- Molina Healthcare (OH)
- …conducting various audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more
- KeyBank (Brooklyn, OH)
- …through work as a: business, data, operations, compliance, or risk analyst; internal auditor ; or role that includes significant aspects of the listed essential job ... in data mining concepts and approaches with experience in query writing/ coding utilizing analytical programming languages (ie SAS, SQL), data visualization tools… more
- Elevance Health (Mason, OH)
- …verbal inquiries. **How you will make an impact:** + Assists higher level auditor /lead on field work as assigned, including performing special audits and targeted ... and post implementation audits of providers, claims processing and payment, benefit coding , member and provider inquiries, enrollment & billing transactions and the… more
- KeyBank (Brooklyn, OH)
- …through work as a: business, data, operations, compliance, or risk analyst; internal auditor ; or role that includes significant aspects of the listed essential job ... in data mining concepts and approaches with experience in query writing/ coding utilizing analytical programming languages (ie SAS, SQL), data visualization tools… more