• Auditor 1

    Commonwealth of Pennsylvania (PA)
    Auditor 1 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5027127) Apply  Auditor 1 Salary $51,971.00 - $79,062.00 Annually Location ... Police (PSP). We are currently seeking detail-oriented and dependable Auditor 1s to join our team in the Bureau...of determining your eligibility for the position. Information to support your eligibility for the position must be provided… more
    Commonwealth of Pennsylvania (08/08/25)
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  • SOC-1 Business Process Senior Internal…

    The Cigna Group (Philadelphia, PA)
    …is a global Internal Audit function with focus on leading compliance support for Cigna's System and Organization Controls (SOC1) reports over business operations. ... of elevated priority for compliance audits, supporting internal and external auditor requests and testing requirements. Candidate will facilitate risk, control… more
    The Cigna Group (07/31/25)
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  • Nurse Auditor 2

    Humana (Harrisburg, PA)
    …and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied ... of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation… more
    Humana (08/08/25)
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  • Auditor (Performance)

    Defense Logistics Agency (New Cumberland, PA)
    …appropriate. Requirements Conditions of Employment Qualifications To qualify for an Auditor (Performance), your resume and supporting documentation must support : ... education to qualify? You MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: Unofficial transcripts are… more
    Defense Logistics Agency (08/08/25)
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  • Compliance Auditor , Associate

    UPMC (Pittsburgh, PA)
    **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about ensuring compliance in healthcare? **UPMC Corporate ... Finance** is looking for a dedicated and meticulous **Compliance Auditor , Associate** to join our team. This role is crucial in maintaining the integrity of our… more
    UPMC (07/24/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Harrisburg, PA)
    …standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental ... cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must… more
    Humana (07/29/25)
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  • Internal Auditor II- Hybrid (Bala Cynwyd,…

    Philadelphia Insurance Companies (Bala Cynwyd, PA)
    …Marketing Statement: Tokio Marine North America Services (TMNAS) provides professional support services to Tokio Marine Group companies in the United States, ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
    Philadelphia Insurance Companies (06/27/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure ... and apply appeal arguments and draft appeal letters to support and defend the codes assigned by the coding...made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist… more
    St. Luke's University Health Network (07/08/25)
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  • Paralegal

    UGI Corporation (King Of Prussia, PA)
    …will have a background in corporate governance, real estate and litigation support , with exceptional organizational skills and a proactive approach to legal ... support . The employee is expected to provide paralegal ...assist with drafting corporate resolutions and secretary's certificates. Handle auditor request letters. + Real Estate: Assist on right… more
    UGI Corporation (07/24/25)
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  • Manager Special Investigations Pharmacy Unit

    AmeriHealth Caritas (Newtown Square, PA)
    …; The manager must have the ability to determine correct coding, review claims , medical records and billing data from all types of healthcare providers for ... performance goals. + Proactively identify and analyze patters or anomalies in pharmacy claims and operations indicative of fraud, waste and abuse.; + Lead and manage… more
    AmeriHealth Caritas (08/02/25)
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