- AIG (Atlanta, GA)
- …rating, policies, endorsements, etc.). + Performs quality control of premium audit statements prior to underwriting review ; documents discrepancies and work ... coverages and program structures, as well as internal policy coding systems to ensure account completeness. + Designated as...with the premium auditor for resolution. + Performs quality control of adjustments prior to underwriting review… more
- Chenega Corporation (Atlanta, GA)
- …in Deltek verifying the expenses are per the JTR and Chenega travel policy + Review , reconcile and provide cost coding for direct vendor invoices + Track vendor ... where there is a robust employee benefits program, management engagement, quality leadership, an atmosphere of teamwork, recognition for performance, and promotion… more
- Coinbase (Atlanta, GA)
- …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
- CenterWell (Savannah, GA)
- …inquiries, requests, and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality care and identifying opportunities for ... / disease + prevalence / appropriate levels of clinical quality care + Providing guidance to individual clinicians about...quality indicators + Good understanding of best practice coding and documentation in value based environment + Leveraging… more
- Molina Healthcare (Atlanta, GA)
- …Utilization Management and Long-Term Services & Supports issues. + Identifies and reports quality of care issues. + Prepares and presents cases in conjunction with ... specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service...pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS… more
- Prime Therapeutics (Atlanta, GA)
- …in accordance with procedures or to present to management to recommend for audit or investigation. Serves as a corporate resource on fraud, waste and abuse ... data to find suspicious patterns and outliers using knowledge of healthcare coding conventions, fraud schemes, and general areas of vulnerability. + Contact… more
- Truist (Atlanta, GA)
- …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** We are seeking a skilled Mainframe Software ... closely with other developers, product owners, and stakeholders to deliver high- quality , efficient software solutions that support critical business processes. The… more
- SitusAMC (Atlanta, GA)
- …of the client's CRE loans + Ensure adherence to internal policies, quality standards, and management direction while meeting contractual deliverables to clients and ... Summarize research, as needed, to comprehensively respond to inquiries from Lenders, Audit , Rating Agency and other authorized stakeholders + Design and build… more
- Truist (Atlanta, GA)
- …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** We are seeking a seasoned and hands-on ... to codify controls into automated pipelines, ensuring software systems are audit -ready by default. *Implement compliance-aware telemetry and alerting tied to… more
- Regions Bank (Atlanta, GA)
- …a place to expect more opportunities. If you are focused on results, dedicated to quality , strength and integrity, and possess the drive to succeed, then we are your ... Schedule for a minimum of three years. You may review , modify, or update your information by visiting and...accuracy and effectiveness + Specifies timeframes for the development, audit , and deployment of marketing campaigns + Oversees the… more
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