- Somatus (Mclean, VA)
- …and Special Need Plans (SNPs). The Director, Quality will work closely with Sr. Manager , Audit Risk and the Regulatory and Accreditation Team to ensure ... grow, and be the best version of themselves, including: + Subsidized, personal healthcare coverage (medical, dental vision) + Flexible Paid Time Off (PTO) +… more
- Point32Health (MA)
- …health and well-being organization dedicated to delivering high-quality, affordable healthcare . Serving nearly 2 million members, Point32Health builds on the ... We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at.... **Job Summary** Under the direction of the A&G Manager , the Appeals & Grievances QA Auditor audits the… more
- Walgreens (Daphne, AL)
- …in events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, District Manager or Pharmacy Manager . ... other healthcare services. + Assists and supports the pharmacy manager in analyzing performance data including pharmacy financial, customer service, and… more
- Medtronic (Northridge, CA)
- …can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down ... organization on technical accounting matters. + Internal and External Audit Coordination: + Act as the primary point of...computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …expert regarding coding and billing. The Professional Auditor, under the direction of Audit manager , will collaborate with a variety of business units including ... Ready to help us transform healthcare ? Bring your true colors to blue. About...behaviors of the audited facility and prepares feedback with audit findings. Monitors and identifies existing & emerging issues/trends… more
- MedKoder (Mandeville, LA)
- …the unique needs of the client remotely and on-site; + Communicate with the Physician Audit and Education Manager on issues, trends, and audit timeline task ... and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work. Position...customized reports, including supporting documentation; + Prepare and present audit follow-up education to clients; + Prepare and present… more
- Dignity Health (Bakersfield, CA)
- …processes and procedures. Responsibilities may include: - Attend ICE Credentialing Shared Audit Team Workshops and Teleconferences on a monthly basis to keep ... Notify Provider Relations Department of need for site visits. Provide Site Visit Audit Tool and copies of Physician Office Policies and Procedures for Provider… more
- Baylor Scott & White Health (Hagatna, GU)
- …individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core ... **Essential Functions of the Role** + Serves as Project Manager to plan, organize, and direct work. Ensures projects...mitigate risks. + Assigns work program procedures and other audit tasks to auditors assisting on assigned projects. +… more
- V2X (Reston, VA)
- …and remediation efforts, and provide clear and actionable reports for management and audit committees. + Work with control owners and stakeholders to develop and ... auditors, facilitating requests and providing documentation to support their annual audit requirements. + Identify opportunities to improve control processes and… more
- Highmark Health (Nashville, TN)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more