- OneRail (Orlando, FL)
- …completeness, and participate in the second phase of the Claims along Director of Freight and Audit meetings. + Perform end-of-month reports and generate ... and generate daily Invoice Comparison reports. + Collaborate with the Director of Freight and Audit to ensure timely resolution of daily issues and work with… more
- Santander US (East Providence, RI)
- Director , Claims & Fraud Operations East Providence, United States of America USA Job Family Description: Responsible for the day-to-day operations of the ... translate them into operational implications for the company. The Director of Claims & Fraud Operations will...Identifying appropriate metrics to measure fraud success + Manage audit and exam business responses + Support the identification… more
- Sedgwick (Atlanta, GA)
- …great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Director Audit See Director Audit job description, but ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more
- City of New York (New York, NY)
- …BIVA is recruiting for one (1) Management Auditor II to function as an Audit Supervisor who will: - Supervise a team of auditors conducting audits of varying ... degrees of complexity. Establish audit objectives and prepare audit plans and... plans and programs in conjunction with the Assistant Director . - Ensure audits are performed in accordance with… more
- University of Washington (Seattle, WA)
- …intellectual excitement, artistic pursuits, and natural beauty. Reporting to the Associate Director for Fiscal & Audit Services (FAS) within a collaborative ... Req #: 235196 Department: FISCAL AND AUDIT SERVICES Posting Date: 06/10/2024 Closing Info: Open...+ Provides expertise, advice and counsel to the Senior Director , Associate Director , unit administrators and directors,… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …of the senior management team, the Division Manager will collaborate with the Claims Administration Division Manager, the Deputy Director , and the Director ... PFML Finance and Audit Manager - Public Service Manager II -...software system. The Division Manager will assist the PFML Director in financial reporting related to the PFML trust… more
- Dignity Health (Sacramento, CA)
- …Works closely with the finance accounting & coding departments to ensure claims are populated with correct/proper coding based on Medicare and Medi-Cal billing ... team. Notify provider in person or via phone. *Prepare audit reports via Cerner Discern; audits in a timely...daily and respond timely. *Ensure that held or submitted claims are being aggressively worked; billing edits are current… more
- City of New York (New York, NY)
- …The Bureau of Engineering (BOE) provides technical competency in the evaluation of claims pending in the Bureau of Law and Adjustment (BLA) involving construction, ... damage to ensure the fair and just resolution of claims and lawsuits involving the City. BOE also enables...BOE furthers its mission by liaising with City-wide Engineering Audit Officers and providing guidance on compliance with contract… more
- Roberts Wesleyan College - Rochester, NY (Rochester, NY)
- …Committee, and Staff Leadership. + Coordinate with the Finance Team (Controller and Budget Director ) related to budget and audit support related to areas of ... Director of Risk Management & Compliance ROCHESTER, NY...for Roberts Wesleyan University. This position contributes to compliance, audit and reporting activities. This position also has oversight… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** **Position Summary:** The Director , Quality & Control Assurance reports to the VP of Quality & Control Assurance is responsible ... is responsible for designing quality and control assurance reviews of claims , Hierarchical Condition Categories (HCC) and clinical coding, call monitoring, system… more
- City of New York (New York, NY)
- …The Bureau of Engineering (BOE) provides technical competency in the evaluation of claims pending in the Bureau of Law and Adjustment (BLA) involving construction, ... damage to ensure the fair and just resolution of claims and lawsuits involving the City. BOE also enables...BOE furthers its mission by liaising with City-wide Engineering Audit Officers and providing guidance on compliance with contract… more
- Scripps Health (San Diego, CA)
- … Director , Payment Services ensures accurate and timely payment of provider claims . Successful Plan and DMHC Audit performance. Staff education and training. ... implementations and reporting. Other job duties include: * Institutional and professional claims , implications and codes. * DMHC audits, health plan audits, and CPT… more
- HCA Healthcare (Salem, VA)
- …residents and fellows with that number growing to nearly 8,000 by 2028. The Director of Research Administration will lead a team of research support personnel in ... + Ensuring compliance with federal, state and HCA regulations, policies, procedures, and audit requirements in the use of patient data for research purposes +… more
- HCA Healthcare (Austin, TX)
- …This position is incentive eligible. **Introduction** The Central/ West Texas Division Director of Research GME will lead a team of research support personnel ... + Ensuring compliance with federal, state and HCA regulations, policies, procedures, and audit requirements in the use of patient data for research purposes +… more
- WellLife Network (Lake Success, NY)
- Director of Financial Reporting - FIN109 - Mon-Fri 9AM-5PM...to support the CFR. + Work closely with outside audit firms regarding the audit and review of ... Range $115,000.00 - $120,000.00 Salary/year Job Description Position Summary:The Director of Financial Reporting, is responsible for special financial reporting,… more
- Genesis Healthcare (Charleston, WV)
- …(no weekends or on call)! We are seeking a Fee-For-Service Attending Physician/Medical Director for split position between several of our centers located in the ... is flexibility within the schedule. This is a Dual Role Attending Physician/Medical Director . It is clinical in nature. Must be BC/BE Internal Medicine or Family… more
- Genesis Healthcare (Grafton, WV)
- …potential and work-life balance flexibility! We are seeking a FFS Attending Physician/Medical Director for our Rosewood Center located in Grafton, WV. This is a Dual ... Role Attending Physician/Medical Director . It is clinical in nature. Call is minimal...within the Compliance Process, Standard/Code of Conduct, Federal False Claims Act and HIPAA. Participate in required orientation and… more
- City of New York (New York, NY)
- …responsible for budgeting, research, analysis, compliance, payments, and verification of claims or invoices submitted by these contracted entities. JOB DESCRIPTION: ... and have certain degree of latitude for high-level decision-making. The Deputy Director of Compliance and Payments operates under the direction of the Executive… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Director of Accounting Department Finance Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=5950) Job Brief Director of Finance is responsible for managing and overseeing… more
- Nuts (Cranford, NJ)
- Apply Now Director of Food Safety & Quality Assurance at Nuts.com (View all jobs) Cranford, NJ Hi, we're Nuts.com! Nuts.com is a self-funded, profitable, rapidly ... in that excitement to help us continue to build something special. The role: The Director of Food Safety and Quality Assurance is an integral part of the operations… more