• Claims Auditor

    Centers Plan for Healthy Living (Staten Island, NY)
    …experience Preferred : Type of Experience Required: 2+ years of claim processing experience with a Medicaid/Medicare Health Plan. Preferred : Experience ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
    Centers Plan for Healthy Living (07/15/25)
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  • Billing Auditor for Shared Services

    Planned Parenthood of Central and Western NY (Rochester, NY)
    Billing Auditor for Shared Services Fully Remote * Rochester, Buffalo, or Syracuse, NY * Revenue Cycle Description Billing Auditor for Shared ServicesBuffalo, ... of PPCWNY's mission and the collaboration with Shared Services, the Billing Auditor evaluates Revenue Cycle outcomes to identify and recommend opportunities for… more
    Planned Parenthood of Central and Western NY (07/25/25)
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  • Inpatient DRG Quality Auditor

    Humana (Albany, NY)
    …Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor partners, with a focus… more
    Humana (07/25/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (07/17/25)
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  • Internal Auditor

    New York State Civil Service (Albany, NY)
    NY HELP No Agency SUNY System Administration Title Internal Auditor Occupational Category Financial, Accounting, Auditing Salary Grade NS Bargaining Unit M/C - ... access to records.- Conducts the audit under the supervision of a senior auditor by performing various tests, reviews, reconciliations, and evaluations of accounts, … more
    New York State Civil Service (06/24/25)
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  • Auditor

    Amentum (Albany, NY)
    …on individuals, business entities, and assets. + Analyze large and complex healthcare claims datasets to identify fraud, waste, and abuse patterns. + Design and run ... trends and patterns. + Extract and manipulate federal health claims data using CMS tools such as OnePI, STARS,...standards. + Minimum of three years' experience as an auditor . + Minimum two years specialized experience in the… more
    Amentum (07/08/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Albany, NY)
    …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... and regulations governed by the Department of Insurance and CMS ** Preferred Qualifications** + Compliance regulations knowledge and compliance auditing experience +… more
    Humana (07/29/25)
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  • Specialist, Configuration Oversight

    Molina Healthcare (NY)
    …updates/changes within claims processing system . + Experience using claims processing system (QNXT). ** PREFERRED EDUCATION:** Bachelor's Degree or ... including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to...to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of… more
    Molina Healthcare (07/18/25)
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  • Auditors

    Robert Half Accountemps (Albany, NY)
    Description We are seeking a detail-oriented and motivated Auditor to join our clients team on a long-term contract basis. This role will support grant contract ... and email + Familiarity with electronic data systems and document tracking Preferred Qualifications: + Bachelor's degree in Accounting or related field + Minimum… more
    Robert Half Accountemps (07/10/25)
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  • Manager, Integrated Marketing, Dasher - Insurance

    DoorDash (New York, NY)
    …to connect messaging to downstream metrics, from comprehension to NPS to claims behavior. + Brings strong cross-functional leadership and a track record of ... 1099 audiences or with safety/compliance-oriented products. + Bonus: MBA preferred We expect this position to be filled by...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more
    DoorDash (06/13/25)
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