- USAA (Plano, TX)
- …a part of what makes us so special! **The Opportunity** As a dedicated ** Senior ** ** Audit Manager,** you'll manage Bank Fraud Management, Dispute Operations, and ... general banking engagements involving fraud driving the quality of audit work. You may lead engagements as Auditor-In-Charge (AIC). Continuously enhances knowledge… more
- USAA (Phoenix, AZ)
- …and industry audit standards. Makes recommendations for severity ratings to Senior Audit Manager (SAM)/Director. May communicate with regulators. + Utilizes ... be a part of what makes us so special! **The Opportunity** As a dedicated ** Audit Manager,** you'll lead and execute complex audit engagements throughout the … more
- Axis (Chicago, IL)
- …variety of loss scenarios as well as reporting and presenting about same to senior management + In-depth knowledge of claims , litigation, arbitration, and trial ... AXIS is seeking a _Senior Claim Specialist -_ _Construction_ _Claims_ to join our North America Claims team and will report to the Head of Property Claims . As a… more
- The Cigna Group (Denver, CO)
- The Medical Claims FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense ... governance (primarily in Excel/SQL). Familiarity with R/Python a plus. + Experience with medical claims , clinical, and financial data + An actuarial background… more
- USAA (Tampa, FL)
- …part of what makes us so special! **The Opportunity** As a dedicated ** Senior Auditor,** you'll perform internal audit assignments. Identify problems for ... crimes, and related consumer regulations and applies that knowledge to audit assignments. Performs risk and control identification and evaluation, increasingly… more
- Axis (Kansas City, MO)
- …variety of loss scenarios, as well as reporting and presenting about same to senior management + In-depth knowledge of claims , litigation, arbitration, and trial ... is available upon request for candidates taking part in the selection process. ** Claims Team Manager - Media/E&O/Cyber** **New York New Jersey Metro or Kansas City… more
- HCA Healthcare (Nashville, TN)
- …The Claims Auditor will serve as a Subject Matter Expert (SME) in medical claims processing at health plan payor, MSO, HMO, and IPA organizations with ... care environment, required + Hands-on knowledge and functional understanding of medical claims billing, processing, terminology, diagnosis and procedures. +… more
- CRC Insurance Services, Inc. (Charlotte, NC)
- …5. Train claims staff on new policies or procedures. 6. Oversee and audit claims process ensuring proper documentation was created in the system and/or ... order to provide account loss ratios and claims history to senior management....division of TIH Insurance offering the position. TIH offers medical , dental, vision, life insurance, disability, accidental death and… more
- Amazon (New York, NY)
- Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, ... The ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in transportation. As… more
- Amazon (Nashville, TN)
- …The Program, Project, Product, and Vendor Management Team within Amazon's Logistics Claims Management and Operations group is seeking a motivated and experienced ... Senior Risk Manager. The ideal candidate will be familiar with insurance and claims programs and insurance policies, have a history of success in process… more
- Amazon (Arlington, VA)
- …potential misleading claims - Provide data-driven and actionable insights to senior stakeholders to influence roadmaps and align on solutions - Plan and conduct ... new strategic program that will detect false and misleading claims on Amazon stores. Key job responsibilities The successful...earn trust. Basic Qualifications - 6+ years of compliance, audit or risk management experience - Knowledge of Microsoft… more
- Fallon Health (Worcester, MA)
- …summary of purpose:** Under the general direction of the Senior Internal Audit Manager, theAnalyze and interpret patient medical records pertaining to FWA ... investigations Compare to information submitted on the claims in order to determine amount and nature of...**Responsibilities** **Primary Job Responsibilities:** + This position supports the Senior Director of Internal Audit in their… more
- LogixHealth (Bedford, MA)
- …in Bedford, MA This Role: As a Supervisor at LogixHealth, you will work with the Senior Manager, Team Lead, and other members of management in the Audit & ... new processes and reinforcement of existing processes with the Senior Manager and Director + Work with LogixHealth India...communication skills Preferred: + Strong knowledge of third party medical billing practices + Prior knowledge of the NSA… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …your true colors to blue. We What Need As a valued member of the Audit , Risk Management & Information Security (ARMIS) team, the Senior Internal Auditor will ... and operational areas throughout the company. These audits include Model Audit Rule assessments (similar to Sarbanes-Oxley), risk-based audits, and consulting… more
- GAF (Ennis, TX)
- …GAF. And under this roof, we protect what matters most. **Summary** The Senior Process Engineer will support the daily operations at the Shingle Production facility ... in Ennis, Texas **.** The Senior Process Engineer is responsible for engineering needs, demonstrating...of online testing, process data review, equipment inspections, and claims feedback. Submit and implement changes in procedures and… more
- Walmart (Bentonville, AR)
- …air, water, and waste pollution. Supports regulatory visits and prepares audit reports for management review. Participates in evaluating pollution control and ... safety regulatory agencies. Assists with third-party audits. Develops and presents audit findings to facility management. Responds to inquiries by regulatory… more
- Kanaan Communications, LLC (Savannah, GA)
- Discover a more connected career as a Senior Quality Control Field Technician (Brunswick, Savannah, Statesboro, Waycross, GA) This is an exciting opportunity to join ... the Fleet Team at UtiliQuest, LLC as a Senior Quality Control Field Technician supporting our Georgia Operations Team. UtiliQuest, LLC a leading provider of quality… more
- Dartmouth Health (Lebanon, NH)
- Overview Reporting to the System Director of Compliance, the Senior Manager of Revenue Compliance develops and deploys strategies to mitigate organizational risk ... related to the submission of claims for reimbursement by state, federal and private payers....for reimbursement by state, federal and private payers. The Senior Manager of Revenue Compliance partners closely with key… more
- CareFirst (Columbia, MD)
- …may include performance of audits of financial business records, provider and subscriber medical data, claims , systems? reports, medical records, analysis of ... detailed offsite audits/investigations with interviews when appropriate. Researching provider/subscriber claims activity, operations manuals, data systems, medical … more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR INFORMATION RESOURCE SPECIALIST, BOARD OF SUPERVISORS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4535966) Apply SENIOR ... associated with departmental projects; analyzes business processes, security, interfaces, audit trails, and reporting methods. Requirements MINIMUM REQUIREMENTS: Option… more
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