- 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 ... safe and compliant products. We are seeking an experienced Sr . Risk Manager to build out a new strategic...new strategic program that will detect false and misleading claims on Amazon stores. Key job responsibilities The successful… 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
- 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
- Terumo Medical Corporation (Somerset, NJ)
- Sr . Tax Analyst, Indirect Date: Nov 6, 2024 Req ID: 3804 Location: Somerset, NJ, US, 08873 Company: Terumo Americas Holding, Inc. Department: TAH Tax Terumo ... Medical Corporation (TMC) develops, manufactures, and markets a complete,...go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Tax Analyst, Indirect Tax will work with the… more
- The Toro Company (Bloomington, MN)
- …place in the Twin Cities to build a career. The Treasury & Risk Manager (II & Sr .) is responsible for partnering with the other Treasury & Risk Sr . Manager to ... administration, authorized signer maintenance, KYC requests, open/close bank accounts, audit confirmation and fee monitoring. + Manage payment initiation, review,… more
- Warner Music Group (TN)
- …insights from financial statements, perform reconciliations, update cash forecasts and budgets, investigate audit issues and claims , perform tasks as part of the ... the creative spirit of a nimble independent. **Job Title: Sr . Analyst, Financial** **A little bit about our team:**...maintain strong working relationships across the company (up to senior executives), follow up open work items, respond to… more
- WellSense (Boston, MA)
- …liaison between provider and internal Plan departments such as Provider Enrollment, Claims , Audit , Marketing, Customer Care and Care Management. Our Investment ... Sr . Provider Relations Consultant- (MA residents)-$5,000 sign on...and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services… 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
- Stanford Health Care (Palo Alto, CA)
- …and cash posting of all hospital charges from all payors. The Senior Manager assists the Director in establishing the organizational priorities and operational ... optimal performance of the Hospital Revenue Cycle. The PFS Senior Manager acts as a liaison between PFS operations...and third-party payor regulations. + Assures compliance with the medical staff bylaws, rules and regulations, and hospital and… more
- University of Rochester (Rochester, NY)
- …the goals and expectations established for the Office of Counsel, the Senior Counsel identifies, analyzes and provides legal guidance and services on complex ... health care regulatory and corporate matters relevant to the University of Rochester Medical Center ( Medical Center) and its health care affiliates, including… more
- Bosch (Oak Brook, IL)
- …data maintenance by support teams for accuracy, completeness & consistency. + Regularly audit & cleanse data to resolve discrepancy & standardize data fields across ... with sales team to clarify rebate terms & conditions. Analyzes all claims and reconcile according to contracting policies and procedures. + Identify opportunities… more
- Molina Healthcare (WA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... in response to approved change requests; retain old and new report design for audit trail purposes. + Analyze data sets and trends for anomalies, outliers, trend… more
- Molina Healthcare (WI)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... in response to approved change requests; retain old and new report design for audit trail purposes. + Analyze data sets and trends for anomalies, outliers, trend… more
- CVS Health (Kansas City, MO)
- …development. **Required Qualifications** + 5+ years experience with health care claims or pharmacy data + 5+ years data analytics/validation experience + ... with HEDIS or other quality measurement system + Regulatory reporting and/or audit experience + Experience with SAFe Agile methodology **Education** + Bachelor's… 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
- 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
- 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 ... **Responsibilities** **Primary Job Responsibilities:** + This position supports the Senior Director of Internal Audit in their...as required. + Provide in-depth progress reports to the Sr . Audit Director for review and prepare… more
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