• Claims Auditor

    Centers Plan for Healthy Living (Staten Island, NY)
    …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...keep up to date with departmental changes in conducting quality reviews. + Ensure the consistent use of current… more
    Centers Plan for Healthy Living (07/15/25)
    - Related Jobs

  • Food Safety & Food Quality Auditor…

    Boar's Head Brand/Frank Brunckhorst Co., LLC (Brooklyn, NY)
    …required (ie American Society for Quality - Certified Food Safety & Quality Auditor , Certified Supplier Quality Professional and/or able to obtain ... the Boar's Head Audit Team in conducting comprehensive Food Safety and Product Quality audits across a variety of venues, including Food Service Operations, Retail… more
    Boar's Head Brand/Frank Brunckhorst Co., LLC (07/01/25)
    - Related Jobs

  • Insurance Internal Auditor

    ManpowerGroup (New York, NY)
    Jefferson Wells is seeking an experienced **Insurance Auditor with Life Claims ** expertise to join our team. The successful candidate will be responsible for ... compliance with company policies, industry standards, and regulatory requirements. The auditor will analyze the claims documentation and processes, identify… more
    ManpowerGroup (07/12/25)
    - Related Jobs

  • Litigation and Investigations Auditor

    CACI International (Latham, NY)
    Litigation and Investigations Auditor Job Category: Finance and Accounting Time Type: Full time Minimum Clearance Required to Start: Public Trust Employee Type: ... litigation and investigative matters. We are seeking a **Litigation and Investigations Auditor ** to support trial and investigative teams with complex audits and… more
    CACI International (07/11/25)
    - Related Jobs

  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
    Elevance Health (07/17/25)
    - Related Jobs

  • 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 - ... SUNY campuses, employees, and students to advance SUNY's mission of providing high- quality , affordable higher education for all.Across a wide range of roles, from… more
    New York State Civil Service (06/24/25)
    - Related Jobs

  • Medical Coding Auditor Evaluation…

    Humana (Albany, NY)
    …of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure ... established guidelines/procedures. **Where you come in** The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters, and manipulates… more
    Humana (07/24/25)
    - Related Jobs

  • Coding Auditor Educator

    Highmark Health (Albany, NY)
    …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, designs and… more
    Highmark Health (05/09/25)
    - Related Jobs

  • Capital Payment Auditor

    City of New York (New York, NY)
    …We provide sidewalks, street reconstruction, water mains, sewers, and pedestrian ramps quality infrastructure that is essential for a healthy, resilient city. To ... 4500 payment requests annually. DDC seeks a Capital Payment Auditor to review and process these payment requisitions. To...(in FMS3); and adjust payment voucher(s) due to liens, claims and assignments. The candidate will use the DDC… more
    City of New York (06/25/25)
    - Related Jobs

  • Deputy Director - Office of Contract Agency Audits

    City of New York (New York, NY)
    …PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE MANAGEMENT AUDITOR CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. CANDIDATES MUST STATE THE TITLE ... city, state, and federal funds to a wide range of innovative, practical, and quality programs that positively impact youth and communities. Within DYCD the Office of… more
    City of New York (07/10/25)
    - Related Jobs