• Specialist, Configuration Oversight

    Molina Healthcare (NY)
    **Job Description** **Work hours will be 7am-4:30pm PST M-F** **Job Summary** Responsible for conducting various audits including, but not limited to; vendor, focal, ... audit the auditor . Confirm that documentation is clear and concise to...to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of… more
    Molina Healthcare (07/18/25)
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  • Principal Accounting Systems Technician

    The County of Los Angeles (Los Angeles, CA)
    …systems. + Supervises the review of audit findings prepared by the County Auditor and outside agencies and supervises the preparation of reports to support requests ... professional auditing or accounting experience** at the level of Senior Accountant- Auditor , Senior Accounting Systems Technician , Senior Accounting Systems Analyst… more
    The County of Los Angeles (05/14/25)
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  • Network Management - Analyst-Scottsdale Only

    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 ... stay well in body, mind and spirit. The Pharmacy Claims Reviewer is responsible for reviewing pharmacy claims...will contact pharmacies for proper documentation to ensure a claim was submitted correctly as well as monitor assigned… more
    CVS Health (07/11/25)
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  • Accountant I/II/Senior

    Ventura County (Ventura, CA)
    …I) or calculates and analyzes (Accountant II) Incurred but not Reported medical claims based on system generated claim lag reports to provide realistic ... increase within the pay range upon completion of at least 1,040 hours (approximately 6 months) assuming work meets satisfactory standards. Subsequent merit increases… more
    Ventura County (06/02/25)
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  • Senior/Principal Accountant-MB

    Ventura County (Ventura, CA)
    …certification skills. + Annual Leave: The candidate selected for this position will earn 208 hours per year, increasing to 288.08 hours after 5 years of service. ... ability to "cash in" or redeem up to 100 hours of Annual Leave per year after using 80...staff, CEO Budget and Finance, GSA Procurement, and the Auditor Controller's Accounts Payable, Financial Planning, and Financial Reporting… more
    Ventura County (06/02/25)
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  • Financial Examiner/Analyst II

    MyFlorida (Tallahassee, FL)
    …years of professional experience as a Financial Examiner/Analyst I or Internal Auditor with the State of Florida. Professional or nonprofessional experience as ... required on the candidate profile). + Work history, duties and responsibilities, hours worked, supervisor, and formal education fields, etc. must be filled out… more
    MyFlorida (08/08/25)
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  • Human Resource & Payroll Specialist

    Iowa Department of Administrative Services (Des Moines, IA)
    …and resolve all claims that have been identified by the DPS pre- auditor . + Facilitate the disability process for the POR Board of Trustees, POR members ... Iowa's CAFR. Coordinate annual audit of program by the Auditor of State of Iowa. + Perform functions for...of the required full-time experience for each 30 semester hours of the required education to a maximum substitution… more
    Iowa Department of Administrative Services (07/29/25)
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  • Manager Special Investigations Pharmacy Unit

    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 ... This position is a remote eligible position working East Coast hours . ;Quarterly travel required to corporate office.; **RESPONSIBILITIES** + Accountable for… more
    AmeriHealth Caritas (08/02/25)
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  • Health Care Financial Analyst/Community Programs

    The County of Los Angeles (Los Angeles, CA)
    …and our communities by providing extraordinary care. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under Federal, State ... requirements for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations and result… more
    The County of Los Angeles (07/27/25)
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  • Compliance Coding And Billing Analyst

    University of Texas Rio Grande Valley (Mcallen, TX)
    …and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, and compliance with ... processes. + Reviews, assesses and analyzes medical records, coding, billing, claims , reimbursements and workflow processes to ensure accuracy, completeness, and… more
    University of Texas Rio Grande Valley (07/11/25)
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