Top 215 Auditor Jobs in Martinez, Ca

Grievance and Appeals Internal Auditor
Partnership HealthPlan of California —Fairfield, CA
- $42.38 - $52.97 an hour
- Full-time
- Writing skills
- Data analysis skills
- Mid-level
11d
Internal Auditor, Consultant
Blue Shield of California —Oakland, CA
- $111,540 - $167,420 a year
- Full-time
- Hybrid work
- Background check
- CPA
- Pass drug screening
- Work from home
Principal Auditor (5973U), Audit & Advisory Services #88061 (Remote Eligible)
University of California Berkeley —Berkeley, CA
- $115,000 - $140,000 a year
- Full-time
- Remote
- CPA
- Research
- Bachelor's degree
2d
Fraud Detection Analyst, Senior
Blue Shield of California —Oakland, CA
- $90,860 - $136,290 a year
- Full-time
- Hybrid work
- Background check
- CPA
- 5 years
- Work from home
Controller
The Unity Council —Oakland, CA
- $140,000 - $180,000 a year
- Email
- Hybrid work
- Background check
- CPA
- 5 years
- Wellness program
- 403(b) matching
Quick Apply
Accounting Manager
ICA Fund —Oakland, CA
- $125,000 - $150,000 a year
- Full-time
- Hybrid work
- 7 years
- Mid-level
- Office
- Paid holidays
- Disability insurance
Quick Apply
9d
Audit Senior - Audit, CPA, Construction
Everforth, Cybercoders —Larkspur, CA
- $80,000 - $120,000 a year
- Full-time
- Hybrid work
- CPA
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
FBI Special Agent: CPA/Accounting/Finance Expertise
Federal Bureau of Investigation —San Francisco, CA
- $103,263 - $133,200 a year
- Full-time
- Doctoral degree
- CPA
- Master's degree
Manager, Private Equity & FoF Accounting
SS&C Technologies —San Francisco, CA
- $90,000 - $175,000 a year
- Online Application
- Hybrid work
- CPA
- Supervising experience
- Bachelor's degree
- Paid holidays
- Health insurance
Accountant - Auditor I/II
County of Napa, CA —Napa, CA
- $46.99 - $59.97 an hour
- Online Application
- CPA
- No experience needed
- Research
- Opportunities for advancement
1d
AI Auditor, Senior
Blue Shield of California —Oakland, CA
- $90,860 - $136,290 a year
- Full-time
- Hybrid work
- Background check
- CPA
- Computer Science
- Work from home
AI Auditor, Consultant
Blue Shield of California —Oakland, CA
- $111,540 - $167,420 a year
- Full-time
- Hybrid work
- Background check
- 7 years
- CPA
- Work from home
3d
Accounting Technician
County of Contra Costa, California —Contra Costa County, CA
- $69,037.12 - $88,163.27 a year
- Full-time
- Customer service
- Mid-level
- Office
5d
AP Accountant
Episcopal Community Services (ECS) —San Francisco, CA
- $84,703 - $88,515 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Current TB test
Quick Apply
11d
Payroll and Retirement Audit Specialist #2526-0543
CONTRA COSTA COUNTY OFFICE OF EDUCATION —Pleasant Hill, CA
- $6,856.88 - $8,336.82 a month
- Full-time
- Background check
- School experience
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Internal Controls Consulting, Consultant
Blue Shield of California —Oakland, CA
- $111,540 - $167,420 a year
- Full-time
- 7 years
- SQL
- Bachelor's degree
Audit Entry Level Accountant 2027
WithumSmith+Brown —San Ramon, CA
- $62,000 - $90,000 a year
- Office
- Master's degree
- Bachelor's degree
Quick Apply
6d
Assurance Associate I (Start Date: January 2027)
BPM LLP —San Francisco, CA
- $72,500 - $80,000 a year
- Full-time
- Hybrid work
- Bachelor of Science
- Finance
- Master's degree
- Paid holidays
- Health insurance
Quick Apply
West Coast Entry Level Payroll Auditor 2026
WithumSmith+Brown —San Ramon, CA
- $53,000 - $70,000 a year
- Full-time
- Bachelor's degree
- Fair chance
- Business Administration
Quick Apply
4d
Accountant
Municipal Pooling Authority —Concord, CA
- $97,137 - $118,070 a year
- Email
- Hybrid work
- Writing skills
- Mid-level
- Office
- Paid holidays
- Disability insurance
Quick Apply
6d

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auditor jobs near martinez, ca

Grievance and Appeals Internal Auditor

Partnership HealthPlan of California -
Fairfield, CA

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Job Details

Full-time
$42.38 - $52.97 an hour
11 days ago

Qualifications

Appeals
Contract review
Phone communication
Writing skills
Contract interpretation
Driver's License
Desktop applications
Quality data entry

Full Job Description

Overview:

The Internal Auditor is an important position to ensure quality case investigations within the Grievance & Appeals Department (G&A). The auditor assesses the quality of all grievance and appeal cases to ensure they meet DHCS-mandated requirements, NCQA specifications, and Partnership professional standards. Conducts individual audits of grievance, appeal, exempts, and State Hearing cases completed by the Grievance staff. Identifies and recommends improvements to advance the overall quality of investigation outcomes.

Responsibilities:

Regularly conducts concurrent and retrospective audits of individual case investigations according to established audit criteria and provides feedback to associates as applicable
Performs routine and timely quality assurance audits for all types of cases – grievance, appeals, exempts, and State Hearing cases conducted on a standard or expedited basis
Assesses cases to determine if DHCS-mandated timeframes, NCQA specifications, and Partnership professional standards for member experience are met
Determines if clinical guidance is executed accurately throughout the case investigation process
Evaluates the quality of written communications
Assesses accurate use of reporting fields to support DHCS, NCQA, and interdepartmental reporting interests
Evaluates the appropriateness of referrals and determine if best resolution is offered given nature of case
Enters audit findings of individual cases in the audit tracking database
Provides audit findings feedback to G&A Manager and Supervisors regarding associates’ audit performance.
Keeps current on all regulatory requirements that may influence G&A audit criteria and/or practices
Recommends areas in need of additional training and/or close oversight based on the trending and analysis of audit results
Makes strategic recommendation(s) to improve the accuracy, quality, and/or reporting of case investigations based on audit observations in order to enhance members’ healthcare experience
Assists in the development and maintenance of auditing guidelines, including the audit tracking database
To support regulatory compliance, creates and maintains desktop(s) to document policy and procedures for G&A audit practices
Maintains strict confidentiality of members’ PHI/PII

SECONDARY DUTIES AND RESPONSIBILITIES

May participate in special projects or initiatives as directed

Qualifications:

Education and Experience

Bachelor’s degree in a health or business related field preferred; two (2) years of experience with grievance, appeal, and State Hearing cases or equivalent combination of education and experience. Experience with medical criteria used to determine approval of medications, services, or referrals desired (e.g., TAR, RAF). Very detailed oriented, excellent writing and communication skills. General knowledge of managed care and Medi-Cal benefits desired

Special Skills, Licenses and Certifications

Experience in managed care business practices and the ability to access data information using computer systems. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and meeting deadlines. Strong organizational skills required. Effective telephone, computer and, data entry skills required. Valid California driver’s license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business.

Performance Based Competencies

Excellent written and verbal communication skills with ability to read and interpret benefit contract specifications are required. Ability to understand and ensure compliance with established criteria and protocols used in managed care functions. Ability to formulate ideas and solutions into appropriate questions and assess/interpret the verbal responses. Ability to communicate effectively with coworkers, members, their families, physicians, and health care providers. Self-driven and works independently

Work Environment And Physical Demands

Heavy use of the computer for most of the day. Must be able to lift, move, or carry objects of varying size, weighing up to 10 lbs.

All HealthPlan employees are expected to:

Provide the highest possible level of service to clients;
Promote teamwork and cooperative effort among employees;
Maintain safe practices; and
Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$42.38 - $52.97

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

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Refine Your Search

auditor jobs in martinez, ca

Grievance and Appeals Internal Auditor

Internal Auditor, Consultant

Principal Auditor (5973U), Audit & Advisory Services #88061 (Remote Eligible)

Fraud Detection Analyst, Senior

Controller

Accounting Manager

Audit Senior - Audit, CPA, Construction

FBI Special Agent: CPA/Accounting/Finance Expertise

Manager, Private Equity & FoF Accounting

Accountant - Auditor I/II

AI Auditor, Senior

AI Auditor, Consultant

Accounting Technician

AP Accountant

Payroll and Retirement Audit Specialist #2526-0543

Internal Controls Consulting, Consultant

Audit Entry Level Accountant 2027

Assurance Associate I (Start Date: January 2027)

West Coast Entry Level Payroll Auditor 2026

Accountant

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