Grievance & Appeals Quality Auditor
Job in
Fairfield, Solano County, California, 94533, USA
Listed on 2026-08-15
Listing for:
Partnership HealthPlan of California
Full Time
position Listed on 2026-08-15
Job specializations:
-
Quality Assurance - QA/QC
Job Description & How to Apply Below
Partnership Health Plan of California is seeking an Internal Auditor for the Grievance & Appeals Department to ensure quality investigations meet DHCS, NCQA requirements and internal standards. The auditor reviews grievance, appeal, exempts, and State Hearing cases and identifies improvements to enhance investigation outcomes.
Responsibilities include conducting concurrent and retrospective audits, providing feedback to associates, ensuring timely quality assurance, and maintaining strict
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