- H&H (New Haven, CT)
- We are offering an exciting opportunity for a Quality Auditor to join the H&H Quality Department in our New Haven, CT office. The Quality Auditor ... inspection of the project's quality control documents and system. The Quality Auditor will prepare audit reports and assessments and assist the Quality … more
- Humana (Hartford, CT)
- …caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Baylor Scott & White Health (Hartford, CT)
- **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),...experience. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs routine coding quality reviews on all coders including third party suppliers… more
- Elevance Health (Wallingford, CT)
- **Internal Auditor , Senior** **Location:** Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that ... be discussed as part of the hiring process. The **Internal Auditor , Senior** is responsible for conducting financial/operationalaudits, internal control assessments,… more
- Humana (Hartford, CT)
- …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...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Elevance Health (Wallingford, CT)
- **DRG Coding Auditor (DIAGNOSTIC RELATED GROUP)** _This position will work virtually._ _Alternate locations may be considered._ _The Ideal candidate must live within ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG Coding Auditor ** is responsible for auditing inpatient medical records and generating… more
- Elevance Health (Wallingford, CT)
- **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
- The Cigna Group (Bloomfield, CT)
- …of, relevant certifications and memberships for ongoing professional growth. The Senior Internal Auditor will be: + Empowered to lead the execution of audit and ... industry and/or public accounting experience including 1+ years of in-charge/senior auditor experience. + Knowledge of healthcare industry and audit experience… more
- Humana (Hartford, CT)
- …caring community and help us put health first** The Senior Data Quality /Integrity Engineer understands end-to-end data processes and flows and uses that knowledge ... processes. **Location:** Remote In this key role on the Quality Systems Integration (QSI) team, the QSI Senior Data...and nonstandard supplemental data audit with NCQA and DTS auditor . **Use your skills to make an impact** **Required… more
- Hilton (Hartford, CT)
- …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 ... 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… more
- Highmark Health (Hartford, CT)
- …with key organizational leaders and review and establish a program to ensure the quality of work performed consistently meets Institute of Internal Auditor (IIA) ... **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Certified Information System Auditor (CISA) + Certified Internal Auditor (CIA) + Certified… more
- The Cigna Group (Bloomfield, CT)
- …third party testing resources, deliverables and resolution of control issues and auditor questions + Ensure integrity and quality of documentation involving ... SOX controls, testing documentation and results + Develop strong partnerships and continue to further strengthen SOX PMO relationships with key stakeholders (Business Areas, auditors and SOX and 3rd party testing teams) + Perform SOX tool administration and be… more
- Sutherland Global Services (Hartford, CT)
- …personnel. You will also be expected to meet all Key Performance Indicators and Quality goals throughout Training and beyond. What you will be doing as a Claims ... Be responsible for effectively adjudicating claims to meet production, quality , and other metrics in accordance with policy/procedures and...information + Refer problem claims to a Lead and/or auditor for additional review + Make sure that the… more
- Elevance Health (Wallingford, CT)
- …but are not limited to:** + Lead the development and execution of high- quality assessments of the Company's complex processes and controls (including pharmacy) for ... to support the work performed. + Present any findings/deficiencies to the lead auditor along with recommendations for remediation. + Work with business partners to… more
- Cengage Group (Hartford, CT)
- …CISM (Certified Information Security Manager) + CISA (Certified Information Systems Auditor ), + CSSLP (Certified Secure Software Lifecycle Professional), + CAP ... a global education technology company serving millions of learners, provides affordable, quality digital products and services that equip students with the skills… more
- Deloitte (Hartford, CT)
- …profession and learn more about the day-to-day responsibilities of an auditor . You'll receive guidance and work closely with experienced audit professionals, ... the trust of the investing public and capital markets. Quality is our top priority, and by focusing on...on innovation, we continue to raise the bar on quality and deliver greater value to our clients. Learn… more
- Deloitte (Hartford, CT)
- …business communication skills + Strong client service orientation + Attention to quality and detail + Willingly seeks new challenges and responsibilities, embraces ... or related roles. + Experience in risk management, project delivery, quality management, technology risk, privacy, confidentiality, or cyber security strongly… more
- CBRE (Hartford, CT)
- …Minimum of 5-10 years of progressive management experience including HSE and Quality related management functions. + Must have strong technical and regulatory ... field of EHS are highly desirable. + Qualifications in auditing such as lead auditor certification for ISO 14001 and ISO 45001 are desirable. + Strong leadership and… more
- CVS Health (Hartford, CT)
- …with regulatory requirements. The Manager develops strategies to manage workload, quality of reviews and process improvements. **Responsibilities:** Lead and mentor ... Certification - Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder… more
- Deloitte (Hartford, CT)
- …team, you'll be on the cutting edge of regulatory compliance, focusing on auditor independence rules and their impacts on the professional services environment. In ... across the globe + Positive attitude, initiative, good judgment, and dedication to quality with the ability to react positively in an environment where priorities… more