- Eurofins (Des Moines, IA)
- …Ensure timeliness, consistency, and accuracy in all audits and audit reports, meet or exceed 3rd party auditor and scheme KPIs + Attend annual informational ... other members of Eurofins, as needed. + Maintain accredited auditor status and achieve additional categories and scheme accreditations,...(16 hours, 2 days) + Passed a recognized Lead Auditor Training (40 hours, 5 days) + Registered BRC,… more
- The Cigna Group (Orlando, FL)
- …to correct risks identified and present findings to the Sr Audit Manager. The Staff Auditor may participate in third party audits and work collaboratively ... POSITION SUMMARY The Staff Auditor is responsible to identify pharmacy audit risks...legitimacy of data audited. + Participates in all external Third Party Pharma Audits. Will work with… more
- Rising Medical Solutions (Chicago, IL)
- …claims solutions to our valued clients: insurance carriers, Fortune 1000 employers, third party administrators, and government organizations. At RISING, we're ... thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the...any deposition or litigation cases a plus Benefits + Remote position + Employment within a firm committed to… more
- Johns Hopkins University (Baltimore, MD)
- …and requirements related to clinical services billing. + Keeps current with third party regulations with emphasis on Medicare billing, teaching physician ... clinical specialties. Works in close collaboration with the Sr. Auditor /Trainers, Leads, Manager and Director to provide input and...required by start date. + Recent, direct experience with third party payer requirements for physicians may… more
- UNC Health Care (Chapel Hill, NC)
- …multiple specialties. Analyzes coded records for compliance with federal, state and third party insurer rules and regulations. Establishes a collaborative ... care staff regarding current coding practices and changes in 3rd party , state and federal regulations and...of the UNC HCS SS Rev Cycle Physician Coder Auditor Proficiency Test. **Licensure/Certification Requirements:** * Must have one… more
- IQVIA (Raleigh, NC)
- …equivalent combination of education, training and experience. + Experience Hosting Client or 3rd Party On-Site Audits and Conducting Internal Audits of various ... **Job Profile Summary** This Sr QA Auditor will work with IQVIAs wholly owned subsidiary...Sub Systems, including managing organizational responses to client or 3rd party audit reports. + Experience working… more
- Elevance Health (Columbus, OH)
- …(CPC) or Inpatient Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical ... **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid...** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50… more
- Nuvance Health (Danbury, CT)
- …NUVANCE HEALTH Hospital policies as well as all coding Federal, State, and third party payer guidelines. Conducts inpatient and/or outpatient coding audits and ... *Description* Fully remote opportunity within approved working states *Summary:* Reporting...listservs such as CMS, Medicare, NGS, AHIMA, etc., and third - party payers for updates and changes in… more
- UNC Health Care (Chapel Hill, NC)
- …denials. This position analyzes coded records for compliance with federal, state and third party insurer rules and regulations and note trends. This position ... reviews suggesting appeal. Coordinates Peer to Peer requests with third party payers and CDI Physician Advisors...care staff regarding current coding practices and changes in 3rd party , state and federal regulations and… more
- CIBC (Chicago, IL)
- …(CISM), Certified Information Systems Security Professional (CISSP), Certified Information Systems Auditor (CISA), Certified Third Party Risk Professional ... our shareholders from undue risk. The Sr Director of Third Party Risk, is accountable for leading...Details on your work arrangement (proportion of on-site and remote work) will be discussed at the time of… more
- Insight Global (Charlottesville, VA)
- …professionals, residents, and coding and billing staff to support compliance with third party documentation and billing regulatory standards, including but not ... Job Description Insight global is seeking a remote Professional Coding Educator for a healthcare system in Virginia. The educator will provide consulting services to… more
- Trinity Health (Livonia, MI)
- …but not limited to: Annual Security Awareness Training, User Access Validation, and 3rd party vendors with access to the Trinity Health environment. **Maintains ... as needed to evidence implementation of Trinity Health's program to 3rd parties. **Essential Functions** **Our Trinity Health Culture:** Knows, understands,… more
- CareFirst (Owings Mills, MD)
- …of the plan assets and financial requirements and compliance, including any third - party administrators and advisors, consultants, and asset managers. This role ... obligations of the retirement plans, including internal and external processes and the third - party partners involved in the management of the plan assets.… more
- Commonwealth Care Alliance (Boston, MA)
- …monitoring of all data breach and incident response policies, and procedures, third party vendor assessments, vendor guidelines, standards, and due diligence, ... CCA's privacy & security policies. + Collaborates with the CISO to deliver third - party attestation report for controls related to the security, availability, or… more
- Carrington (Columbus, OH)
- …to $95,000 + Partner with Vendor Management to analyze and perform third - party vendor information security assessments and provide security/compliance related ... **Come join our amazing team and work remote from home!** **What you'll do:** The Data Security Analyst will be responsible to Provide information security analysis… more
- Anywhere Real Estate (Baltimore, MD)
- …learned back to the team. Qualifications and Education Requirements + Experience with Third - Party Risk Management (TPRM) from either the vetting of vendors or ... or audit related project (Operational, IT, SOX) having appreciation of what the auditor would look for. + Professional certifications in Data Privacy, IT/IS, Risk… more
- Marriott (Columbus, OH)
- …**JOB SUMMARY** The candidate will be responsible for completing and maintaining 3rd Party Hosting Service Provider reviews, including creating risk assessments, ... processes and tools that enable the organization to identify, document, and track third party risks and compliance exceptions + Conduct assessments of threats… more
- University of Michigan (Ann Arbor, MI)
- …- party payer accounting for net revenue and estimated settlements + Monitor third party payments and perform impact contract analysis, to include price mix ... to various finance leaders + Prior experience as an auditor for a Medicare Administrative Contractor or other major...of a contingent job offer and may use a third party administrator to conduct background screenings.… more
- Nelnet (Columbus, OH)
- …or remote orientation sessions to customer personnel. + Review requirements with third - party service providers as necessary to clarify roles and help the ... The Security Advisor will gather and analyze customer information, make remote and/or physical site visits, conduct interviews, make observations, take appropriate… more
- Nelnet (Columbus, OH)
- …core compliance program elements such as policies, procedures, training, third - party oversight, device protection, inventory/scope verification, and incident ... The Security Advisor will gather and analyze customer information, make remote and/or physical site visits, conduct interviews, make observations, take appropriate… more