Grievance & Appeals Quality Auditor
Job in
Santa Rosa, Sonoma County, California, 95402, USA
Listed on 2026-08-29
Listing for:
Partnership HealthPlan of California
Full Time
position Listed on 2026-08-29
Job specializations:
-
Quality Assurance - QA/QC
-
Healthcare
Job Description & How to Apply Below
Partnership Health Plan of California is seeking an Internal Auditor within the Grievance & Appeals Department to assure quality case investigations and adherence to DHCS and NCQA standards.
The incumbent will conduct concurrent and retrospective audits of grievance, appeal, exempt, and State Hearing cases, provide constructive feedback, and identify training needs to improve accuracy and member experience.
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