Quality Control Auditor
$28.85 - $33.65/hr
Description JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for ... Associate's or Bachelor's degree in Healthcare Administration, Business Administration, Compliance ...
$28.85 - $33.65/hr
Description JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for ... Associate's or Bachelor's degree in Healthcare Administration, Business Administration, Compliance ...
$28.85 - $33.65/hr
Description JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for ... Associate's or Bachelor's degree in Healthcare Administration, Business Administration, Compliance ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Description: JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for ... Associate's or Bachelor's degree in Healthcare Administration, Business Administration, Compliance ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Description: JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for ... Associate's or Bachelor's degree in Healthcare Administration, Business Administration, Compliance ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Job Type Full-time Description JOB SUMMARY The Quality Control Auditor - Claims Management is ... Associate's or Bachelor's degree in Healthcare Administration, Business Administration, Compliance ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Job Type Full-time Description JOB SUMMARY The Quality Control Auditor - Claims Management is ... Associate's or Bachelor's degree in Healthcare Administration, Business Administration, Compliance ...
March Air Reserve Base, CA · On-site
$19.25 - $24.50/hr
Following QC Hold Procedures for out of specification products * Must possess the ability to follow ... Our 290,000 associates have a passion for great service and building lasting relationships with our ...
March Air Reserve Base, CA · On-site
$19.25 - $24.50/hr
Following QC Hold Procedures for out of specification products * Must possess the ability to follow ... Our 290,000 associates have a passion for great service and building lasting relationships with our ...
$19.90 - $21.57/hr
Following QC Hold Procedures for out of specification products * Must possess the ability to follow ... Our 290,000 associates have a passion for great service and building lasting relationships with our ...
$19.90 - $21.57/hr
Following QC Hold Procedures for out of specification products * Must possess the ability to follow ... Our 290,000 associates have a passion for great service and building lasting relationships with our ...
Irvine, CA · On-site
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience * 3+ years of QC or clinical laboratory experience * Strong knowledge of Quality Systems and Good Documentation ...
Irvine, CA · On-site
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience * 3+ years of QC or clinical laboratory experience * Strong knowledge of Quality Systems and Good Documentation ...
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience * 3+ years of QC or clinical laboratory experience * Strong knowledge of Quality Systems and Good Documentation ...
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience * 3+ years of QC or clinical laboratory experience * Strong knowledge of Quality Systems and Good Documentation ...
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience. * 3+ years of QC or clinical laboratory experience. * Strong knowledge of Quality Systems and Good Documentation ...
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience. * 3+ years of QC or clinical laboratory experience. * Strong knowledge of Quality Systems and Good Documentation ...
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience * 3+ years of QC or clinical laboratory experience * Strong knowledge of Quality Systems and Good Documentation ...
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience * 3+ years of QC or clinical laboratory experience * Strong knowledge of Quality Systems and Good Documentation ...
Riverside, CA · On-site
$20.50 - $26/hr
Associate degree or HS diploma with 1-3 years' experience in overall QC testing and methodology in manufacturing environment. * Good math and computer skills required, competent with Microsoft Word ...
Quick apply
Riverside, CA · On-site
$20.50 - $26/hr
Associate degree or HS diploma with 1-3 years' experience in overall QC testing and methodology in manufacturing environment. * Good math and computer skills required, competent with Microsoft Word ...
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience * 3+ years working in QC or a clinical laboratory experience * Strong knowledge of Quality Systems and Good ...
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience * 3+ years working in QC or a clinical laboratory experience * Strong knowledge of Quality Systems and Good ...
Irvine, CA · On-site
$24 - $25/hr
Job Title: QC Microbiology Associate II Pay Rate: $24-25/hr Shift Days: Sunday - Thursday Hours: 7am - 3:30pm (should be flexible to working OT as needed) Bachelors Degree in Microbiology, Biology or ...
Quick apply
Irvine, CA · On-site
$24 - $25/hr
Job Title: QC Microbiology Associate II Pay Rate: $24-25/hr Shift Days: Sunday - Thursday Hours: 7am - 3:30pm (should be flexible to working OT as needed) Bachelors Degree in Microbiology, Biology or ...
Irvine, CA · On-site
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience. * 3+ years of QC or clinical laboratory experience. * Strong knowledge of Quality Systems and Good Documentation ...
Irvine, CA · On-site
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience. * 3+ years of QC or clinical laboratory experience. * Strong knowledge of Quality Systems and Good Documentation ...
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience. * 3+ years of QC or clinical laboratory experience. * Strong knowledge of Quality Systems and Good Documentation ...
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience. * 3+ years of QC or clinical laboratory experience. * Strong knowledge of Quality Systems and Good Documentation ...
Irvine, CA · On-site
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience * 3+ years working in QC or a clinical laboratory experience * Strong knowledge of Quality Systems and Good ...
Irvine, CA · On-site
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience * 3+ years working in QC or a clinical laboratory experience * Strong knowledge of Quality Systems and Good ...
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience * 3+ years of QC or clinical laboratory experience * Strong knowledge of Quality Systems and Good Documentation ...
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience * 3+ years of QC or clinical laboratory experience * Strong knowledge of Quality Systems and Good Documentation ...
Irvine, CA · On-site
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience * 3+ years working in QC or a clinical laboratory experience * Strong knowledge of Quality Systems and Good ...
Irvine, CA · On-site
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience * 3+ years working in QC or a clinical laboratory experience * Strong knowledge of Quality Systems and Good ...
$20.50 - $26/hr
Associate degree or HS diploma with 1-3 years' experience in overall QC testing and methodology in manufacturing environment. * Good math and computer skills required, competent with Microsoft Word ...
$20.50 - $26/hr
Associate degree or HS diploma with 1-3 years' experience in overall QC testing and methodology in manufacturing environment. * Good math and computer skills required, competent with Microsoft Word ...
Irvine, CA · On-site
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience * 3+ years of QC or clinical laboratory experience * Strong knowledge of Quality Systems and Good Documentation ...
Irvine, CA · On-site
$27 - $37.74/hr
Associate's degree or higher in a science field or equivalent clinical lab experience * 3+ years of QC or clinical laboratory experience * Strong knowledge of Quality Systems and Good Documentation ...
Riverside, CA · On-site
$20.50 - $26/hr
Associate degree or HS diploma with 1-3 years' experience in overall QC testing and methodology in manufacturing environment. * Good math and computer skills required, competent with Microsoft Word ...
Riverside, CA · On-site
$20.50 - $26/hr
Associate degree or HS diploma with 1-3 years' experience in overall QC testing and methodology in manufacturing environment. * Good math and computer skills required, competent with Microsoft Word ...
$12.04 - $14.57
3% of jobs
$14.57 - $17.10
12% of jobs
$19.34 is the 25th percentile. Wages below this are outliers.
$17.10 - $19.63
12% of jobs
$19.63 - $22.16
14% of jobs
$22.16 - $24.69
8% of jobs
The median wage is $25.32 / hr.
$24.69 - $27.22
6% of jobs
$27.22 - $29.75
7% of jobs
$31.97 is the 75th percentile. Wages above this are outliers.
$29.75 - $32.28
15% of jobs
$32.28 - $34.81
14% of jobs
$34.81 - $37.34
6% of jobs
$37.34 - $39.87
3% of jobs
$12
$26
$39
| Aspect | Quality Control Associate | Quality Assurance Technician |
|---|---|---|
| Certifications | Often requires GMP, ISO, or industry-specific quality certifications | Similar certifications, with focus on quality standards and compliance |
| Work Environment | Laboratory, manufacturing, or production settings | Laboratory, manufacturing, or quality compliance environments |
| Primary Focus | Inspecting products, testing samples, identifying defects | Developing and implementing quality systems, audits, and process improvements |
| Employer & Industry Usage | Manufacturing, pharmaceuticals, food production | Manufacturing, pharmaceuticals, food industry |
While both roles focus on quality, the Quality Control Associate primarily inspects and tests products to identify defects, whereas the Quality Assurance Technician develops and maintains quality systems to prevent issues. Both roles are essential in ensuring product quality and compliance within manufacturing and production environments.

$28.85 - $33.65/hr
Other
Posted 9 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.
ExperienceÂ
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.Â
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.Â
Knowledge of health plan contracts, fee schedules, and DOFR agreements.Â
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.Â
Proficiency with claims systems such as EZ Cap and Microsoft Office applications.Â
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