- AIG (Croydon, PA)
- …Maintain project documentation including reporting, plans, risk register, etc and as a Senior Claims Operations Analyst report out to managers and stakeholders ... a proven track record in governance within the Insurance industry, preferably within claims . + A Compliance, Governance and/or audit , regulatory background with… more
- AIG (Atlanta, GA)
- Senior Claims , QA Specialist - Personal Lines Join us as a Senior Claims QA Specialist to make more of your specialist expertise and experience. Make ... skills with ability to create consistently factual, correct, high quality audit reports and supporting documentation. +...+ Ability to address queries, disputes, challenges through the claims audit cycle while maintaining the philosophies… more
- The Cigna Group (Bloomfield, CT)
- …which to base an informed, objective opinion on the accuracy and legitimacy of claims audited. + Analyze audit findings to determine validity of any identified ... **POSITION SUMMARY:** Responsible to identify pharmacy audit risks using analytical skills and audit...personal knowledge of medications to identify clients, members and claims representing financial risks. + Responsibility for reprocessing … more
- Axis (Alpharetta, GA)
- …& Compliance, Internal Audit , Finance, North America Claims and Claims Operations etc.) to ensure that Quality Assurance and Compliance related processes ... Specialist, Claims Shared Services- Job Description AXIS is seeking a Claims Quality Assurance and Compliance Specialist, Claims Shared Services… 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
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role We are looking for a Senior Quality Analyst to join the team who will be responsible for verifying provider/hospital contracts and benefit ... in line to established rules. This individual will support quality reviews and testing of all configuration setups prior...timely and efficient manner. + Perform focus audits on claims projects. + Recommend opportunities for sweep audit… more
- 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
- 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
- Sunrise Senior Living (Mclean, VA)
- …Excel, Access. + Willingness to learn new process and job skills. **ABOUT SUNRISE** Sunrise Senior Living has championed quality of life in senior care for ... **_Sunrise Senior Living was again certified as a Great...and annual payroll, tax, and compliance activities. + Process, audit , analyze and review timekeeping, payroll and benefit deductions… more
- Ventura County (Ventura, CA)
- Senior Accounting Assistant Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4454837) Apply Senior Accounting Assistant Salary $45,941.61 - ... National Recreation Area. Ventura County's beauty and weather combined with a wonderful quality of life are among the many reasons our residents choose to call… more
- Texas Health Resources (Arlington, TX)
- **Revenue Cycle Manager Charge Capture Senior Analyst** _Texas Health Resources is looking for a top skilled Revenue Cycle Manager Charge Capture Senior Analyst. ... as EPIC are required. Familiarity with ICD 10; CMS claims data; and interpretation of contracts preferred. **What You...direction of the Revenue Cycle Manager Charge Capture the Senior Analyst Charge Capture serves in a role tasked… more
- HCA Healthcare (Campbell, CA)
- …where diversity and inclusion thrive? Submit your application for our Managed Care Senior Accountant opening with HCA Healthcare today and find out what it truly ... vary by location._** We are seeking a Managed Care Senior Accountant for our team to ensure that we...that we continue to provide all patients with high quality , efficient care. Did you get into our industry… more
- HUB International (Frisco, TX)
- …to place, high hazard risks in various industries, as well as providing premium audit advisory services and claims advisory and advocate services. SCIS' in-house ... workers' compensation experience, as well as licensed claim advisors and premium audit specialists. This team is complemented by access to industry leading safety,… more
- 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
- UPMC (Bridgeville, PA)
- UPMC Rx Partners is looking for a full time Pharmacy Technician, Senior to join their dedicated team! The Pharmacy Technician, Senior provides pharmaceutical ... filling and distributing medications in the appropriate manner. The Pharmacy Technician, Senior may also have additional skills such as RobotRX skills, operation… more
- UPMC (Pittsburgh, PA)
- Children's Hospital of Pittsburgh is hiring a Senior Pharmacy Technician who will provide pharmaceutical care to patients by demonstrating proficient abilities in ... system and filling and distributing medications in the appropriate manner. The Senior Pharmacy Technician may also have additional skills such as RobotRX skills,… more
- Micron Technology, Inc. (Boise, ID)
- …a dynamic and highly collaborative team environment? Then read on! As a Senior Contract Administrator for strategic construction projects, you will audit ... project reports and make presentations at meetings + Support negotiations of claims , manage contractual changes and resolve disputes or conflict resolution with… more
- Banner Health (AZ)
- …related to cardiac cath and interventional radiology technical claims within nThrive claims and Charge Capture Audit (CCA). 5. As assigned, compiles daily ... areas such as Billing, Coding, CDM Services Expected reimbursement. The Senior Cardiology and Interventional Radiology Certified Coder's main job responsibilities… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA Pu rp ose: The Senior Administrative Assistant oversees Coding/ Coding Quality policies, procedures and other operational ... Coding grid, and Client Facility Grids + Tracking of audit results /coder booklets + Maintains and updates Coder...updates Coder education E/M manual + Creation of coder quality reports /tableau dashboards + Ac tasS har ePointAdminist… more
- Xylem (Pittsburgh, PA)
- …through innovative and sustainable solutions. **Position Summary** Xylem seeks a Senior Cost Analyst for Industrial Environmental Technologies. The individual in ... managers with updating project information, including project cost and change order claims , project schedule changes, and milestone updates to ensure the project… more