- HCA Healthcare (Nashville, TN)
- … like you to be a part of our team. **Job Summary and Qualifications** The Claims Auditor will serve as a Subject Matter Expert (SME) in medical claims ... an organization that invests in you as a **Claim Auditor ** ? At Work from Home, you come first....primary function to ensure examiner payment accuracy of all claims processing including analysis of support services fulfillment colleagues'… more
- General Motors (Nashville, TN)
- …worksite unless directed by their manager. **The Role** The individual Dealer Auditor reviews the administration of General Motors policies and procedures as ... Service Agreement. This review may include dealership practices relative to sales incentive claims and dealer objective program payouts. These claims must comply… more
- Tennessee Comptroller of the Treasury (Nashville, TN)
- Auditor : Financial/TennCare This role focuses on examining, analyzing, and reviewing records, financial statements, claims data, and cost reports for providers ... The Comptroller of the Treasury is recruiting for a full-time Auditor : Financial/TennCare position in the Division of State Audit's Tenncare/Medicaid Section.… more
- Elevance Health (Nashville, TN)
- **Diagnosis Related Group Clinical Validation Auditor -** **Registered Nurse** **Location:** This position will work a hybrid model (remote and office). Ideal ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Elevance Health (Nashville, TN)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ideal ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Sedgwick (Nashville, TN)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Internal Auditor - IT **PRIMARY PURPOSE:** To perform IT internal audit procedures under ... or university with major in Information Systems preferred. Certified Information Systems Auditor (CISA), Certified Internal Auditor (CIA), or Certified Public… more
- Conviva (Nashville, TN)
- …variances to ensure compliance with financial policies. + Supervise "auditing the auditor " activities to ensure the integrity of internal and external audit ... Oversee the proper handling of inactive or deceased patients' accounts and claims without insurance. **Process Improvement & Reporting:** + Identify and implement… more