- City of New York (New York, NY)
- …function as a Medicaid Quality Control Case Review Supervisor who will: - Review the audit findings determined by the Quality Control Case Reviewers to ... assist the Quality Control Case Reviewers in their eligibility review findings. - Assist the Medicaid Audit ...eligibility review findings. - Assist the Medicaid Audit and Quality Control director with all external … more
- Grant Thornton (Arlington, VA)
- As a Regulatory & Practice Review Seasonal Senior Manager you'll support audit teams for regulatory inspection with all with the resources, environment, and ... help you excel. Your day-to-day may include: + Supporting audit teams that are selected for regulatory inspection +...inspections of issuer and non-issuer audits + Interacting with audit teams and audit leadership on technical… more
- Highmark Health (Pittsburgh, PA)
- …execution of the strategic plan of the Financial Investigations & Provider Review (FIPR) organization. The strategic plan focuses on the detection and investigation ... force in the development of hospital/facility reimbursement related strategies to audit , educate, and secure financial recoveries when necessary, and/or to develop… more
- Molina Healthcare (Warren, MI)
- …analytical team; requires decision making pertinent to clinical experience + Documents clinical review summaries, bill audit findings and audit details in ... set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical knowledge and experience,… more
- Citigroup (Irving, TX)
- …Assets (RWA). This role is within Finance CRO - Capital and RWA Actuals Review Team ("CRRT") whose mandate is to perform independent testing and monitoring of the ... team members in each location work together across different review areas through the course of the year. This...FFIEC 101, FR Y-9C etc.) or Basel Regulator Capital Audit functions is preferred + Understanding of Basel RWA… more
- First Horizon Bank (Charlotte, NC)
- **Description** **Location** : Onsite listed in the job posting. **Job Description** The Review and Challenge Team Lead will oversee the independent review and ... Lead and develop a team of risk analysts specializing in third-party review and challenge activities. + Establish clear performance expectations, provide coaching,… more
- Citizens (Westwood, MA)
- …team member role within the bank's independent Credit Review function. The Credit Review team reports to the bank's Audit Committee and is responsible for ... oversight of all bank lending activities. The Credit Review Analyst supports senior team members in the evaluation...Commercial Real Estate and Community Development. As a Credit Review Analyst, you will assist in executing credit risk… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 09/04/2025 **Requisition Number** PRN43033B **Job Title** Institutional Review Board Adm **Working Title** Institutional Review Board Adm ... University and department policy. **VP Area** President **Department** 00938 - Institutional Review Board **Location** Campus **City** Salt Lake City, UT **Type of… more
- Toyota (Plano, TX)
- …field (STEM). + 5+ years of experience in credit risk management, credit risk review and/or internal audit in a financial services or banking institution with ... this time. **Who we're looking for** The Credit Risk Review (CRR) department at Toyota Financial Savings Bank (TFSB)...data analysis during and as follow up to credit review (loan review ) engagements, including targeted reviews… more
- Houston Methodist (Houston, TX)
- …partners regarding any claim issues or concern that may require clinical review during the pre-bill, audit , or appeal process. **GROWTH/INNOVATION ESSENTIAL ... At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed...expert level at all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse… more