Senior Health Plan Auditor - Los Angeles, CA

Only for registered members Los Angeles, CA , United States

4 weeks ago

Default job background
+

Job summary

The Senior Health Plan Auditor is responsible for planning, executing, reporting, and monitoring corrective action plans related to financial solvency and claims processing compliance for specialty health plans and vendors.


+

Responsibilities

  • Perform financial audits and analyses for specialty health plans and vendors
  • ,
  • Conduct claims processing audits to ensure regulatory and contractual compliance
  • ,
  • Ensure timely and accurate audit deliverables related to financial solvency
  • ,
  • Serve as liaison for CMS claim audits related to L.A. Care delegates
  • ,
+

Qualifications

,+

Bachelor's Degree in Accounting or a related field (required)


Lorem ipsum dolor sit amet
, consectetur adipiscing elit. Nullam tempor vestibulum ex, eget consequat quam pellentesque vel. Etiam congue sed elit nec elementum. Morbi diam metus, rutrum id eleifend ac, porta in lectus. Sed scelerisque a augue et ornare.

Donec lacinia nisi nec odio ultricies imperdiet.
Morbi a dolor dignissim, tristique enim et, semper lacus. Morbi laoreet sollicitudin justo eget eleifend. Donec felis augue, accumsan in dapibus a, mattis sed ligula.

Vestibulum at aliquet erat. Curabitur rhoncus urna vitae quam suscipit
, at pulvinar turpis lacinia. Mauris magna sem, dignissim finibus fermentum ac, placerat at ex. Pellentesque aliquet, lorem pulvinar mollis ornare, orci turpis fermentum urna, non ullamcorper ligula enim a ante. Duis dolor est, consectetur ut sapien lacinia, tempor condimentum purus.
Get full access

Access all high-level positions and get the job of your dreams.



Similar jobs

  • Only for registered members Los Angeles

    The Senior Health Plan Auditor is responsible for planning and executing audits to ensure compliance with regulatory requirements. The position involves financial analysis and reporting, monitoring of claims processing compliance, and the creation of departmental policies and pro ...

  • Only for registered members Los Angeles Full time

    As a Senior Health Plan Auditor, you will be responsible for planning, executing and reporting corrective action plans related to financial solvency and claims processing compliance for specialty health plans and vendors. This role ensures compliance with regulatory requirements ...

  • Claims Auditor

    1 month ago

    Only for registered members Los Angeles

    The Specialty Health Plans Auditor III, Claims is responsible all aspects of planning, execution, reporting. · Performs annual claims audits for Specialty Health Plans and vendors. · ...

  • Only for registered members Los Angeles

    The Senior Health Plan Auditor is responsible for planning executing and reporting on financial and claims audits to ensure compliance with regulatory requirements and contractual obligations across all lines of business. · Conduct audits and financial analyses for specialty heal ...

  • Claims Auditor

    1 month ago

    Only for registered members Los Angeles, CA Remote job

    The Specialty Health Plans Auditor III, · Claims is responsible all aspects of planning, · execution, reporting, and corrective action · plans monitoring of claims processing compliance · for specialty health plans and vendors.Performs annual claims audits for Specialty Health Pl ...

  • Audit Senior

    3 weeks ago

    Only for registered members Los Angeles Full time $42 - $45 (USD)

    Audit senior with proficiency in technical skills and work quality. Experienced staff auditor who performs most work assigned with minimum assistance. · ...

  • Audit Senior

    3 weeks ago

    Only for registered members Los Angeles

    SingerLewak is a Top accounting and consulting firm in the west region.Providing services of large firms with blended environments of practices, services and industry specializations SingerLewak continues to demonstrate renowned industry leadership year-over-year. · ...

  • Audit Senior

    3 weeks ago

    Only for registered members Los Angeles $42 - $45 (USD)

    Serving clients since 1959,SingerLewak has developed a reputation for excellence and expertise in the accounting and management consulting industry. · ...

  • Only for registered members Los Angeles

    We are seeking a hands-on Manager of Security & Compliance to lead and execute our organization's security and regulatory programs. · We will own security operations, compliance initiatives, and audit readiness while managing a small but critical team. ...

  • Only for registered members Los Angeles, CA

    The Senior Health Plan Auditor is responsible for planning, executing, and reporting on financial and claims audits to ensure compliance with regulatory requirements and contractual obligations across all lines of business. · Bachelor's Degree in Accounting or related field (or e ...

  • Quality Engineer

    3 weeks ago

    Only for registered members Los Angeles

    Job summary:This candidate will be responsible for the development, · implementation,maintenance,and improvement of quality assurance processes.Data analysis · Quality reporting measures · ...

  • Only for registered members Los Angeles $67,186 - $107,498 (USD)

    The Claims Quality Auditor II works closely with the Claims Quality Auditing Manager. This position serves as a liaison between partnering departments i.e. Payment Integrity and Claims Compliance.This position works to ensure claims are being processed per regulatory guidelines a ...

  • Internal Auditor

    1 month ago

    Only for registered members Los Angeles $41.08 - $54.78 (USD)

    The auditor will work within a team and on occasion as an individual contributor on routine audit assignments testing internal controls and ensuring compliance with bank policies procedures and regulatory requirements. · Complies fully with all Bank Operational and Credit policie ...

  • Only for registered members Eagle Grove Full time

    In this position the QA Auditor supports our Quality Assurance supervisor in all aspects of maintaining various safety and quality programs by evaluating quality issues conducting audits and using the audit results to make decisions regarding product acceptability. · Evaluating q ...

  • Audit Senior

    6 hours ago

    Only for registered members Los Angeles, California

    The Senior Auditors have demonstrated an ability to proficiently perform the functions of an experienced staff auditor. · ...

  • Audit Senior

    3 weeks ago

    Only for registered members Los Angeles, CA

    SingerLewak is a Top 100 accounting and consulting firm in the west region that provides services such as auditing and management consulting to clients since 1959. · ...

  • Auditor III

    2 weeks ago

    Only for registered members Los Angeles $46.86 - $62.48 (USD)

    + The auditor will assess the design and operational effectiveness of controls within various audits assigned. · +The auditor will work within a team on routine audit assignments testing internal controls and ensuring compliance with bank policies, procedures, and regulatory requ ...

  • Only for registered members Los Angeles

    The Financial Compliance Auditor III, Claims is responsible for various tasks within the Financial Compliance Unit. This role works closely with the Supervisor and/or Lead Auditor on the identification and resolution of issues in a timely and efficient manner. · A minimum of 5 ye ...

  • Only for registered members Los Angeles $88,854 - $142,166 (USD)

    The Internal Auditor III prepares audit programs and conducts audit reviews of assigned areas, including performing various audit procedures and documents in findings in work papers in accordance with department standards. · Certified Public Account (CPA) or Certified Internal Au ...

  • Internal Auditor

    1 month ago

    Only for registered members Los Angeles

    Internal Auditor will work within a team testing internal controls and ensuring compliance. · Develops knowledge of business environment in which client operates, · Complies fully with Bank Operational policies. · ...