• Risk Adjustment Audit Operations Analyst…

    Molina Healthcare (Cincinnati, OH)
    …Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS audit processes or healthcare compliance requirements **Ideal Candidate Attributes** ... Data Validation) team, assisting in the execution of CMS and internal audit activities. This position contributes to the development of chart retrieval chase… more
    Molina Healthcare (08/08/25)
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  • Internal Audit Program Manager

    Bon Secours Mercy Health (Cincinnati, OH)
    …data and information Issue resolution Create strategic direction Standard audit processes Healthcare laws (Stark and Anti-kickback) Communication/Presentation ... clinical and operational excellence. **Primary Function/General Purpose of Position** Leads internal audit projects according to the audit plan throughout the… more
    Bon Secours Mercy Health (08/11/25)
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  • Healthcare Process Risk Manager (Internal…

    Grant Thornton (Cleveland, OH)
    …and the overall effectiveness and efficiency of processes. + Oversee internal audit outsourcing and co-sourcing engagements for clients. + Manage the risk ... 4 years of direct experience with diverse life sciences companies or healthcare providers, including hospitals, academic medical centers, healthcare systems, and… more
    Grant Thornton (08/08/25)
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  • Senior Risk Partner - Compliance Officer

    Highmark Health (Columbus, OH)
    …related field **EXPERIENCE** **Required** + 7 years in compliance, privacy, government affairs, healthcare operations, risk, audit , or legal functions + 5 years ... role ​ **Preferred** + 10 years in compliance, privacy, government affairs, healthcare operations, risk, audit , or legal functions + 5 years in Healthcare more
    Highmark Health (07/29/25)
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  • Director, Operational Oversight - Medicare…

    Molina Healthcare (OH)
    …**Required Education** Bachelor's Degree or equivalent years of experience in Healthcare Administration such as oversight, audit , etc. **Required Experience** ... from regulatory agency through analysis and response to findings. * Organize audit submissions, interact directly with auditors for all lines of business as… more
    Molina Healthcare (07/19/25)
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  • Audit & Reimbursement Senior

    Elevance Health (Mason, OH)
    ** Audit & Reimbursement Senior** **_Virtual:_** _This role enables associates to work virtually full-time, with the exception of required in-person training ... Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC)… more
    Elevance Health (08/08/25)
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  • Audit & Reimbursement III (US)

    Elevance Health (Mason, OH)
    ** Audit & Reimbursement III** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... and Medicaid Services to transform federal health programs. The ** Audit & Reimbursement III** is responsible for completing limited...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (08/14/25)
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  • Recovery Audit Analyst I

    Elevance Health (Mason, OH)
    **Recovery Audit Analyst I** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, ... accommodation is granted as required by law. The **Recovery Audit Analyst I** is responsible for auditing and facilitating...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (08/19/25)
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  • Inpatient Audit Specialist

    Datavant (Columbus, OH)
    …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
    Datavant (08/13/25)
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  • Inpatient Audit Specialist

    Datavant (Columbus, OH)
    …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
    Datavant (07/29/25)
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