- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Tuesday, November 5, 2024 Centers Plan for Healthy Living's goal is to create the ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- Elevance Health (Morristown, NJ)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- IQVIA (Bridgewater, NJ)
- …pharmacy audit requests. **Principal Accountabilities:** + Responsible for conducting pharmacy claims audits at the request of operations and management teams. May ... and review documentation necessary for assessing and validating compliance of claims against program business rules. + Exercise independent judgment to determine… more
- AIG (Jersey City, NJ)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the latest tools to ... successful remediation. The role collaborates with Internal Audit and our external auditor 's to ensure requirements are met through technical controls and findings… more
- AIG (Jersey City, NJ)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the latest tools to ... concepts, emerging technologies and associated risk + Certified Information Systems Auditor (CISA) or Certified in Risk and Information Systems Control (CRISC).… more