• Individual & Family Plans (IFP) Quality

    The Cigna Group (Bloomfield, CT)
    …& execution and be familiar with value-based reporting metrics and HCC analysis._ _The Quality Review and Audit Lead Analyst will be instrumental in serving as ... **_Primary Functions:_** _Works in conjunction with coding audit oversight & compliance, Global Data & Analytics, network & contracting and provider relations to… more
    The Cigna Group (10/22/24)
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  • Sr Audit Supervisor

    MyFlorida (Tallahassee, FL)
    …Contract Audit unit. The engagements conducted by this unit include audit of construction contracts change orders and claims , professional services ... SR AUDIT SUPERVISOR - 55003205 Date: Oct 29, 2024...or appointment in the Selected Exempt Service (SES) or Senior Management Service (SMS) unless they are registered with… more
    MyFlorida (10/30/24)
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  • Supervisor, Audit & Contracting

    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
    LogixHealth (10/16/24)
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  • Senior Internal Auditor - Growing…

    Fallon Health (Worcester, MA)
    Senior Internal Auditor plays a key role in implementing the annual audit plan. The Senior Internal Auditor conducts audits and related projects (financial, ... Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high- quality , coordinated care and is continually rated among the nation's top… more
    Fallon Health (09/15/24)
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  • Senior Internal Auditor

    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
    Blue Cross Blue Shield of Massachusetts (10/10/24)
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  • Senior Process Engineer

    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
    GAF (10/25/24)
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  • Accountant I/II/ Senior

    Ventura County (Ventura, CA)
    Accountant I/II/ Senior Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4690309) Apply  Accountant I/II/ Senior Salary $59,552.72 - ... 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
    Ventura County (10/25/24)
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  • Grant Administrator ( Senior level)…

    Metropolitan Council (St. Paul, MN)
    Grant Administrator ( Senior level) (Livable Communities) Print (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/4669811) Apply  Grant ... Administrator ( Senior level) (Livable Communities) Salary See Position Description Location...monitoring procedures. + Administer all grant agreements and provide quality assurance. Ensure all local, state and federal policies… more
    Metropolitan Council (11/01/24)
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  • (USA) Senior Manager, Asset Protection - AP

    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
    Walmart (09/17/24)
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  • Senior Health Care Fiscal Analyst /Health…

    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 - 2 Positions, Central Office Occupational ... or healthcare facility related to reimbursement rates, principles, and practices. Senior Health Care Fiscal Analyst (starting salary $65,001): Meets...and case notes to document changes in the desk audit process; develop and test new audit more
    New York State Civil Service (10/31/24)
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  • Senior Compliance Professional

    Humana (Louisville, KY)
    …of our caring community and help us put health first** The Senior Compliance Professional develops and implements compliance policies and procedures. Researches ... Serve as the subject matter expert on DSNP Medicare Operations. + Develop audit methodology and perform auditing and monitoring activity to prevent and detect issues… more
    Humana (10/30/24)
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  • Senior Benefits Analyst - Retirement

    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
    Honeywell (10/11/24)
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  • Senior General Manager - Food & Nutrition…

    Trinity Health (Pontiac, MI)
    …Ability to develop methodologies for collecting and analyzing relevant data; to audit program processes; monitor quality ; identify, problems and their root ... Services (FANS) Department in a large or sizeable multi-hospital setting. The Senior Manager of Food & Nutrition Services is responsible for successfully… more
    Trinity Health (08/22/24)
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  • Senior Social Worker/LMHC

    Trinity Health (Troy, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Senior Social Worker/LMHC** **Crime Victim Services, Troy, NY** If you are looking for a ... salary, fringe benefits, equipment, necessary mileage, and more! **Position Highlights:** + ** Quality of Life:** Where career opportunities and quality of life… more
    Trinity Health (10/26/24)
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  • Senior Contracts Administrator

    SOS International LLC (Reston, VA)
    **Overview** SOSi is currently seeking a ** Senior Contracts Administrator** to join our growing team in Reston, VA. The Senior Contracts Administrator will ... with preparation of Requests for Equitable Adjustments (REA) and claims . + Monitor and respond to CPARs. + Coordinate...external customers and internal customers. + Maintain an accurate audit file for each contract, which will include the… more
    SOS International LLC (09/19/24)
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  • Senior Benefit Plan Configuration Analyst…

    Prime Therapeutics (Columbus, OH)
    …A successful Senior Analyst will ensure a high level of quality and accuracy through benefit configuration, test execution and validation efforts while serving ... our passion and drives every decision we make. **Job Posting Title** Senior Benefit Plan Configuration Analyst - Remote Preferably in California **Job Description… more
    Prime Therapeutics (10/28/24)
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  • Senior Claim Benefit Specialist

    CVS Health (St. Paul, MN)
    …systems and on daily operations and programs + Responsible to support targeted quality audit projects. Report results and make recommendations eg, training ... more personal, convenient and affordable. **Position Summary** + Conduct standard quality reviews /audits to measure compliance with published policies, procedures,… more
    CVS Health (10/31/24)
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