- Sharp HealthCare (San Diego, CA)
- …models. + Familiarity with Department of Managed Health Care (DMHC) and DHS audit requirements as well as NCQA standards for delegation. + Demonstrates courteous, ... professional, and cooperative behavior toward internal and external customers. + Knowledge of NCQA, DMHC and CMS credentialing standards, legislative and regulatory requirements. + Excellent computer skills, including proficiency in the MS Office Suite,… more
- Oracle (Washington, DC)
- …**Overview:** Within the NetSuite Global Customer Operations (GCO) organization, the Partner Programs and Operations team supports the extended global partner ... ecosystem involved in acquiring new customer opportunities for NetSuite. To help accelerate the continued growth and momentum of the NetSuite business, the GCO is looking to grow the Partner Programs and Operations team in support of these efforts. This role… more
- The Walt Disney Company (Celebration, FL)
- …assists other groups within the tax department (eg tax planning, tax provision, audit controversy) with the tasks that reside in those groups and in implementing ... department objectives. **What You Will Do:** The overall purpose of this position is to prepare the federal and state tax returns related to specific business units. There will be additional projects related to tax planning and tax provision. This may include:… more
- Sharp HealthCare (San Diego, CA)
- …RVUs, annual review of indirect cost allocation structures, and audit for reasonable cost factors. + Cost effectivenessDemonstrates initiative, cooperation, ... customer focus, and teamwork toward department and system goals by:Meeting established deadlines and completing projects as assigned in an accurate and cost-effective manner.Demonstrating an advanced skill level (as well as consistent improvement in skill… more
- Robert Half Accountemps (Newark, NJ)
- …process gaps and implement both tactical and strategic solutions. + Support audit requests through documentation gathering and review. + Provide regular updates on ... metrics, progress, and projects to senior leadership. + Partner with technology teams to support enhancements and improve automation. + Contribute to process improvements that streamline global data workflows. Requirements Qualifications + Bachelor's degree in… more
- UNC Health Care (Morrisville, NC)
- …organize data to prepare reports and financial documentation, analyze and audit data. **Job Details** Legal Employer: NCHEALTH Entity: Shared Services Organization ... Unit: Financial Planning Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $28.59 - $41.09 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Hybrid Work Schedule: Day Job Location of Job:… more
- Toyota (San Juan, PR)
- …for security operational processes, projects, or technologies. Also, it will audit , assess, implement and review security and risk processes and procedures ... to comply with InfoSec regulations. **Primary Job Accountabilities** **Information / Cyber Security (InfoSec)** **Security Governance** + Attain a strong understanding of business processes, policies, procedures, governance practices and regulatory… more
- Exelon (Carneys Point, NJ)
- …of performance analysis (trending, root cause and gap analysis) benchmarking and audit compliance. Ability to analyze organizational data and problems, interpret and ... recommend alternative courses of action, and implement intervention strategies to attain performance targets. **Preferred Qualifications** **PREFERRED QUALIFICATIONS** Bachelor's degree in Business or Engineering AND 2 - 4 years related business experience, or… more
- JPMorgan Chase (Wilmington, DE)
- …for improvement. The role works on critical processes that must meet regulatory and audit standards. It is an opportunity to have meaningful impact on a large scale ... at a leading financial services firm. **Responsibilities:** + Work closely with, and maintain stakeholder relationships to help determine and drive analytics to provide clear insights. + Manage multiple analytics deliverables including updates to the… more
- Elevance Health (Tampa, FL)
- …of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure ... proper coding was used. + Prepares correspondence to providers regarding coding and fee schedule updates. + Trains customer service staff on system issues. + Works with providers contracting staff when new/modified reimbursement contracts are needed. **Minimum… more
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