- Dignity Health (Bakersfield, CA)
- …deep familiarity with the complexities of delegated services, including claims , utilization management, provider data, and network operations. Essential Functions ... Optimization: Identify high-impact manual processes across departments such as Claims , UM, Credentialing, and Provider Data. Facilitate automation readiness… more
- Fresenius Medical Center (Pittsburg, CA)
- …or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to completed initial ... caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is...basis as required by QA processes + Completes monthly audit exam to stay current on internal policies. +… more
- The County of Los Angeles (Los Angeles, CA)
- …developing and implementing the Quality Improvement program for these sections. + Reviews audit and monitoring tools on an on-going basis to ensure applicability and ... revises these tools and/or develops new audit tools. + Performs administrative work related to role...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- The County of Los Angeles (Los Angeles, CA)
- …of higher-level auditors and are typically placed within the Department's Audit Division, Countywide Contract Monitoring Division, or Office of County ... three areas that you may work for: + The Audit Division conducts internal audits of County departments including...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Humana (Sacramento, CA)
- …Compliance team that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This ... action plans, as needed. You will participate in all phases of the audit process including evaluating control design and adequacy, testing to ensure adherence with… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Supervises the evaluation of control systems. + Supervises the review of audit findings prepared by the County Auditor and outside agencies and supervises the ... professional accounting systems analysis work in connection with the internal audit , development, evaluation, and review of large-scale and complex fiscal control… more
- HCA Healthcare (Campbell, CA)
- …in accordance with Generally Accepted Accounting Principles (GAAP) and Audit Standards. Prepares financial statements, variance analysis, and account reconciliations ... on remediation of identified drivers. Requires cross functional understanding of claims , authorization, configuration, and system flow of data into our financial… more
- DoorDash (San Francisco, CA)
- …accuracy, team efficiency, and our ability to meet financial reporting and audit requirements + Collaborate closely with outside counsel, in-house attorneys, ... claims professionals, and safety teams to move cases forward...been reviewed by an independent auditor. Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144) Compensation The… more
- Grant Thornton (San Francisco, CA)
- …derivative models, equity instruments in complex capital structures, and contingent claims , utilizing advanced statistical and financial concepts such as stochastic ... a licensed, certified public accounting (CPA) firm that provides audit and assurance services ― and Grant Thornton Advisors...tax practice, as well as independent American and Irish audit practices. With $2.7 billion in revenues and more… more
- Tutor Perini (Menlo Park, CA)
- …compliant). Proactively manage financial risks and remediation in order to avoid significant audit issues. Primary leadership role in working with outside audit ... considerations, including revenue recognition, accounting for unapproved change orders and claims , and other relevant GAAP standards. * Provide critical financial… more