Quality Control Auditor
$28.85 - $33.65/hr
Description JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for ... Strong analytical and problem-solving skills. Ability to interpret and apply complex regulatory and ...
$28.85 - $33.65/hr
Description JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for ... Strong analytical and problem-solving skills. Ability to interpret and apply complex regulatory and ...
$28.85 - $33.65/hr
Description JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for ... Strong analytical and problem-solving skills. Ability to interpret and apply complex regulatory and ...
Analyze warehouse data to identify trends, gaps, and improvement opportunities. * Conduct routine ... and QC automation tools. * Ensure new processes, tools, and standards are deployed successfully ...
Analyze warehouse data to identify trends, gaps, and improvement opportunities. * Conduct routine ... and QC automation tools. * Ensure new processes, tools, and standards are deployed successfully ...
Fontana, CA · On-site
$130K/yr
Analyze warehouse data to identify trends, gaps, and improvement opportunities. * Conduct routine ... and QC automation tools. * Ensure new processes, tools, and standards are deployed successfully ...
Fontana, CA · On-site
$130K/yr
Analyze warehouse data to identify trends, gaps, and improvement opportunities. * Conduct routine ... and QC automation tools. * Ensure new processes, tools, and standards are deployed successfully ...
Ontario, CA · On-site
$23 - $26/hr
... Junior Operator QC Incoming Inspection . The VISHAY Junior Operator adds value by performing ... Apply approval or rejection labels to bulk raw materials once analytical data is evaluated * Assess ...
Ontario, CA · On-site
$23 - $26/hr
... Junior Operator QC Incoming Inspection . The VISHAY Junior Operator adds value by performing ... Apply approval or rejection labels to bulk raw materials once analytical data is evaluated * Assess ...
Anaheim, CA · On-site
$20 - $38/hr
Medical
Dental
Vision
Life
Retirement
PTO
Develop, improve and customize equipment, products, formulas, analytical methods, and processes ... Conduct quality control tests to ensure no compounds or equipment are contaminated * Order ...
Quick apply
Anaheim, CA · On-site
$20 - $38/hr
Medical
Dental
Vision
Life
Retirement
PTO
Develop, improve and customize equipment, products, formulas, analytical methods, and processes ... Conduct quality control tests to ensure no compounds or equipment are contaminated * Order ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Job Type Full-time Description JOB SUMMARY The Quality Control Auditor - Claims Management is ... The role requires sustained concentration, analytical thinking, and attention to detail to ensure ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Job Type Full-time Description JOB SUMMARY The Quality Control Auditor - Claims Management is ... The role requires sustained concentration, analytical thinking, and attention to detail to ensure ...
... Junior Operator QC Incoming Inspection . The VISHAY Junior Operator adds value by performing ... Apply approval or rejection labels to bulk raw materials once analytical data is evaluated * Assess ...
... Junior Operator QC Incoming Inspection . The VISHAY Junior Operator adds value by performing ... Apply approval or rejection labels to bulk raw materials once analytical data is evaluated * Assess ...
Medical
Dental
Vision
Life
Retirement
PTO
Quality Control Manager Salary Status: DOE FLSA: Exempt Employment Type: Full-Time Location ... analytical problem-solving abilities • Excellent written and oral communication skills ...
Medical
Dental
Vision
Life
Retirement
PTO
Quality Control Manager Salary Status: DOE FLSA: Exempt Employment Type: Full-Time Location ... analytical problem-solving abilities • Excellent written and oral communication skills ...
$19/hr
Medical
Dental
Vision
Retirement
PTO
As a Quality Inspector, you will oversee all Quality Control processes performed in-house and work ... Begin conducting trend analysis for rejected materials at inbound and provide a high-level summary ...
$19/hr
Medical
Dental
Vision
Retirement
PTO
As a Quality Inspector, you will oversee all Quality Control processes performed in-house and work ... Begin conducting trend analysis for rejected materials at inbound and provide a high-level summary ...
Fontana, CA · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Quality Control Manager Salary Status: DOE FLSA: Exempt Employment Type: Full-Time Location ... analytical problem-solving abilities • Excellent written and oral communication skills ...
Fontana, CA · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Quality Control Manager Salary Status: DOE FLSA: Exempt Employment Type: Full-Time Location ... analytical problem-solving abilities • Excellent written and oral communication skills ...
Fontana, CA · On-site
Quality Control Inspector Location: Fontana, CA, 92337 Skills Required: Job Overview: In the ... writing, analysis of work orders, evaluations, etc. * English skills must be proficient to ...
Fontana, CA · On-site
Quality Control Inspector Location: Fontana, CA, 92337 Skills Required: Job Overview: In the ... writing, analysis of work orders, evaluations, etc. * English skills must be proficient to ...
Fontana, CA · On-site
$19/hr
Medical
Dental
Vision
Retirement
PTO
As a Quality Inspector, you will oversee all Quality Control processes performed in-house and work ... Begin conducting trend analysis for rejected materials at inbound and provide a high-level summary ...
Fontana, CA · On-site
$19/hr
Medical
Dental
Vision
Retirement
PTO
As a Quality Inspector, you will oversee all Quality Control processes performed in-house and work ... Begin conducting trend analysis for rejected materials at inbound and provide a high-level summary ...
Murrieta, CA · On-site
$23.95 - $31.63/hr
This role requires a keen eye for detail and a thorough understanding of quality control ... Train and mentor junior quality inspectors and support continuous learning within the quality ...
Quick apply
Murrieta, CA · On-site
$23.95 - $31.63/hr
This role requires a keen eye for detail and a thorough understanding of quality control ... Train and mentor junior quality inspectors and support continuous learning within the quality ...
Fontana, CA · On-site
$19/hr
Medical
Dental
Vision
Retirement
PTO
As a Quality Inspector, you will oversee all Quality Control processes performed in-house and work ... Begin conducting trend analysis for rejected materials at inbound and provide a high-level summary ...
Quick apply
Fontana, CA · On-site
$19/hr
Medical
Dental
Vision
Retirement
PTO
As a Quality Inspector, you will oversee all Quality Control processes performed in-house and work ... Begin conducting trend analysis for rejected materials at inbound and provide a high-level summary ...
$20.60/hr
Medical
Dental
Vision
Life
Retirement
PTO
As a Quality Control Technician at MAPEI , you will use your chemistry lab skills to perform tests ... Identify and investigate abnormal test results, conducting root cause analysis. * Prepare and ...
$20.60/hr
Medical
Dental
Vision
Life
Retirement
PTO
As a Quality Control Technician at MAPEI , you will use your chemistry lab skills to perform tests ... Identify and investigate abnormal test results, conducting root cause analysis. * Prepare and ...
San Bernardino, CA · On-site
$20.60/hr
Medical
Dental
Vision
Life
Retirement
PTO
As a Quality Control Technician at MAPEI , you will use your chemistry lab skills to perform tests ... Identify and investigate abnormal test results, conducting root cause analysis. * Prepare and ...
San Bernardino, CA · On-site
$20.60/hr
Medical
Dental
Vision
Life
Retirement
PTO
As a Quality Control Technician at MAPEI , you will use your chemistry lab skills to perform tests ... Identify and investigate abnormal test results, conducting root cause analysis. * Prepare and ...
$24 - $30/hr
Medical
Life
Retirement
PTO
Participate in trend analysis and continuous improvement initiatives to refine QC processes and enhance product quality Success in This Role Looks Like * Inspection activities are completed ...
$24 - $30/hr
Medical
Life
Retirement
PTO
Participate in trend analysis and continuous improvement initiatives to refine QC processes and enhance product quality Success in This Role Looks Like * Inspection activities are completed ...
$24 - $30/hr
Medical
Life
Retirement
PTO
Participate in trend analysis and continuous improvement initiatives to refine QC processes and enhance product quality Success in This Role Looks Like * Inspection activities are completed ...
$24 - $30/hr
Medical
Life
Retirement
PTO
Participate in trend analysis and continuous improvement initiatives to refine QC processes and enhance product quality Success in This Role Looks Like * Inspection activities are completed ...
Chino, CA · On-site
$20 - $25/hr
Prepare and transcribe analytical data for Certificates of Analysis (CoA) release. * Accurately ... Perform quality control duties as directed by the Laboratory Manager. * Ensure compliance with all ...
Chino, CA · On-site
$20 - $25/hr
Prepare and transcribe analytical data for Certificates of Analysis (CoA) release. * Accurately ... Perform quality control duties as directed by the Laboratory Manager. * Ensure compliance with all ...
Rancho Santa Margarita, CA · On-site
$24/hr
Medical
Life
Retirement
PTO
Participate in trend analysis and continuous improvement initiatives to refine QC processes and enhance product quality Success in This Role Looks Like * Inspection activities are completed ...
Rancho Santa Margarita, CA · On-site
$24/hr
Medical
Life
Retirement
PTO
Participate in trend analysis and continuous improvement initiatives to refine QC processes and enhance product quality Success in This Role Looks Like * Inspection activities are completed ...
$16.05 - $19.68
7% of jobs
$19.68 - $23.30
15% of jobs
$24.07 is the 25th percentile. Wages below this are outliers.
$23.30 - $26.93
14% of jobs
The median wage is $30.19 / hr.
$26.93 - $30.55
16% of jobs
$30.55 - $34.18
19% of jobs
$35.58 is the 75th percentile. Wages above this are outliers.
$34.18 - $37.80
12% of jobs
$37.80 - $41.43
8% of jobs
$41.43 - $45.05
3% of jobs
$45.05 - $48.68
3% of jobs
$48.68 - $52.30
2% of jobs
$52.30 - $55.93
1% of jobs
$16
$33
$55
| Aspect | Junior Quality Control Analyst | Quality Control Technician |
|---|---|---|
| Credentials | Typically requires a bachelor's degree in a science or related field | Often requires a high school diploma or associate degree, with some roles preferring technical certifications |
| Work Environment | Laboratory settings, quality assurance departments | Manufacturing floors, laboratories, or production areas |
| Employer & Industry Usage | Used across pharmaceuticals, biotech, food, and manufacturing industries | Commonly found in manufacturing, pharmaceuticals, and food production |
| Job Focus | Analyzing data, performing tests, documenting results | Performing routine inspections, sampling, and testing |
The main difference is that Junior Quality Control Analysts typically handle data analysis and documentation, often requiring a degree, while Quality Control Technicians focus on routine testing and inspections, sometimes with less formal education. Both roles are essential in quality assurance processes across similar industries.
Cities near Riverside, CA with the most Junior Quality Control Analyst job openings:
$28.85 - $33.65/hr
Full-time
Re-posted 27 days ago
Description
JOB SUMMARY
The Quality Control Auditor - Claims Management is responsible for performing detailed audits of claims processing activities to ensure accuracy, regulatory compliance, and adherence to contractual, coding, and reimbursement requirements within the Managed Services Organization (MSO). This role evaluates claims adjudication performed by Claims Examiners, identifies errors, analyzes trends, and provides recommendations to improve claims accuracy, operational efficiency, and compliance with federal and California regulatory standards.
The Quality Control Auditor supports delegated managed care compliance by auditing claims in accordance with health plan contracts, coding standards, reimbursement methodologies, and applicable regulatory requirements, including Department of Managed Health Care (DMHC), Centers for Medicare & Medicaid Services (CMS), and Department of Health Care Services (DHCS) standards where applicable.
This role plays a critical role in maintaining claims processing integrity, minimizing financial risk, ensuring regulatory compliance, and supporting continuous operational improvement.
Requirements
MINIMUM & PREFERRED QUALIFICATIONS
Education/Training
Minimum: High School Diploma or equivalent.
Preferred: Associate's or Bachelor's degree in Healthcare Administration, Business Administration, Compliance, or related field.
Experience
Minimum: At least five years of managed care claims auditing, claims examiner, or claims quality control experience. Two years of experience as a Claims Examiner or Claims Adjuster.
Preferred: Experience in MSO, IPA, or health plan environment. Experience supporting delegated managed care and regulatory audits. Experience auditing professional and institutional claims.
Certification(s)
Preferred: Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Professional Compliance Officer (CPCO)
Skills, Knowledge & Abilities
Strong knowledge of managed care claims processing and audit methodologies.
Knowledge of CPT, HCPCS, ICD-10, DRG, and reimbursement methodologies.
Knowledge of health plan contracts, fee schedules, and DOFR agreements.
Knowledge of DMHC, CMS, DHCS, and regulatory requirements.
Strong analytical and problem-solving skills.
Ability to interpret and apply complex regulatory and contractual requirements.
Strong attention to detail and audit documentation skills.
Excellent written and verbal communication skills.
Proficiency with claims systems such as EZ Cap and Microsoft Office applications.
Ability to work independently and meet audit deadlines.
Ability to maintain confidentiality and data integrity.
PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS
The physical demands described here are represented by those that must be met by an employee to successfully perform the essential functions of this job. Work is primarily performed in an office or hybrid office environment and involves prolonged periods of sitting, computer use, and document review. The role requires sustained concentration, analytical thinking, and attention to detail to ensure claims accuracy and regulatory compliance. Light physical effort may be required, including lifting up to approximately 10 pounds and occasional bending, reaching, or filing. This role requires the ability to maintain confidentiality and professionalism when handling sensitive claims and compliance information.
PAY RANGE
$28.85 - $33.65 / hourly