- Elevance Health (Smithfield, RI)
- ** Audit & Reimbursement Senior** **Location:** This is a virtual position; US based. _National Government Services is a proud member of Elevance Health's family ... and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior** will support our...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Smithfield, RI)
- ** Audit & Reimbursement III** **Location** : This is a virtual position; must be US based. The ** Audit & Reimbursement III** is responsible for ... BA/BS degree and a minimum of 5 years of audit / reimbursement or related Medicare experience; or any...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Fallon Health (Worcester, MA)
- …summary of purpose:** Under the general direction of the Senior Internal Audit Manager, theAnalyze and interpret patient medical records pertaining to FWA ... amount and nature of billable services Determines appropriateness of billing and reimbursement Documents findings for each claim line Summarize findings in a written… more
- Needham Bank (Wellesley, MA)
- Job Descriptions: Under the direction of the Lead ERM Analyst, the Risk & (Sarbanes-Oxley Act) SOX Analyst will be a dynamic position that will support Risk, SOX, ... and Internal Audit activities, including monitoring business line risk assessments, collecting...life insurance, short and long term disability insurance, tuition reimbursement , and an Employee Assistance Program. We offer a… more
- Health Plans, Inc. (Westborough, MA)
- …tallies + Sort checks and incoming mail + Enter daily ACH's into banking system + Audit and mail letters to clients + Audit deposits + Make notification to ... a comprehensive and competitive benefits package to help you lead a happy, healthy life. Here are some of...and Vision Coverage + Prescription Drug Coverage + Fitness Reimbursement Benefit + Tobacco Cessation Program + Employee Assistance… more
- Elevance Health (Smithfield, RI)
- …+ Detailed pharmacy claims validation + Interpreting and managing audit requirements, ie, timelines, internal/external meetings, deliverables + Maintaining vendor ... relationships + Creating and presenting audit status summaries to internal/external stakeholders + Analyzing auditor...and Experiences:** + Strong expertise in pharmacy claims and reimbursement processes + Proven time management skills with the… more
- South Middlesex Opportunity Council (Worcester, MA)
- …Spending Accounts, Dependent Care Accounts, Employee Assistance Program, Tuition Reimbursement and more. Primary Responsibilities: + Ensure effective initial triage ... relationships with all appropriate service providers. + Review and audit all operational and staff documentation so as to...service providers as required + Participate in, and may lead various client groups or community committees + Provide… more
- Veterans Inc. (Worcester, MA)
- …and become a valued member of Veterans Inc. team! This position will lead the overall service needs for veterans within our transitional housing programs and ... files as necessary to ensure proper data documentation and audit readiness. + Responsible for any reporting needs. WHAT...Accounts + Up to $2,000 a year in Tuition Reimbursement Program + Paid Parental Leave For more information,… more
- IQVIA (Northborough, MA)
- …your team member's workloads to effectively manage cost and reduce overtime. + Audit and verify team members work to ensure information accuracy. + Work ... combination of education and experience. + Minimum 1 year managing with team lead experience. + Minimum 2 years' experience in pharmacy, healthcare, medical billing,… more