- Elevance Health (Mason, OH)
- ** Claims Auditor Lead ** _This position will work a hybrid model (remote and office), 1-2 times per week. The Ideal candidate will live within 50 miles of one ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Claims Auditor Lead is responsible for leading the high dollar… more
- LA Care Health Plan (Los Angeles, CA)
- …health plans contracted with LA Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of issues in a timely and ... Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type:… more
- Air National Guard Units (Cheyenne, WY)
- …GUARD TITLE 5 EXCEPTED SERVICE POSITION. This National Guard position is for an AUDITOR , Position Description Number PDT5145P01 and is part of the WY 153rd Airlift ... directions from a higher graded IR Supervisor or IR Auditor if assigned. The purpose is to advise, supervise,...and training that demonstrated his or her abilities to lead , train subordinates, follow directions, read, retain, and comply… more
- Elevance Health (Roanoke, VA)
- …service written and verbal inquiries. **How you will make an impact:** + Assists higher level auditor / lead on field work as assigned and acts as auditor in ... **Pharmacy Internal Auditor ** **Location:** This position will work a hybrid...in pre and post implementation audits ofpharmacy operational processes, claims processing and payment, member and provider inquiries, enrollment… more
- Elevance Health (Winston Salem, NC)
- **Provider Auditor Senior** _This position will work a hybrid model (remote and office), 1-2 times per week. The Ideal candidate will live within 50 miles of one of ... to recover, eliminate and prevent unnecessary medical-expense spending. The Provider Auditor Senior conducts on-site reviews of medical charts, medical notes,… more
- Army National Guard Units (Carson City, NV)
- Summary This position is for a AUDITOR , PD# T5144P01, part of the Nevada National Guard. This position is located in the United States Property and Fiscal Office ... operating procedures and management practices of the activity. Prepares audit lead sheets to identify potential weaknesses in internal controls. Documents survey… more
- Elevance Health (FL)
- **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 (Hanover, MD)
- **Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Lo_ _cation: This is a field position expected to be in clinic 60% of the time ... to improve the delivery of care. The **Clinical Provider Auditor I** is responsible for identifying issues and/or entities...abuse. **How will you make an impact:** + Examines claims for compliance with relevant billing and processing guidelines… more
- Mendocino County Sheriff's Office (Ukiah, CA)
- Accountant- Auditor II Print (https://www.governmentjobs.com/careers/mendocinoca/jobs/newprint/4758198) Apply Accountant- Auditor II Salary $71,843.20 - ... Location Ukiah, CA Job Type Full-time Permanent Job Number 24.383 Department Auditor -Controller Opening Date 12/11/2024 Closing Date 1/15/2025 11:59 PM Pacific +… more
- Fallon Health (Worcester, MA)
- …identified, recommendations and management action plans by working under the direction of the Lead Auditor or Audit Manager. + Prepare detailed work papers for ... all aspects of audits following departmental standards and procedures. **The Internal Auditor will perform or assist in the following:** + Supports the internal… more
- Independent Health (Buffalo, NY)
- …and commitment to diversity and inclusion. **Overview** The Quality Assurance Auditor is responsible for performing monitoring, oversight, and quality assurance ... during the quality assurance process to ensure resolution. The Quality Assurance Auditor will analyze, document, and report on results to business stakeholders and… more
- Army National Guard Units (Camp Murray, WA)
- …is a Washington National Guard Title 5 Excepted Service Technician position: AUDITOR Location: Washington United States Property and Fiscal Office CAMP MURRAY, ... this announcement, will not be considered. Responsibilities A GS-0511-9/11/12, AUDITOR : As senior evaluator, distributes and monitors workload among lower-graded… more
- Ventura County (Ventura, CA)
- …CA Job Type Full-Time Regular Job Number 0921AUD-24AE (EO) Department Auditor -Controller Opening Date 12/10/2024 Closing Date Continuous + Description + Benefits ... - 12 paid days per year which includes a scheduled floating holiday. THE AUDITOR -CONTROLLER'S OFFICE By State Law, the Auditor -Controller is charged with the… more
- The Cigna Group (Seattle, WA)
- …changes in processing procedures. **Job Description** The Quality Review and Audit Lead Hybrid Auditor is primarily responsible for using analytical skills ... requirements. **ESSENTIAL FUNCTIONS** + Perform efficient and effective network pharmacy claims audits to produce results consistent with departmental policies and… more
- 3M (Maplewood, MN)
- Job Description: Software Systems Lead Collaborate with Innovative 3Mers Around the World Choosing where to start and grow your career has a major impact on your ... You'll Make in this Role As a Software Systems Lead , you will have the opportunity to tap into...such as migrating legacy systems, regional deployments of the Claims module and implementing process improvements for CMP +… more
- Ventura County (Ventura, CA)
- …and financial analysis/reporting duties. At the Senior level, may provide lead supervision to lower level professional, technical or clerical staff. DISTINGUISHING ... financial analysis/reporting requirements; positions may also be assigned direct or lead supervisory duties over lower level staff when such assignments are… more
- Trinity Health (Columbus, OH)
- …effective working relationship with providers and their billing staff + Performs responsibilities of Claims Auditor as time and work load permit and dictate + ... equivalent preferred + Minimum of 5 years experience in claims auditing, billing and/or coding. + Must possess an...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Export-Import Bank of the United States (Washington, DC)
- …and servicing of the Bank's loans, guarantees, insurance, and related claims , debt rescheduling programs and certain administrative accounting. The incumbent serves ... and various complex aspects of servicing of EXIM's insurance, loan, guarantee, and claims credit activities, such as disbursements of loans, claims , commission… more
- Northrop Grumman (CA)
- …Certification in J-STD-001, IPC-A-610, IPC/WHMA-A-620. + Six Sigma or Lean certifications. + Lead auditor experience to ISO 9001 and AS9100, AS9102 requirements. ... material defect occurrences and verification of supplied material defect claims + Lead on-site supplier engagements, including...in Geometric Dimensioning and Tolerancing (ANSI Y14.5M) + ASQ Lead Auditor , CQE, CQM Certification **What We… more
- BD (Becton, Dickinson and Company) (San Diego, CA)
- …and participate in internal and external audits, addressing findings promptly. + Lead investigations into deviations, non-conformances, and customer claims . + ... a **maker of possible** with us. **Key Responsibilities:** + Lead the evaluation and disposition of held or nonconforming...a focus on minimizing Escape incidents. + Oversee intracompany claims and drive the resolution process. + Conduct and… more