Top 132 senior auditor Jobs in paramount ca

Quality Auditor - Health Plan Operations
SCAN Health Plan —Lakewood, CA
- $25.38 - $36.76 an hour
- Full-time
- Remote
- Background check
- Microsoft Excel
- Microsoft Outlook
- Wellness program
- Paid holidays
Quick Apply
11d
CPA FIRM - Senior/ Tax Manager
Accounting Firm —City of Industry, CA
- $22 - $38 an hour
- 8 hour shift
- Management
- CPA
- Research
- Health insurance
- Dental insurance
Quick Apply
Senior Accountant
Vaco by Highspring —Cypress, CA
- $95,000 - $105,000 a year
- Oracle
- CPA
- 3 years
- Health insurance
- Dental insurance
Quick Apply
1d
Senior Accountant #ESF2945
ExpertHiring —Los Angeles, CA
- $82,000 - $108,000 a year
- Full-time
- Microsoft Excel
- Finance
- Databases
- Health insurance
- Retirement plan
Quick Apply
4d
Audit Senior
Everforth CyberCoders —Irvine, CA
- $95,000 - $120,000 a year
- Full-time
- CPA
- Mid-level
- 3 years
Quick Apply
2d
Audit Senior
Leoforce —Burbank, CA
- $150,000 - $200,000 a year
- CPA
- Office
- 3 years
- Flexible spending account
- 401(k) matching
Quick Apply
Audit Senior Manager (Government Services)
Leoforce —Irvine, CA
- $170,000 - $215,000 a year
- CPA
- Bachelor's degree
- GAAP
- 401(k) matching
Quick Apply
5h
Claims Auditor, Managed Care (remote)
Cedars-Sinai —Los Angeles, CA
- $27.18 - $42.13 an hour
- 8 hour shift
- Remote
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Dental insurance
7d
Sr. Compliance Auditor
SCAN Group —Long Beach, CA
- $70,304 - $84,143 a year
- Full-time
- Hybrid work
- Background check
- Office
- 3 years
- Wellness program
- Paid holidays
Quick Apply
Audit Senior Manager, Assurance & Advisory - Government Services Sector
SingerLewak —Los Angeles, CA
- $180,000 - $195,000 a year
- Full-time
- Hybrid work
- CPA
- Office
- Bachelor's degree
- Work from home
Quick Apply
Senior Project Accountant
KabaFusion —Cerritos, CA
- $35 - $45 an hour
- Full-time
- Microsoft Excel
- 5 years
- Research
- Paid holidays
- Disability insurance
Quick Apply
Senior Accounting Technician
Contact Government Services, LLC —Los Angeles, CA
- $87,360.00 - $126,186.67 a year
- Full-time
- Hybrid work
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Assurance Senior
BPM LLP —Long Beach, CA
- $80,000 - $92,000 a year
- Full-time
- Hybrid work
- CPA
- Bachelor of Science
- 3 years
- Paid time off
- Family leave
Quick Apply
Sr. Internal Auditor
Astrana Health, Inc. —Alhambra, CA
- $110,000 - $125,000 a year
- Email
- Hybrid work
- CPA
- HIPAA
- Office
Quick Apply
Audit Senior Associate
GHJ —Los Angeles, CA
- $81,000 - $90,500 a year
- Full-time
- Hybrid work
- CPA
- Mid-level
- 3 years
Sr. Manager - Claims Delegation Audit
Astrana Health, Inc. —Monterey Park, CA
- $125,000 - $140,000 a year
- Email
- Hybrid work
- Bachelor of Science
- Office
- 3 years
Quick Apply
Senior Accountant
Rohrback Cosasco Systems, Inc —Santa Fe Springs, CA
- Full-time
- Microsoft Excel
- CPA
- ERP systems
Quick Apply
Senior Auditor
University of California, Irvine —Irvine, CA
- $79,200 - $112,000 a year
- Full-time
- Remote
- Background check
- 3 years
- University
- Health insurance
- Retirement plan
Sr Accountant
Christie Digital —Cypress, CA
- $95,000 - $105,000 a year
- Monday to Friday
- Hybrid work
- Oracle
- CPA
- 5 years
- Health insurance
- Dental insurance
11d
Audit Senior
SingerLewak —Los Angeles, CA
- $40.86 - $47.11 an hour
- Overtime
- Hybrid work
- Management
- CPA
- Mid-level
Quick Apply

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Quality Auditor - Health Plan Operations

SCAN Health Plan -
Lakewood, CA

Quick Apply

Job Details

Full-time
$25.38 - $36.76 an hour
11 days ago

Benefits

Wellness program
Paid holidays
401(k)
Tuition reimbursement
Paid time off
On-the-job training
401(k) matching

Qualifications

Appeals
Microsoft Excel
Microsoft Outlook
Medicare
CMS
Medicaid health insurance
CMS regulatory compliance
Medicare regulations
Microsoft Teams
Medicaid regulations
Medicaid
Quality audits
Insurance claims auditing

Full Job Description

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do.

Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.

Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.

At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

The Job

The Quality Auditor will perform routine and targeted operational quality audits across health plan operations including but not limited to Claims, Grievances and Appeals, Enrollment, Configuration, Provider Data and/or Letters/Materials to ensure compliance with regulatory requirements, internal policies, contractual obligations, and operational standards. This role monitors quality, accuracy, identifies opportunities for improvements that will enhance member and provider experience.

You Will

Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of Claims, Grievances and Appeals, Enrollment, Configuration, Provider Data and/or Letters/Materials standards for assigned business process
Work assigned cases through SCANs workflow system, and applies correct status attributes to track and trend issues. Notate cases/audits with required detail to ensure that others understand status of case/audit and final resolutions.
Work closely with other business units to ensure processing errors are reviewed and corrected
Follow policies and procedures in order to maintain efficient and compliant operations; communicate suggestions for improvement and efficiencies to management; identify and report problems with workflows following proper departmental procedures; actively participate in departmental staff meetings and training sessions.
Follow all appropriate Federal and State regulatory requirements and guidelines applicable to SCAN Health Plan operations or as documented in company policies and procedures.
Provide a high level of customer service to internal customers by consistently meeting and/or exceeding team expectations including but not limited to quality, productivity and attendance.
Escalate appropriate audit issues to management as required and follow departmental/organizational policies and procedures.
Maintain required levels of production and quality standards as established by management. Participate in and supports ad-hoc audits as needed.
Contribute to overall department success by participating in department initiatives, effective communication and collaboration with all members of the SCAN team through knowledge and idea sharing, take ownership to identify and report issues to appropriate management staff for resolution and work actively with the SCAN team to improve the support to our Members and Providers.
Contribute to team effort by accomplishing related results as needed.
Actively support the achievement of SCAN’s Vision and Goals.
We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
Other duties as assigned.

Your Qualifications

Associate’s degree preferred or equivalent experience
3+ years complex auditing processing and/or auditing experience in the health plan, healthcare, or managed care organization with experience in Claims, Grievances and Appeals, Enrollment, Configuration, Provider Data and/or Letters/Materials.
Must be proficient in processing/auditing for Medicare and Medicaid plans.
3+ years’ experience in managed healthcare environment related to Claims, Grievances and Appeals, Enrollment, Configuration, Provider Data and Letters/Materials processing/audit processing/audit.
Strong organizational, analytical thinking and accounting skills; oral and written communication skills
Strong knowledge of CMS requirements regarding auditing processing
Completion of health insurance training and medical terminology or equivalent knowledge through on-the-job training and experience.
Knowledge of health care benefit structures and insurance procedures, as they exist in a Managed Care environment.
Strong PC Skills. Microsoft Office (Word, Excel, Outlook, Teams) are required.

What’s in it for you?

Base wage range: $25.38 to $36.76 per hour
Work Mode: Remote
Annual bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
Eleven paid holidays per year, plus 1 additional floating holiday, plus 1 birthday holiday
Excellent 401(k) Retirement Saving Plan with employer match and contribution
Robust employee recognition program
Tuition reimbursement
An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

#LI-MS1

#LI-Remote

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, 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. 41 CFR 60-1.35(c)

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Refine Your Search

senior auditor jobs in paramount ca

Quality Auditor - Health Plan Operations

CPA FIRM - Senior/ Tax Manager

Senior Accountant

Senior Accountant #ESF2945

Audit Senior

Audit Senior

Audit Senior Manager (Government Services)

Claims Auditor, Managed Care (remote)

Sr. Compliance Auditor

Audit Senior Manager, Assurance & Advisory - Government Services Sector

Senior Project Accountant

Senior Accounting Technician

Assurance Senior

Sr. Internal Auditor

Audit Senior Associate

Sr. Manager - Claims Delegation Audit

Senior Accountant

Senior Auditor

Sr Accountant

Audit Senior

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