• Inpatient Medical Coding Auditor

    Humana (Madison, WI)
    …caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
    Humana (12/12/24)
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  • Senior IT Internal Auditor

    Humana (Madison, WI)
    …of Humana's strategic and financial objectives. The Senior IT Internal Auditor provides value-added service by evaluating the efficiency and effectiveness of ... Humana's operational processes. The Senior IT Internal Auditor audits information systems technology and applications to ensure that IT controls and are designed and… more
    Humana (01/14/25)
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  • Premium Audit Auditor II

    Zurich NA (Madison, WI)
    Premium Audit Auditor II 117003 Zurich North America is hiring an Premium Audit Auditor II to join our team! We are open to hiring talent in one of the following ... Texas, Vermont, Virginia, West Virginia, or Wisconsin. As a Premium Audit Auditor II you will be performing examination of policyholder's accounting and financial… more
    Zurich NA (12/21/24)
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  • Coding Auditor I - Education Program

    Baylor Scott & White Health (Madison, WI)
    **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to ... coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS),...year of the experience should be as a coding auditor : Registered Health Information Administrator (RHIA) Registered Health Information… more
    Baylor Scott & White Health (12/18/24)
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  • RN Compliance Auditor

    Humana (Madison, WI)
    …caring community and help us put health first** The Compliance Nurse Auditor reviews utilization management activities and documentation to ensure adherence to ... assurance audits in the past 3 years + Experience as a Utilization Management Auditor + Health Plan experience working with large carriers + Proficiency in Microsoft… more
    Humana (01/23/25)
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  • Senior Internal Auditor Sox Compliance

    Lumen (Madison, WI)
    …digitally connect the world and shape the future. **The Role** The Senior SOX Auditor will perform testing of key business process and entity level controls for ... understanding of and request evidence for control operation. The Senior SOX Auditor will gather and evaluate populations for completeness and will create workpapers… more
    Lumen (01/23/25)
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  • Staff Internal Auditor

    ISC2 (Madison, WI)
    …empowers all of our successes. Learn more. **Position Summary** The Staff Internal Auditor plays a crucial role in ensuring ISC2's internal controls over financial, ... operational, and compliance activities. The Staff Internal Auditor will work closely with the internal audit team to conduct audits, evaluate internal controls, and… more
    ISC2 (12/21/24)
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  • Senior IT Internal Auditor

    Lumen (Madison, WI)
    …connecting the world and shaping the future. **The Role** The Senior IT Auditor will execute IT-focused audits and will support operational internal audit teams when ... IT-related risks are addressed. This role will also assist SOX IT efforts including understanding and evaluating IT processes, risks and controls and executing ITGC testing. Knowledge of and experience in IT audit, SOX control testing, data mining and… more
    Lumen (01/23/25)
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  • Senior IT Auditor

    Teradata (Madison, WI)
    …That's why we built the most complete cloud analytics and data platform for AI. By delivering harmonized data, trusted AI, and faster innovation, we uplift and ... empower our customers and our customers' customers to make better, more confident decisions. The world's top companies across every major industry trust Teradata to improve business performance, enrich customer experiences, and fully integrate data across the… more
    Teradata (01/24/25)
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  • Auditor , Call Center Quality (Fluent…

    Molina Healthcare (Madison, WI)
    …**Job Summary** Under general direction, this position is responsible for supporting total quality methods, processes, and procedures for the Call Center division. ... This position will help preserve service excellence through monitoring and assessing customer interactions of Call Center Associates; documenting agent performance strengths and weaknesses using a Quality Management System (NICE); highlighting immediate… more
    Molina Healthcare (01/21/25)
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  • Business Process Control (BPC) Auditor

    Jack Link's (New Glarus, WI)
    …of this position shall consist of, but not be limited to, the following: General: + Assist in providing implementation and ongoing support of new and existing plant ... When it comes to being wild, we know a thing or two. We're not afraid of trying something new or the hard work it takes to make it happen. It's in our DNA. We've turned a family recipe into a new snacking category. And the wilderness into the world's largest… more
    Jack Link's (12/30/24)
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  • QA Auditor I

    ThermoFisher Scientific (Middleton, WI)
    …At Thermo Fisher Scientific, you'll discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to life - ... enabling our customers to make the world healthier, cleaner and safer. We provide our teams with the resources needed to achieve individual career goals while taking science a step beyond through research, development and delivery of life-changing therapies.… more
    ThermoFisher Scientific (01/22/25)
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  • Associate Internal Audit II

    City National Bank (Madison, WI)
    …Magnit Global. You will not be employed by City National Bank. *The Opportunity* The auditor will work within a team and on occasion as an individual contributor on ... where audit responsibilities are assigned. * Assists the Senior Auditor and or Audit Manager in the development of...findings and the conclusions drawn. * Keeps the Senior Auditor and/or Audit Manager abreast of progress, issues and… more
    City National Bank (01/23/25)
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  • Director IT Audit

    Highmark Health (Madison, WI)
    …the quality of work performed consistently meets Institute of Internal Auditor (IIA) and Information Systems Audit and Control Association (ISACA) guidelines.Review ... **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Certified Information System Auditor (CISA) + Certified Internal Auditor (CIA) + Certified… more
    Highmark Health (01/16/25)
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  • Specialist, Quality Interventions/QI Compliance…

    Molina Healthcare (Madison, WI)
    …License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested in applying ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.82 - $42.55 / HOURLY *Actual… more
    Molina Healthcare (01/24/25)
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  • Sr Quality Engineer - Shockwave Medical

    J&J Family of Companies (Madison, WI)
    …specific assignments. + May conduct internal and supplier audits. Certified as a lead auditor in ISO13485:2016 would be an asset. Familiarity with IEC 60601 and IEC ... 62304 is an asset. + Processing, investigating, and completing customer complaints, which could require direct email responses to customers. + Composes technical complaint reports timely and accurately based on reported information and device investigation… more
    J&J Family of Companies (01/23/25)
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  • Overreader, HEDIS/Quality Improvement (Remote)

    Molina Healthcare (Madison, WI)
    …**Job Duties** + Performs the role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records reviewed and data entered by the ... abstraction team during the annual HEDIS medical record review as well as all other HEDIS/HEDIS like project. + Participates in scheduled meetings with the Abstraction team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding… more
    Molina Healthcare (01/21/25)
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  • Lead Overreader, HEDIS/Quality Improvement…

    Molina Healthcare (Madison, WI)
    …Duties** + Performs the lead role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records reviewed and data entered by the ... abstraction team during the annual HEDIS medical record review as well as all other HEDIS/HEDIS like project, the Lead Overreader will act as the subject matter expert for the team. + Provides feedback to providers on visit notes or feedback from the HEDIS… more
    Molina Healthcare (01/21/25)
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  • Health Claims Specialists- Remote

    Sutherland Global Services (Madison, WI)
    …on claims needing additional information + Refer problem claims to a Lead and/or auditor for additional review + Make sure that the integrity of the information is ... accurate and kept private according to HIPPA guidelines + Work with specific software + May be assigned special projects We offer: + Salary of $13.50/hour + monthly incentives up to $1500/month + Monthly rewards & recognition programs + Medical, dental and… more
    Sutherland Global Services (01/21/25)
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  • Manager, Quality Assurance - All Suites

    Hilton (Madison, WI)
    …owner relations, and more, for all of Hilton's unique brands\! As Manager, QA Auditor , you will support the team that leads our brands with the steadfast goal ... of strengthening and growing the Hilton portfolio\. On the Brands team reporting to Area Manager Quality Assurance, you will perform numerous QA audits and have responsibility for 100 hotels in your territory\. Your main duty is to protect the integrity of the… more
    Hilton (01/16/25)
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