Top 28 Medical auditor Jobs in Cerritos, Ca

Compliance & Regulatory Audit Manager
Alhambra EP, LLC —Alhambra, CA
- $95,000 - $135,000 a year
- Full-time
- Microsoft Word
- Microsoft Outlook
- Bachelor of Science
Quick Apply
Call Center Quality Assurance Auditor
United Faith Ministries Inc —Orange, CA
- $26 an hour
- Full-time
- Spanish
- HIPAA
- English
- 403(b) matching
- Health insurance
Quick Apply
Risk Adjustment Coding Auditor
Clever Care Health Plan —Huntington Beach, CA
- $72,800 - $80,000 a year
- Full-time
- Hybrid work
- Background check
- Nursing
- Microsoft Excel
Pharmacy Part D Auditor
Clever Care Health Plan —Huntington Beach, CA
- $80,000 - $90,000 a year
- Full-time
- Hybrid work
- Background check
- Bachelor of Science
- Mid-level
Internal Auditing Assistant
Creative Solutions for Hope —Costa Mesa, CA
- $20 an hour
- Full-time
- Background check
- 18 years or older
- Medical office experience
- Health insurance
- Dental insurance
Quick Apply
Facility Outpatient Surgical and Claims Edit Auditor (Remote)
Cedars-Sinai —Los Angeles, CA
- $45.89 - $73.42 an hour
- 8 hour shift
- Remote
- Surgery
- Mid-level
- 3 years
- Dental insurance
- 403(b)
Coding Auditor & Educator
WelbeHealth —Los Angeles, CA
- $70,304.00 - $89,535.30 a year
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Facility Inpatient Surgical and Claims Edit Auditor
Cedars-Sinai —Los Angeles, CA
- $45.89 - $73.42 an hour
- 8 hour shift
- Remote
- Surgery
- Mid-level
- 3 years
- Dental insurance
- Paid time off
Delegation Oversight Compliance Auditor II
L.A. Care Health Plan —Los Angeles, CA
- $77,265 - $123,625 a year
- Full-time
- Microsoft Excel
- Writing skills
- Mid-level
- Wellness program
- Health insurance
10d
Claims Auditor
WESTERN GROWERS ASSURANCE TRUST —Irvine, CA
- $46,669.19 - $60,668.60 a year
- Full-time
- Remote
- Word processing
- Bachelor of Science
- Basic math
- Dental insurance
Quick Apply
Government Audit Recovery Specialist: Corporate Compliance: Temporary
Hoag Health System —Costa Mesa, CA
- Temporary
- Microsoft Excel
- Microsoft Outlook
- No high school diploma
6d
Installation Auditor
WESTERN GROWERS GROUP —Irvine, CA
- $53,667.86 - $69,768.32 a year
- Full-time
- Computer science
- Computer Science
- Customer service
Quick Apply
Compliance Program Audit Manager - Full Time Exempt - Days - QVH (On-Site) West Covina, California
Emanate Health —West Covina, CA
- $45.75 - $67.26 an hour
- Full-time
- Nursing
- Hospital
- Clinic experience
Clinical Network Compliance Auditor, RN Supervisor
SCAN Health Plan —Long Beach, CA
- $92,400 - $133,671 a year
- Full-time
- Background check
- RN License
- Research
- Wellness program
- Paid holidays
Quick Apply
Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
USC —Los Angeles, CA
- $33.00 - $54.02 an hour
- 8 hour shift
- Surgery
- 5 years
- Clinic experience
Compliance Program Audit Manager - Full Time Exempt - Days - QVH (On-Site)
Emanate Health —West Covina, CA
- $45.75 - $67.26 an hour
- Full-time
- Nursing
- Clinic experience
- Mid-level
Quick Apply
6d
Inpatient Coding Auditor
Huron Managed Services LLC —Los Angeles, CA
- $38.46 - $52.40 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Dental insurance
Quick Apply
12d
Director of Clinical Audit & Performance Excellence
Advanced Medical Management —Long Beach, CA
- $165,000 - $185,000 a year
- Nursing
- RN License
- 8 years
- Paid holidays
- Health insurance
Quick Apply
Implementation Auditor
WESTERN GROWERS ASSURANCE TRUST —Irvine, CA
- $46,669.19 - $60,668.60 a year
- Full-time
- Remote
- Bachelor of Science
- Writing skills
- HIPAA
- Dental insurance
Quick Apply
Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medical Center of USC —Los Angeles, CA
- $33.00 - $54.02 an hour
- 8 hour shift
- Background check
- Surgery
- 5 years

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medical auditor jobs near cerritos, ca

Compliance & Regulatory Audit Manager

Alhambra EP, LLC -
Alhambra, CA

Quick Apply

Job Details

Full-time
$95,000 - $135,000 a year

Qualifications

Quality control corrective actions
Document compliance management
Healthcare documentation compliance audits
Corrective and preventive actions (CAPA)
Quality control audit
Audit Reporting
Quality assurance audits
Bachelor's degree
Healthcare policy implementation
Audit support

Full Job Description

Compliance & Regulatory Audit Manager

The Compliance & Regulatory Audit Manager is responsible for overseeing and supporting regulatory compliance, operational audits, delegated oversight, and healthcare compliance initiatives across the IPA/MSO environment. This position is responsible for managing health plan audits, DMHC audits, pre-delegation (Pre-Del) audits, quality management (QM) audits, policy and procedure compliance, corrective action plans, and ongoing regulatory readiness activities. The role ensures organizational compliance with state, federal, health plan, CMS, NCQA, and delegated managed care requirements while supporting operational excellence and risk mitigation initiatives.

Minimum Qualifications Education

Bachelor’s degree in Healthcare Administration, Public Health, Business Administration, Compliance, or a related field required.

Required Experience

3–4 years of healthcare compliance, regulatory audit, or managed care operations experience required.

Experience in an MSO, IPA, medical group, managed care organization, health plan, or delegated healthcare environment.

Experience supporting or managing:

DMHC audits
Pre-Delegation (Pre-Del) audits
Quality Management (QM) audits
Health plan delegated audits
CMS or NCQA-related compliance activities

Experience developing, implementing, and monitoring corrective action plans (CAPs).

Experience reviewing healthcare operational policies, procedures, and regulatory requirements.

Experience coordinating document collection and audit readiness activities.

Experience working with Medicare Advantage, Medi-Cal, or delegated managed care programs.

Experience communicating with health plans, auditors, providers, operational departments, and leadership teams.

Knowledge of healthcare regulatory standards, compliance requirements, and delegated oversight processes.

Experience maintaining compliance tracking logs, audit reports, and regulatory documentation.

Preferred Experience

Experience supporting Access & Availability audits.

Experience with credentialing oversight and delegated compliance functions.

Experience with utilization management, quality improvement, or population health compliance programs.

Experience supporting annual regulatory filings and health plan reporting requirements.

Experience with policy and procedure development and implementation.

Experience using healthcare compliance tracking systems or reporting tools.

Experience supporting NCQA accreditation or CMS audit preparation.

Experience with Texas TDI and/or AHCCCS

Knowledge, Skills & Abilities

Strong understanding of healthcare compliance, managed care operations, and delegated healthcare environments.

Strong knowledge of DMHC, CMS, NCQA, Medi-Cal, and Medicare Advantage regulatory requirements.

Knowledge of Pre-Delegation (Pre-Del), Quality Management (QM), and health plan audit processes.

Strong understanding of corrective action plans, audit remediation, and compliance monitoring activities.

Excellent organization, project management, and attention to detail.

Strong analytical, problem-solving, and critical-thinking skills.

Ability to manage multiple audits, projects, and deadlines in a fast-paced healthcare environment.

Excellent written and verbal communication skills.

Proficiency in Microsoft Excel, Outlook, Word, PowerPoint, and compliance reporting systems.

Ability to work independently and collaboratively with operational departments and executive leadership.

Ability to maintain confidentiality and comply with HIPAA and healthcare regulatory requirements.

Preferred Certifications

Certified in Healthcare Compliance (CHC) preferred.

Certified Professional in Healthcare Quality (CPHQ) preferred.

NCQA or managed care compliance training preferred.

Project Management Professional (PMP) certification preferred.

Physical & Work Environment

Hybrid or office-based work environment.

Requires extended computer and phone use.

May include occasional meetings with providers, health plans, auditors, and operational departments.

May require participation in on-site audit activities and compliance reviews.

Pay: $95,000.00 - $135,000.00 per year

Work Location: In person

Quick Apply

Refine Your Search

medical auditor jobs in cerritos, ca

Compliance & Regulatory Audit Manager

Call Center Quality Assurance Auditor

Risk Adjustment Coding Auditor

Pharmacy Part D Auditor

Internal Auditing Assistant

Facility Outpatient Surgical and Claims Edit Auditor (Remote)

Coding Auditor & Educator

Facility Inpatient Surgical and Claims Edit Auditor

Delegation Oversight Compliance Auditor II

Claims Auditor

Government Audit Recovery Specialist: Corporate Compliance: Temporary

Installation Auditor

Compliance Program Audit Manager - Full Time Exempt - Days - QVH (On-Site) West Covina, California

Clinical Network Compliance Auditor, RN Supervisor

Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Compliance Program Audit Manager - Full Time Exempt - Days - QVH (On-Site)

Inpatient Coding Auditor

Director of Clinical Audit & Performance Excellence

Implementation Auditor

Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

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