L.A. Care Health Plan

The Financial Compliance Auditor III Claims at L.A. Care Health Plan audits claims processed by delegated groups and contracted plans, ensuring compliance with federal and state regulations and contract terms. You will test and report on timeliness and accuracy, and mentor junior staff as needed. This role requires at least 4 years of claims audit experience in Medi-Cal/Medicare or similar programs, strong analytical skills, and proficiency in Excel/Word. #J-18808-Ljbffr

The Financial Compliance Auditor III Finance at L.A. Care Health Plan in Los Angeles, CA, is responsible for managing financial solvency reviews across plan partners, providers, and vendors, ensuring regulatory compliance under DMHC, DHCS, CMS and GAAP principles. You will lead audits, prepare reports, monitor corrective actions, and mentor junior staff while collaborating with cross-functional teams to improve financial controls and processes. #J-18808-Ljbffr

Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for audits of claims processed by Delegated Participating Physician Groups (PPGs), hospitals and health plans contracted with L.A. Care and various tasks within the Financial Compliance Unit. This position works closely with management on identification and resolution of...

Financial Compliance Auditor III Claims Job Category: Accounting/Finance Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13259 Salary Range: $88,854.00(Min.) -$115,509.00(Mid.) -$142,166.00(Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for audits of claims processed by Delegated Participating Physician Groups (PPGs), hospitals and health plans contracted...

Select how often (in days) to receive an alert: Financial Compliance Auditor III Claims Job Category: Accounting/Finance Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13259 Salary Range: $88,854.00(Min.) -$115,509.00(Mid.) -$142,166.00(Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low‑income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low‑income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for audits of claims processed by Delegated Participating Physician...

The Financial Compliance Auditor III Claims position at L.A. Care Health Plan in Los Angeles, CA conducts audits of claims processed by delegated groups, hospitals, and health plans, ensuring compliance with federal and state regulations and contractual requirements. The role includes audit testing, reporting, and mentoring staff. The auditor collaborates with management to resolve issues promptly, and supports ongoing tasks within the Financial Compliance Unit to improve operations and maintain #J-18808-Ljbffr

L.A. Care Health Plan in California seeks a Financial Compliance Auditor III Claims to audit claims processed by Delegated Participating Physician Groups and contracted health plans. You will ensure compliance with federal and state regulations and prepare audit reports. The role requires at least 4 years of claims auditing experience, a Finance or Accounting degree, and strong data analysis and communication skills. #J-18808-Ljbffr

Select how often (in days) to receive an alert: Financial Compliance Auditor III Claims Job Category: Accounting/Finance Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13259 Salary Range: $88,854.00(Min.) -$115,509.00(Mid.) -$142,166.00(Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low‑income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low‑income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for audits of claims processed by Delegated Participating Physician...

The Financial Compliance Auditor III Claims at L.A. Care Health Plan audits claims processed by delegated groups and contracted plans, ensuring compliance with federal and state regulations and contract terms. You will test and report on timeliness and accuracy, and mentor junior staff as needed. This role requires at least 4 years of claims audit experience in Medi-Cal/Medicare or similar programs, strong analytical skills, and proficiency in Excel/Word. #J-18808-Ljbffr