Quality Assurance Auditor, Advanced

Your Role

The Medi-Cal Claims Operations team is responsible for ensuring claims are processed accurately and timely. The Quality Assurance Auditor, Advanced will report to the Medi-Cal Operations Manager. In this role you will be responsible for performing audits that are routine in nature for the Medi-Cal line of business for all claim types.

Your Knowledge and Experience

• Requires a high school diploma or GED
• Requires at least 5 years of prior relevant experience
• Minimum 5 years previous claims processing experience of all medical claim types
• Knowledge of DHCS guidelines preferred
• Prior auditing experience preferred

Pay Range:

The pay range for this role is: $ 21.87 to $ 30.61 for California.

Note:

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

#LI-CP3