Quality Control Auditor
$28.85 - $33.65/hr
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 ...
$28.85 - $33.65/hr
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 ...
$28.85 - $33.65/hr
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 ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
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 ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
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 ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
The Quality Control Auditor supports delegated managed care compliance by auditing claims in accordance with health plan contracts, coding standards, reimbursement methodologies, and applicable ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
The Quality Control Auditor supports delegated managed care compliance by auditing claims in accordance with health plan contracts, coding standards, reimbursement methodologies, and applicable ...
Chatsworth, CA · On-site
$26.44 - $34.50/hr
The Pre-Close QC Auditor I supports the Quality Control team by reviewing files before closure to ensure accuracy, completeness, and compliance with company policies, regulatory requirements, and ...
Chatsworth, CA · On-site
$26.44 - $34.50/hr
The Pre-Close QC Auditor I supports the Quality Control team by reviewing files before closure to ensure accuracy, completeness, and compliance with company policies, regulatory requirements, and ...
The Pre-Close QC Auditor I supports the Quality Control team by reviewing files before closure to ensure accuracy, completeness, and compliance with company policies, regulatory requirements, and ...
The Pre-Close QC Auditor I supports the Quality Control team by reviewing files before closure to ensure accuracy, completeness, and compliance with company policies, regulatory requirements, and ...
The Pre-Close QC Auditor II is responsible for reviewing residential mortgage loan files prior to closing to ensure accuracy, completeness, and compliance with investor guidelines, company policies ...
The Pre-Close QC Auditor II is responsible for reviewing residential mortgage loan files prior to closing to ensure accuracy, completeness, and compliance with investor guidelines, company policies ...
Chatsworth, CA · On-site
$80K - $95K/yr
The Pre-Close QC Auditor II is responsible for reviewing residential mortgage loan files prior to closing to ensure accuracy, completeness, and compliance with investor guidelines, company policies ...
Chatsworth, CA · On-site
$80K - $95K/yr
The Pre-Close QC Auditor II is responsible for reviewing residential mortgage loan files prior to closing to ensure accuracy, completeness, and compliance with investor guidelines, company policies ...
Pittsburg, CA · On-site
$24.17 - $35/hr
Cylinder Control Auditor Pittsburg, CA, United States req29159 1st Shift What you will enjoy doing ... We live our mission of making our world more productive every day by providing high-quality ...
Pittsburg, CA · On-site
$24.17 - $35/hr
Cylinder Control Auditor Pittsburg, CA, United States req29159 1st Shift What you will enjoy doing ... We live our mission of making our world more productive every day by providing high-quality ...
Position OverviewThe Inventory Control and Quality Assurance (ICQA) Auditor will validate product to be delivered to customers as part of process to measure outbound selection accuracy.
Position OverviewThe Inventory Control and Quality Assurance (ICQA) Auditor will validate product to be delivered to customers as part of process to measure outbound selection accuracy.
Position Overview The Inventory Control and Quality Assurance (ICQA) Auditor will validate product to be delivered to customers as part of process to measure outbound selection accuracy.
Position Overview The Inventory Control and Quality Assurance (ICQA) Auditor will validate product to be delivered to customers as part of process to measure outbound selection accuracy.
Position OverviewThe Inventory Control and Quality Assurance (ICQA) Auditor will validate product to be delivered to customers as part of process to measure outbound selection accuracy.
Position OverviewThe Inventory Control and Quality Assurance (ICQA) Auditor will validate product to be delivered to customers as part of process to measure outbound selection accuracy.
Maintain QC Auditing skills to ensure consumer satisfaction and Skechers Brand integrity. WHAT YOU'LL DO: * Thoroughly communicates necessary QC Audit details to their immediate manager. * Learn and ...
Maintain QC Auditing skills to ensure consumer satisfaction and Skechers Brand integrity. WHAT YOU'LL DO: * Thoroughly communicates necessary QC Audit details to their immediate manager. * Learn and ...
$23 - $26.41/hr
If the account lacks verification and/or authorization the Quality Control Representative is responsible for obtaining the missing information. Audits ER, Main Admitting, Ancillary and Breast Center ...
$23 - $26.41/hr
If the account lacks verification and/or authorization the Quality Control Representative is responsible for obtaining the missing information. Audits ER, Main Admitting, Ancillary and Breast Center ...
Be Seen First
Fountain Valley, CA · On-site
$75K/yr
Certification of any Food safety (HACCP/SQF) training course, Internal Auditor training course ... The Factory Quality Control Supervisor oversees product quality assurance by providing leadership ...
Quick apply
Be Seen First
Fountain Valley, CA · On-site
$75K/yr
Certification of any Food safety (HACCP/SQF) training course, Internal Auditor training course ... The Factory Quality Control Supervisor oversees product quality assurance by providing leadership ...
Vernon, CA · On-site
$20 - $25/hr
Collaborate with other QC auditors to share insights and standardize inspection approaches. * Assist production teams by coaching on quality standards during inspections and sample reviews.
Vernon, CA · On-site
$20 - $25/hr
Collaborate with other QC auditors to share insights and standardize inspection approaches. * Assist production teams by coaching on quality standards during inspections and sample reviews.
Los Angeles, CA · On-site
$20 - $25/hr
Collaborate with other QC auditors to share insights and standardize inspection approaches. * Assist production teams by coaching on quality standards during inspections and sample reviews.
Quick apply
Los Angeles, CA · On-site
$20 - $25/hr
Collaborate with other QC auditors to share insights and standardize inspection approaches. * Assist production teams by coaching on quality standards during inspections and sample reviews.
Vernon, CA · On-site
$20 - $25/hr
Collaborate with other QC auditors to share insights and standardize inspection approaches. * Assist production teams by coaching on quality standards during inspections and sample reviews.
Vernon, CA · On-site
$20 - $25/hr
Collaborate with other QC auditors to share insights and standardize inspection approaches. * Assist production teams by coaching on quality standards during inspections and sample reviews.
Vernon, CA · On-site
$32 - $38/hr
Quality control inspector is a member of our control audit team that: • Examine the repair ... QCs receive guidelines and specifications to be tested from quality auditors. After examining a ...
Vernon, CA · On-site
$32 - $38/hr
Quality control inspector is a member of our control audit team that: • Examine the repair ... QCs receive guidelines and specifications to be tested from quality auditors. After examining a ...
Costa Mesa, CA · On-site
Provide readiness for internal auditing and compliance reviews. REQUIRED QUALIFICATIONS * 5+ years ... quality control processes. * Experience with Manufacturing processes and their related systems ...
Costa Mesa, CA · On-site
Provide readiness for internal auditing and compliance reviews. REQUIRED QUALIFICATIONS * 5+ years ... quality control processes. * Experience with Manufacturing processes and their related systems ...
Provide readiness for internal auditing and compliance reviews. REQUIRED QUALIFICATIONS * 5+ years ... quality control processes. * Experience with Manufacturing processes and their related systems ...
Provide readiness for internal auditing and compliance reviews. REQUIRED QUALIFICATIONS * 5+ years ... quality control processes. * Experience with Manufacturing processes and their related systems ...
$9.49 - $12.68
6% of jobs
$12.68 - $15.87
7% of jobs
$17.72 is the 25th percentile. Wages below this are outliers.
$15.87 - $19.07
20% of jobs
$19.07 - $22.26
14% of jobs
The median wage is $22.86 / hr.
$22.26 - $25.45
17% of jobs
$28.64 is the 75th percentile. Wages above this are outliers.
$25.45 - $28.64
11% of jobs
$28.64 - $31.83
10% of jobs
$31.83 - $35.02
6% of jobs
$35.02 - $38.22
3% of jobs
$38.22 - $41.41
2% of jobs
$41.41 - $44.60
3% of jobs
$9
$24
$44
| Aspect | Quality Control Auditor | Quality Inspector |
|---|---|---|
| Primary Role | Review and analyze quality processes, audit compliance, identify systemic issues | Inspect products or materials for defects, ensure quality standards are met |
| Certifications | ISO auditor, Six Sigma, quality management certifications | Quality inspection certifications, OSHA safety training |
| Work Environment | Office settings, manufacturing plants, warehouses | Manufacturing lines, warehouses, labs |
| Employer & Industry | Manufacturing, aerospace, automotive, food production | Manufacturing, electronics, consumer goods |
While both roles focus on quality, a Quality Control Auditor evaluates overall processes and compliance through audits, whereas a Quality Inspector performs hands-on inspections of products to detect defects. The auditor's work is more analytical and process-oriented, while the inspector's role is more product-focused.
For Quality Control Auditor jobs in California, the most frequently searched job titles are:
The top searched job categories for Quality Control Auditor jobs in California are:
For Quality Control Auditor jobs in CA, the most frequently searched job titles are:

$28.85 - $33.65/hr
Full-time
Re-posted 26 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