- Independent Health (Buffalo, NY)
- …will aid in training other team members, evaluating appeals, and share audit trends across the team. Expertise and proficiency demonstrated by long-standing, ... others, to identify coding patterns and share knowledge and audit tips across the team. The Clinical & Coding...appeals to include review of records, consultation with Medical Director , response to facilities as well as coordination of… more
- Trane Technologies (Davidson, NC)
- …Preconstruction team covering the US and Canada. This role will report to the Director of Preconstruction, Energy Services. **_This role serves as one of the NA ... project development standard work. Key activities will include working with Clients ( Healthcare Emphasis) and Regional team members on sales and sales strategy,… more
- Commonwealth Care Alliance (Boston, MA)
- …a related field preferred. Required Experience (must have): * 5+ years in healthcare compliance, regulatory affairs, or claims audit . * Experience working with ... will not be considered at this time._** Position Summary: Reporting to the Director , Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr.… more
- RTX Corporation (Hartford, CT)
- …of digital risks in RTX's Corporate digital environment. The role reports to the Associate Director - Risk Assessments & Audit Engagement and will require a deep ... updates on digital risk assessment activities and identified risks to the Associate Director - Risk Assessments & Audit Engagement. + Conduct quality assurance… more
- V2X (Reston, VA)
- …best practices. This role focuses on access governance, segregation of duties, audit readiness, and risk mitigation across key business processes supported by the ... The specialist partners closely with IT, Finance, HR, Supply Chain, and Audit teams to design, monitor, and enforce compliance controls, while also supporting… more
- Covenant Health Inc. (Knoxville, TN)
- …Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and ... division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than… more
- Methodist Health System (Dallas, TX)
- …III denial actions and resolutions. **_Duty 3_** : At the direction of the Director / Audit Manager, perform random risk audits for areas of concern to assure ... other areas within the coding/auditing department as directed by Director / Audit Manager. **_Duty 8_** : Adhere to...Our fast-growing network of providers includes more than 60 healthcare clinics, an urgent care clinic, and a virtual… more
- Chewy (Boston, MA)
- …products, including hard goods (hard lines, soft lines, electronics), consumables, and healthcare items! We are committed to delivering safe, durable, and innovative ... Act (FTC), and EPR. In addition, this role will support consumables and healthcare categories as needed, ensuring compliance with FDA (including CVM), USDA, AAFCO,… more
- University of Utah Health (Murray, UT)
- …2+ years of experience in risk adjustment analytics within a health plan or healthcare organization. + Proficiency in SQL and data analysis tools (eg, SAS, Python, ... calculations. Corporate Overview: University of Utah Health is an integrated academic healthcare system with five hospitals including a level 1 trauma center, eleven… more
- Penn Medicine (Bala Cynwyd, PA)
- …secretarial support to the department Associate Vice President, Billing Compliance Officer, Director , Associate Directors, and other members of the Office of Billing ... supervision. Responsibilities: + Provides administrative support to the department AVP, Director , Associate Directors, and other members of the Office of Billing… more