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Rate Reviewer Jobs in California (NOW HIRING)

Forwards to Bill Review supervisor any unidentifiable unlisted procedure numbers. * Ability to ... Ability to compute rate, ratio, and percent and to draw and interpret bar graphs. Reasoning Ability:

Forwards to Bill Review supervisor any unidentifiable unlisted procedure numbers. * Ability to ... Ability to compute rate, ratio, and percent and to draw and interpret bar graphs. Reasoning Ability:

Contract Administrator

Pomona, CA · On-site

$104K - $145K/yr

Analysis of Direct Labor Rates: * Review and verify that each subconsultant submits the most recent payroll register/statement for all proposed employees, along with a completed contract rate sheet.

Contract Administrator

Pomona, CA · Hybrid

$104K - $145K/yr

Analysis of Direct Labor Rates: * Review and verify that each subconsultant submits the most recent payroll register/statement for all proposed employees, along with a completed contract rate sheet.

Participate in calibration and inter-rater reliability activities to ensure consistency * Assist in ... Experience reviewing ABA treatment plans and assessing clinical justification for recommended ...

Showing results 21-40

Rate Reviewer information

What is the difference between Rate Reviewer vs Claims Adjuster?

AspectRate ReviewerClaims Adjuster
Required CredentialsTypically a high school diploma or equivalent; some roles prefer insurance or finance certificationsHigh school diploma or equivalent; often requires state licensing or certification
Work EnvironmentOffice-based, reviewing insurance rates and policiesField and office-based, investigating and settling insurance claims
Employer & Industry UsageInsurance companies, financial institutionsInsurance companies, public agencies
Comparison Search IntentUnderstanding role differences, job requirements, or career pathsComparing job responsibilities, qualifications, or career options

Both roles are integral to the insurance industry, but a Rate Reviewer primarily evaluates and approves insurance rates, while a Claims Adjuster investigates and settles claims. Understanding these differences helps job seekers identify the right career path based on their skills and interests.

What are the key skills and qualifications needed to thrive as a rate reviewer, and why are they important?

To thrive as a Rate Reviewer, you need strong analytical abilities, attention to detail, and a background in finance, insurance, or a related field—often supported by a bachelor's degree. Familiarity with regulatory compliance tools, actuarial software, and data management systems is typically required. Excellent written communication, objectivity, and organizational skills help you navigate complex regulations and present findings clearly. These competencies ensure accurate rate assessments, regulatory compliance, and effective collaboration with stakeholders.

What is a rate reviewer?

Rate Reviewers are professionals who evaluate and analyze proposed rates, often within industries like insurance, utilities, or healthcare. Their primary responsibility is to ensure that rates set by companies are fair, reasonable, and comply with regulatory standards. They review detailed documentation, financial data, and justifications for rate changes to protect consumer interests and maintain industry transparency. Rate Reviewers often work for government agencies, regulatory bodies, or large organizations.

How much does a rate reviewer make?

A rate reviewer typically earns between $40,000 and $70,000 annually, depending on experience, location, and industry. The role often requires attention to detail and familiarity with financial or insurance data, with some positions offering additional benefits or bonuses.

What are some common challenges faced by rate reviewers and how can they be managed effectively?

Rate Reviewers frequently encounter the challenge of analyzing complex data sets and ensuring compliance with evolving regulatory standards. Staying current with industry regulations and maintaining strong attention to detail are essential for success. Effective collaboration with actuaries, underwriters, and regulatory agencies also helps to resolve discrepancies and ensure accurate rate filings. Developing strong analytical and communication skills can help Rate Reviewers address these challenges and contribute to the organization's compliance and profitability.
What cities in California are hiring for Rate Reviewer jobs? Cities in California with the most Rate Reviewer job openings:
Infographic showing various Rate Reviewer job openings in California as of June 2026, with employment types broken down into 1% Locum Tenens, 11% Full Time, 2% Part Time, 79% Contract, and 7% Nights. Highlights an 51% Physical, 2% Hybrid, and 47% Remote job distribution.

Quality Assurance Reviewer

Volunteers of America Los Angeles

Los Angeles, CA

$24.84 - $26.15/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 20 days ago


Job description

About Us:

VOALA Helping Our Most Vulnerable Change Their Life Stories

Volunteers of America is a non-profit human services organization committed to serving people in need, strengthening families, and building communities. VOALA provides a variety of social services to Los Angeles area communities such as Head Start programs, Upward Bound college prep programs, veterans’ services, homeless shelters, low-income housing program as well as drug and alcohol rehabilitation. Learn more at www.voala.org.

PAY RATE: $24.84 - $26.15 Per Hour
BENEFITS: VOALA offers competitive medical, dental, vision and retirement benefits.

JOB SUMMARY AND PURPOSE

Under the direction of a Quality Assurance Coordinator, the Quality Assurance Reviewer I performs Quality Assurance review and audit of VOALA Program documentation and database practices related to grant, contract and legal requirements as well as organization policies and initiatives for assigned human services programs. The QA Department provides dedicated QA teams (Quality Assurance Reviewers and Quality Assurance Coordinators) to support VOALA Programs’ ability to be “audit ready.”

DUTIES AND RESPONSIBILITIES

  • Conduct Quality Assurance procedures with their assigned VOALA Programs:
  • Execute QA procedures to ensure that VOALA Program files are accurate and meet funder requirements (both hard copy and electronic databases)
  • Performs QA audit for every assigned VOALA program each fiscal year
  • Strives to have all assigned VOALA programs “audit ready” for external audits
  • Acquire broad knowledge of assigned program contracts and grants and their requirements through research and continuous engagement with programs
  • Perform special audits of programs with corrective action plans or as otherwise identified by Director of Evaluation and Monitoring. Provide additional support to programs to ensure corrections are made. Provide related training where needed.
  • Support programs prior to funder audits and ensure all requirements are in place. Review audit results from funders’ audits. Participate in after audit review of audits.
  • Other duties as may be assigned by Director of Evaluation and Monitoring.

ESSENTIAL ABILITY ACKNOWLEDGEMENT

Ability to work and deal with difficult, uncooperative, and potentially aggressive clients as VOALA serves the neediest of the needy in our programs, which may include clients with homelessness, mental illness, substance abuse, recently released from incarceration, and other challenges.

ESSENTIAL DUTIES:

  • An essential function of this position requires incumbents to report to the office.
  • Perform Quality Assurance (QA) in support of VOALA programs, ensure Program records and procedures meet funder requirements and are ready to pass funder audits.
  • Stay current with assigned VOALA Program grants/contracts,
  • Conduct special audits of Programs, as directed by Director of Evaluation and Monitoring; identify corrective action needed
  • Support Programs prior to, during, and subsequent to funder audits; Participate in after audit reviews of all external audits.
  • Other duties as required and is subject to change at any time.

MANDATED REPORTER

As service providers to the underprivileged and vulnerable in our community, all employees are considered Mandated Reporters, and must report any instance of physical or sexual abuse to proper authorities.

Qualifications

REQUIREMENTS:

  • Must be able to pass a fingerprint clearance, background check, including criminal history, personal references, employment and education verifications
  • Ability to perform under circumstances of possible emotional stress and conflicts dealing with difficult, uncooperative, and potentially aggressive clients as VOALA serves the neediest of the needy in our programs which may include clients with homelessness, mental-illness, substance abuse, recently released from incarceration and other challenges.

EDUCATION:

  • Bachelor’s Degree in social science or related field, or equivalent combination of education and related work experience (4 years)

EXPERIENCE:

  • 1 year of experience in quality assurance or data driven environment
  • (Five years of related work experience without a degree)

PREFERRED QUALIFICATIONS:

  • Experience in data entry and database operations; familiarity with HMIS and/or Service Point
  • Working knowledge of Medi-Cal regulations, especially relating to provision of substance abuse treatment

Volunteers of America is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.

This employer participates in E-Verify as required by the federal government and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment.


Volunteers of America Los Angeles logo

About Volunteers of America Los Angeles

Sourced by ZipRecruiter

Volunteers of America Los Angeles (VOALA) is a non-profit organization based in Los Angeles, California. The organization falls under the community development industry, offering a wide range of services focused on welfare improvement and social betterment. With a rich history dating back to 1896, VOALA has been on a dedicated mission to “change lives and communities by providing services and building partnerships that enable hope, healing, and well-being."

Industry

Non-profits

Company size

501 - 1,000 Employees

Headquarters location

Los Angeles, CA, US

Year founded

1896

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