- NTT DATA North America (Ontario, CA)
- …system enhancements, audits, and process optimizations. **Responsibilities** Adjudication & Review + Process comprehensive medical claims using Xcelys and associated ... subsystems + Resolve complex pends, coding issues, and contract exceptions + Author overpayment/underpayment determinations and coordinate appeals Quality &… more
- Stanford University (Stanford, CA)
- …scales requiring judgment in applying non-routine procedures. Analyze and summarize results for review with supervisor. Audit the accuracy and validity of data. ... on a participant's schedule. Data analysis also requires detailed coding by multiple coders to ensure scientific rigor. The...+ Review and audit case report forms for completion and accuracy with… more
- LA Care Health Plan (Los Angeles, CA)
- …the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents ... and pay/education). (30%) Assist in the technical aspects of the retrospective review process for authorizations and Member or Provider Appeals, including, but not… more
- Alexandria Real Estate Equities, Inc (Pasadena, CA)
- …checking for accuracy of the dollar amount, verifying general ledger coding to invoice support, monitoring time-sensitive invoices, reviewing for completeness of ... fees and/or service interruptions. + Assist with the annual review of the vendor master file, including review...credit card transactions for payment and obtain general ledger coding as part of month-end accounting close. + Prepare… more
- NTT DATA North America (Ontario, CA)
- …and process optimizations. **Key Duties & Responsibilities** -Adjudication & Review -Process comprehensive medical claims using Xcelys and associated subsystems ... -Resolve complex pends, coding issues, and contract exceptions -Author overpayment/underpayment determinations and coordinate appeals - Quality & Compliance… more
- Live Nation (Calabasas, CA)
- …policies and procedures + Maintain adequate support for all project transactions and provide audit backup as needed + Review and approve invoices to ensure ... and inspire a unique level of fan interaction. The quality of the Headliner experience is our top priority....ad-hoc analysis to improve broader forecast accuracy Compliance + Audit all co-promoter and venue settlements for inclusion in… more
- Prime Healthcare (Ontario, CA)
- …cost of Claims for all Prime Healthcare's self-insured Employee Health Plans. Through in-depth audit and review of Claims data, the VP will identify financial ... Health Plan Operations, Health Performance Metrics, Cost Reduction, Market Forces, Quality and Delivery of Care, Regulatory Reforms, Strategy and Operating Models,… more
- BRIDGE Housing Corporation (San Francisco, CA)
- …entire portfolio EXTERNAL AUDITORS + Collaborate with external auditors during interim and year end audit season. + Review and provide comments on the audit ... team + Oversee accuracy and integrity of general ledger, ensuring proper coding and posting transactions. + Analyze, investigate and explain budget variances,… more
- Robert Half Finance & Accounting (Modesto, CA)
- …accounts payable aging to the general ledger * Oversee period-end accruals and audit entries to ensure all invoices are accounted for and expenses are recorded ... culture of continuous improvement by identifying and implementing process enhancements * Review and approve team timecards, schedules, and time off requests *… more
- Coinbase (Sacramento, CA)
- …and business risk owners. * Maintain source of truth risk register: Quality control of data, tooling support, and implementing automation/process improvements to ... for risks, assessments, and reporting to meet regulatory requirements. * Support audit and regulatory inspections: Support data compilation to respond to US and… more
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