- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. AXIS is seeking a Claims Quality Assurance & Audit Coordinator, Claims Shared Services ... Audit , Finance, North America Claims and Claims Operations etc.) to ensure that Quality ...supporting strategic initiatives impacting key stakeholders and reporting to senior management * Experience working on cross functional teams,… more
- Healthfirst (NC)
- …HF operational areas in administering products and benefits. + Responsible for the quality and integrity of claims configuration change requests through the use ... and audit strategies. + Responsible for organizing release of claims configuration changes to production to reduce the potential for migration conflict.… more
- AIG (Atlanta, GA)
- …You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes , ensuring mitigation of indemnity ... Join us asa Complex Claims Director to take on key responsibilities within a... expert and thought leader . + As a senior member of the team , you will act as… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …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 ... Coordinators reviewing allocation of staff to ensure productivity and quality standards meet or exceed expected goals. 4. Review,...order to provide account loss ratios and claims history to senior management.… more
- Fallon Health (Worcester, MA)
- …and LinkedIn. **Brief summary of purpose:** Under the general direction of the Senior Internal Audit Manager, theAnalyze and interpret patient medical records ... problem-solver. **Responsibilities** **Primary Job Responsibilities:** + This position supports the Senior Director of Internal Audit in their leadership of… more
- American Medical Association (Chicago, IL)
- …an opportunity at our corporate offices in Chicago for a Insurance Compliance Audit Specialist (Internal Title: Senior Compliance Specialist) on our AMA ... a week in the office. As a Insurance Compliance Audit Specialist, you will lead AMA Insurance. quality...complaints and investigations + Serve as a resource for Operations/ Claims on compliance related questions + Maintain necessary policies… 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 & ... collaboratively to develop new processes and reinforcement of existing processes with the Senior Manager and Director + Work with LogixHealth India team to ensure… 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...skills in plant troubleshooting, process design, continuous improvements and quality management. The incumbent's primary focus is to maintain… more
- CVS Health (St. Paul, MN)
- …customer and regulatory guidelines. + Owns responsibility for supporting targeted quality audit projects, reporting overall results, and making recommendations ... regarding training needs, quality controls, and procedures to senior management....and decision making skills + College degree preferred + Claims experience + DG experience **Education** + High School… more
- American Water (Camden, NJ)
- …LinkedIn, Facebook, Twitter and Instagram. * American Water is hiring for a Senior Manager, Insurance! If you are a passionate Insurance professional seeking to ... data, facilitating strategy meetings, evaluation and adequacy of new insurance programs. * Claims Oversight:* Support and collaborate with the Claims and Risk… more
- Ventura County (Ventura, CA)
- Accountant I/II/ Senior Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4690309) Apply Accountant I/II/ Senior Salary $61,637.06 - ... Ventura County's beauty and weather combined with a wonderful quality of life are among the many reasons our...or under direction, performs full range (II) to complex ( Senior ) accounting duties in assigned fiscal program areas; functional… more
- City of New York (New York, NY)
- …pertaining to audits of Citywide master contracts under the purview of a Senior Staff Auditor/Supervisor and the Audit Director. Responsibilities for the ... them all. It's an opportunity to provide impactful support, quality customer service, and help protect the future of...to learn more about the work we do. DCAS's Audit & Compliance Services (ACS) consists of the following:… more
- Walmart (Bentonville, AR)
- …mode/data set). Articulates the levers that influence data. Ensures data quality and organizes processes information for analysis. Leverages visualization techniques ... air, water, and waste pollution. Supports regulatory visits and prepares audit reports for management review. Participates in evaluating pollution control and… more
- Crawford & Company (Peachtree Corners, GA)
- …and maintains client account information in the PeopleSoft financial system and CMS2 claims system. The Senior Account Administrator also organizes, writes, and ... fee billing parameter documents, and other instructional memoranda. In addition, the Senior Account Administrator assists the manager with the review of work… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Mental Health, Office of Title Senior Health Care Fiscal Analyst/ Health Care Fiscal Analyst Trainee - Two positions, Central Office; Occupational ... Consolidated Fiscal Report Group is recruiting to fill two Senior Health Care Fiscal Analyst/Health Care Fiscal Analyst Trainee,...and case notes to document changes in the desk audit process; develop and test new audit … more
- Walmart (Bentonville, AR)
- …This will include ongoing support and management of virtual health offerings, various claims and appeals audit functions, as well as ensuring compliance with ... focused on member experience, contracting, financial reviews and audits, audits for claims and appeals + Strong understanding of compliance issues related to ERISA,… more
- Prime Therapeutics (Columbus, OH)
- … Senior Internal Auditor - SOC1 - Remote **Job Description** The Senior Internal Auditor conducts audit projects that provide independent, objective assurance ... Assess the design and operating effectiveness of internal controls related to claims and rebate processing designed to mitigate risk and support SOC1 objectives.… more
- Elevance Health (Tampa, FL)
- …or related field strongly preferred. + Strong understanding of data analysis, claims processing, and audit processes associated with healthcare payment models ... ** Senior Implementation Specialist** **Location:** This position will work...support, configuration, design, testing and implementation for ratings or claims systems. **How you will make an impact:** +… more
- Honeywell (Charlotte, NC)
- Senior Benefits Analyst - Canada & US Pension & 401k We are looking for an experienced, data-driven Sr. Benefits Analyst to manage our Savings, Retirement and ... user experience ensuring right and fast support. + Manage suppliers to ensure quality administration of plans and the customer experience, payments, audit … more