- Highmark Health (Austin, TX)
- …to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and ... is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the… more
- Live Nation (Houston, TX)
- …to join our Corporate Internal Controls Group. The role will be engaged to review the existing design, evolve the control framework as the Company grows, and assist ... environment. The ideal candidate will have a strong IT audit , global risk compliance background from a top-tier public...processes + Assist management in control execution and control review + Act as a subject matter expert on… more
- Fujifilm (College Station, TX)
- …in TX. Responsibilities will include one or more PQS sub-system: Internal Audit , External (Customer) Audit , Health Authority Inspection, and Remediation. Lead ... Compliance team to deliver exceptional performance of each assigned sub-system. + Internal Audit . + External (Customer) Audit . + Health Auditory Inspection &… more
- Elevance Health (Grand Prairie, TX)
- …documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How you will make ... coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of… more
- Discover (Houston, TX)
- …and submit them directly to leadership. + Support internal and external audit requirements as needed. + Maintain accurate issue management records and escalate ... procedures, ensuring they are documented and addressed. + Facilitate an annual review of procedures and controls to maintain compliance and mitigate emerging risks.… more
- RGP (Dallas, TX)
- Seeking experienced Credit Risk Audit Consultants to enhance audit processes and align with industry best practices. This role is crucial in supporting the ... client's Audit for Credit Risk team, focusing on both Traditional...stress testing, and risk management practices. * Assess and review lending practices, with a focus on traditional lending… more
- ITS Technologies & Logistics (Fort Worth, TX)
- …audits to identify any overpayments, cost reduction opportunities and/or fraud. + Review contracts and collaborate with stakeholders to determine intent of terms and ... actionable recommendations for improvement. + Prepare clear, concise, and well-documented audit reports summarizing audit findings, risks, and recommendations. +… more
- Citigroup (Irving, TX)
- …with key clients in Banking and Risk and with key Regulators, Internal Audit , and control functions + Coordinates projects and optimizes resource allocations within ... ability to effectively engage with regulators and internal control functions including Internal Audit and Fundamental Credit Risk as well as with external audit .… more
- Conduent (Dallas, TX)
- …CPhT** **Do you have a CPhT certification?** **Would you like to audit pharmacy claims for accuracy?** **About the Role** Conduent Payment Integrity Solutions ... to prescription requirements and pharmacy practices. + Responding to pharmacy calls regarding audit results and dealing with clients periodically to report audit … more
- Santander US (Dallas, TX)
- …related to auto finance and banking products. In this role, you will review policies and procedures and perform independent testing activities (testing and on-going ... in conjunction with other testers, working cross-functionally, conduct validations, prepare audit or exam requests, or train other less experienced testers. +… more