarehouse Associate / Inventory Control Auditor - Torrance, CATorrance, CAJob Summary: Humano, a third-party warehouse provider, is seeking detail-oriented Warehouse Auditors to join our team in Torrance, CA. This is an entry-level position responsible for verifying inventory accuracy and ensuring quality control within the warehouse.
Night Auditor Homewood Suites Santa Clarita- ValenciaNight AuditorSanta Clarita, California$19–$22 / hourThe ideal candidate should have excellent communication, customer service, and organizational skills, and be able to work independently with minimal supervision. Check-in and check-out guests, confirm reservations, assign rooms, and issuing keys.