- USAA (Phoenix, AZ)
- …industry audit standards. Makes recommendations for severity ratings to Senior Audit Manager (SAM)/ Director . May communicate with regulators. + Utilizes and ... makes us so special! **The Opportunity** As a dedicated ** Audit Manager,** you'll lead and execute complex audit...** Audit Manager,** you'll lead and execute complex audit engagements throughout the audit lifecycle, to… more
- Scripps Health (San Diego, CA)
- …quarter of our employees have been with Scripps Health for over 10 years. The Director of HMO Payment ( Claims ) Services for Scripps Health Plan, leads claims ... institutional claims . Candidate will manage successful Plan and DMHC Audit performance, staff education and training, and manages PDR process. This individual… more
- Ankura (Los Angeles, CA)
- …or within a litigation setting. Role Overview Ankura's Forensic Accounting and Insurance Claims Consulting practice is seeking a Managing Director to develop ... these insured losses, and then assists in the claim audit and settlement processes. The work can take place... claims and litigation engagements. As a Managing Director in Ankura's FAICC group, you will be responsible… more
- UNC Health Care (Morrisville, NC)
- …and deploy technology tools and information to users of legal, risk management, and audit services. The Director of Operations will report directly to the Chief ... we serve. **Summary:** The UNC Health Legal, Risk Management, and Audit Services Department seeks an energetic, skilled, resourceful, and business-savvy professional… more
- ADP (Miami, FL)
- **ADP is hiring a Sr Director , Tax - Audit & Finance** + _Are you a Sr Tax Director , skilled in providing strategic financial guidance to leadership?_ + _Are ... this may be the role for you. As Sr. Director , Tax - Audit & Finance, you...requests during audits and ensuring all employer tax and claims fiduciary, compliance and operational requirements are met. Like… more
- Martin's Point Health Care (Portland, ME)
- …2015. Position Summary Job Description Position Summary: Under the supervision of the Director of Health Plan Operations, the Claims Auditor II will perform ... claims audits or other matters directed to the Audit Department. + Planning and Reporting: The Auditor II...or payment policies. + Research, design, and development of audit formats to identify claims overpayment scenarios,… more
- AIG (Atlanta, GA)
- …agencies. The individual must have significant experience with Workers' Compensation as a Claims Manager/ Director (managing a team of Claims Professionals ... to include onsite competency evaluations as needed. + Partner with Contracts Director / Claims Legal to address any/all State Regulatory/Compliance issues. + Serve… more
- City of New York (New York, NY)
- …staff work collaboratively to manage the ACS budget, submit monthly revenue claims , process payments to provider agencies/vendors, monitor the financial health of ... Revenue Accounting Department is responsible for submitting $2 billion in annual claims for Federal and State reimbursement, and ensuring ACS' compliance with… more
- Fallon Health (Worcester, MA)
- …committee meetings as required. + Provide in-depth progress reports to the Sr. Audit Director for review and prepare preliminary briefings on FWA findings ... to FWA investigations Compare to information submitted on the claims in order to determine amount and nature of...**Primary Job Responsibilities:** + This position supports the Senior Director of Internal Audit in their leadership… more
- Agricultural Marketing Service (Brunswick, OH)
- …falls under the Excepted Service. This position will be filled in the 5103 Audit Manager series. Responsibilities As the Audit Manager in this position, you ... will: Plan and accomplish the work of the audit unit through the supervision of the audit...provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) unofficial transcripts are acceptable,… more
- City of New York (New York, NY)
- …The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the ... maintenance for financial systems of record. The responsibilities of the Financial Audit Department include overseeing and monitoring of the financial health of… more
- LogixHealth (Bedford, MA)
- …Senior Manager, Team Lead, and other members of management in the Audit & Contracting department. You'll contribute to our fast-paced, collaborative environment and ... new processes and reinforcement of existing processes with the Senior Manager and Director + Work with LogixHealth India team to ensure Carrier Payment Audits are… more
- The Research Foundation SUNY Downstate (Brooklyn, NY)
- …by federal, state, internal and independent auditors. Assist departmental personnel with audit activities. Defend audit disallowance claims . Maintain records ... Director ANNOUNCEMENT OF PROFESSIONAL VACANCY Applications are invited...to the following position Department: Research Administration Budget Title: Director Salary Range: (Based Upon Experience)$95,000.00 - $205,000.00 Descriptive… more
- Healthfirst (FL)
- **Duties/Responsibilities:** + Design and execute the operations internal audit strategy to assess financial, operational, and compliance risks + Lead a team ... responsible for performing a variety of operational audit functions across business teams, including identifying new and innovative methodologies + Develop talent to… more
- Primary Health Care (Des Moines, IA)
- As a Revenue Cycle Director , you will serve as the primary lead for PHC's billing and collections processes to increase cash flow and reduce patient accounts ... receivable. The Revenue Cycle Director works collaboratively with the Patient Services ...issues that cause denials, slow payment, or non-payment of claims . + Ensures compliance with established goals for billing,… more
- Magellan Health Services (Hodge, LA)
- The ECSS Clinical Director will have oversight and monitoring of ECSS site-developed assessments and Plans of Care to ensure the highest level of standards of care ... of care, clinical appeals regarding medical necessity, and the interaction with claims payment policies and processes. Also oversees the health plans 24/7 Nurse… more
- Public Storage (Plano, TX)
- …external counsel on pre-litigation employment matters, administrative claims , EEOC, wage claims and audits. + Partner with internal audit and manage ... on the New York Stock Exchange. **Job Description** We are currently seeking a Director of Human Resources Employee Relations and Compliance. The Director will… more
- ASM Global (Las Vegas, NV)
- …Job Summary Reporting to the Vice President of Human Resources, the Director of Safety and Risk is responsible for developing, implementing, and maintaining ... securing safety, minimizing risk, and protecting the assets of the corporation. The Director of Safety and Risk will ensure compliance with all legislative and OSHA… more
- Genesis Healthcare (Santa Fe, NM)
- …with no weekends! We are seeking a Fee-For-Service Attending Physician/Medical Director for our Colfax General Long-Term Care Center located in Springer, ... NM. This is a Dual Role Attending Physician/Medical Director . It is clinical in nature. Must be BC/BE...within the Compliance Process, Standard/Code of Conduct, Federal False Claims Act and HIPAA.Participate in required orientation and training… more
- Genesis Healthcare (Huntington, WV)
- …Partners is seeking a full-time (30-40 hours per week) Attending Physician/Medical Director for our Heritage Center, located in Huntington, WV, with potential float ... / year. This is a Dual Role Attending Physician/Medical Director . It is clinical in nature. Must be BC/BE...within the Compliance Process, Standard/Code of Conduct, Federal False Claims Act and HIPAA. Participate in required orientation and… more