- Martin's Point Health Care (Portland, ME)
- …Position Summary Job Description Position Summary: Under the supervision of the Director of Health Plan Operations, the Claims Auditor II will perform the ... Join Martin's Point Health Care - an innovative, not-for-profit health...following job functions: + Audit Development and Processing: The Auditor II will be responsible for developing and processing… more
- RWJBarnabas Health (Oceanport, NJ)
- FT Internal Auditor Senior II ( Remote - Hybrid)Req #:0000158945 Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health ... risks to the organization. Work assigned to the Internal Auditor Senior II will often be well-defined but may...readable manner + Must be able to prioritize and plan work activities to use time efficiently, including handling… more
- Fallon Health (Worcester, MA)
- …Internal Auditor plays a key role in implementing the annual audit plan . The Senior Internal Auditor conducts audits and related projects (financial, ... **Overview** **About us:** Fallon Health is a company that cares. We prioritize...the organization. 3 days on-site **Responsibilities** **The Senior Internal Auditor will work under the direction of the Audit… more
- St. Luke's University Health Network (Allentown, PA)
- …in the communities we serve, regardless of a patient's ability to pay for health care. The Senior Network Internal Auditor is performance of various financial ... the Network's policies and procedures. The Senior Network Internal Auditor tests transactions and processes throughout the Network, performs...that will be used to develop the Annual Audit Plan . + Conducts interviews and performs research to gain… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team! This role will work standard daylight hours, ... procedural codes. Responsibilities will involve working in collaboration with appropriate Health Plan departments including Quality Improvement, Claims, and… more
- Fallon Health (Worcester, MA)
- **Overview** **About us:** Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in ... 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually...key role in th execution of the annual audit plan . 3 days on-site **Responsibilities** **Primary Job Resonsibilities:** +… more
- McLaren Health Care (Indianapolis, IN)
- …and a mission to help people live healthier and more satisfying lives. McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and ... We are looking for a Special Investigative Unit Auditor to join us in leading our organization...and delivering quality service to all our members. McLaren Health Plan is our Michigan-based health… more
- Providence (WA)
- …inspire and retain the best people, we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** + Be responsible ... This posting is for multiple openings of a Nurse Auditor , HEDIS + This position is affiliated with Providence...needed basis" to fill in for staff vacancies. **_Providence Health Plan welcomes remote work… more
- Providence (WA)
- **Description** **Revenue Cycle Auditor RN \* Remote * Candidates residing in AK, WA, MT, OR, CA, TX or NM are encouraged to apply.** The Nurse Auditor is ... reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan … more
- TEKsystems (Jacksonville, FL)
- The Outpatient Medical Coding Auditor - is responsible for ensuring the accuracy, integrity, and compliance of medical coding practices within the organization. This ... to verify adherence to coding guidelines and regulations. The Medical Coding Auditor plays a crucial role in minimizing coding errors, preventing fraudulent… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Internal Auditor Senior - Remote **Job Description** The Senior Internal Auditor ... together with Internal Audit leadership, assist in development of the annual audit plan + Develop audit programs for review and approval by Internal Audit Manager,… more
- Providence (OR)
- **Description** **_Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, ... retain the best people, we must empower them._** **Providence Health Plan is calling an** HCC Risk...Plan is calling an** HCC Risk Adjustment QA Auditor : Medicare Advantage & ACA **who will:** + Perform… more
- Lincoln Financial Group (Columbus, OH)
- …program + Tuition assistance program + A leadership team that prioritizes your health and well-being; offering a remote work environment and flexible work ... (Connecticut); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of...a Glance** We are seeking an enthusiastic Senior IT Auditor transitioning from a traditional IT role and eager… more
- The Cigna Group (Bloomfield, CT)
- …high level of quality, as set by internal standards, to ensure continued auditor accuracy. + Stays up-to-date with current Cigna Medicare coding guidelines. + ... to be eligible to participate in an annual bonus plan . We want you to be healthy, balanced, and...of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll… more
- City of Long Beach (Long Beach, CA)
- …pays major portion of the premium for employee and dependents depending on the health / dental plan selected. Life Insurance: City-paid term life insurance policy ... POLICE PERFORMANCE AUDITOR (POLICE OVERSIGHT OFFICER) Print (https://www.governmentjobs.com/careers/longbeach/jobs/newprint/4601776) Apply POLICE PERFORMANCE … more
- State of Michigan (Lansing, MI)
- Auditor 12 Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4707340) Apply Auditor 12 Salary $64,521.60 - $92,456.00 Annually Location ... Lansing, MI Job Type Permanent Full Time Remote Employment Flexible/Hybrid Job Number 3103-24-128DC Department Education Opening Date 10/28/2024 Closing Date… more
- State of Colorado (Denver, CO)
- Health Professional II- Quality Assurance Policy Specialist/ Auditor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4713263) Apply ... Health Professional II- Quality Assurance Policy Specialist/ Auditor Salary $57,564.00 - $80,592.00 Annually Location Denver, CO...to meet the current demand, to develop a comprehensive plan to meet the anticipated need, and to develop… more
- Target (Brooklyn Park, MN)
- …your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life ... tools to solve business problems and in the audit lifecycle (eg, audit plan development, risk assessment, engagement execution and issue management) + Experienced in… more
- Elevance Health (MD)
- **Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health ** _Location: This position will work a hybrid model ( remote and office). The ... location._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and secondary diagnoses assignments. All duties are performed across the Hackensack Meridian Health (HMH) network. **This is a 100% remote position and weekends ... as a leader of positive change. The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for… more