- Elevance Health (Norfolk, VA)
- **PBM Compliance Manager ( Claims Audit)** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... is granted as required by law. The **PBM Compliance Manager ( Claims Audit)** is responsible for coordinating pharmacy compliance activities and initiatives… more
- CVS Health (Scottsdale, AZ)
- …through the CVS Health claims processing systems. The Pharmacy Claims Auditor will identify and rectify claim inaccuracies that would result in client ... transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local...stay well in body, mind and spirit. The Pharmacy Claims Reviewer is responsible for reviewing pharmacy claims… more
- Sherman Associates, Inc. (St. Pete Beach, FL)
- …with Sherman Associates, an accomplished and proven real estate development and management company . Our commitment to people and our vision for the future, combined ... makes Sherman Associates who we are today. The Night Auditor is a key member of the Guest Services...provide the highest level of guest service and that company standards are met and maintained at all times.… more
- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- …a Quality Assurance Manager in a manufacturing setting + A Certified Aerospace Auditor certification is preferred + Qualified candidates must be an ASQ Certified ... Manager of Quality/OE, Certified Quality Auditor or a Certified Quality Inspector + Experience with...online, driving course to be authorized to drive for company purposes. UIC is an equal opportunity employer. We… more
- dsm-firmenich (Princeton, NJ)
- …opportunity to work for a company where sustainability is much more than a claim and is core to our strategy and purpose. **You bring:** + Minimum 10 years of ... experience in a publicly traded multinational B2B or B2C company required + Proven expertise in the field of...in the field of internal audit; CIA (Certified Internal Auditor ), CPA (Certified Public Accountant), CFE (Certified Fraud Examiner)… more
- CVS Health (Springfield, IL)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... in Illinois or Florida. As a Regional Pharmacy Onsite Auditor , you will be an essential part to the...based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing… more
- UGI Corporation (King Of Prussia, PA)
- Paralegal Location: King Of Prussia, PA, US, 19406 Workplace Environment: Hybrid Company : UGI Corporation Requisition Number: 26040 UGI Corporation (NYSE: UGI)is a ... holding company that distributes and markets energy products and services...assist with drafting corporate resolutions and secretary's certificates. Handle auditor request letters. + Real Estate: Assist on right… more
- AmeriHealth Caritas (Newtown Square, PA)
- …; The manager must have the ability to determine correct coding, review claims , medical records and billing data from all types of healthcare providers for ... performance goals. + Proactively identify and analyze patters or anomalies in pharmacy claims and operations indicative of fraud, waste and abuse.; + Lead and manage… more
- The Cigna Group (Bloomfield, CT)
- …needed and provide background knowledge needed to interpret audit scope. As a Staff Auditor , this position may act as a resource for less experienced team members ... informed, objective assessment of the accuracy and legitimacy of claims audited. + Utilize personal knowledge of medications and...and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition… more
- Siemens Energy (Orlando, FL)
- …and activities, compile/review final Quality Documentation packages for customer, warranty claim support. **What You Bring** + Bachelor's degree in engineering, ... of quality management systems, non-conformance management and continuous improvement systems. Internal Auditor certified is a plus point. + Ability to take ownership… more