- Molina Healthcare (AZ)
- JOB DESCRIPTION Job Summary Provides support for claims audit activities including identification of incorrect coding, abuse and fraudulent billing practices, waste, ... overpayments, and claims processing errors. **Essential Job Duties** + Audits the...errors. **Essential Job Duties** + Audits the adjudication of claims using standard principles, and state-specific regulations to identify… more
- DoorDash (Tempe, AZ)
- …company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are looking for forward ... DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more
- Molina Healthcare (Scottsdale, AZ)
- …Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... auditing of critical information on claims ensuring adherence to business and system requirements of...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more
- CVS Health (Phoenix, AZ)
- …Client Audit team in a Manager role. This is a client-facing auditor position that is responsible for coordinating, managing, tracking, reviewing, researching, and ... of exceptions identified during the audit process, specifically related to pharmacy claims . This includes having a working knowledge base around pharmacy claim… more