- Molina Healthcare (NE)
- …is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it ... applied to the appropriate modules within the core processing system (QNXT). * Conducts focal healthcare Medical claim...+ Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using… more
- City of New York (New York, NY)
- …reports. - Participates in and reviews the processing of fiscal documents, claims , financial statements, and the accounting for the receipt, deposit and disbursement ... work using information available in various phases of the accounting systems , account relationships and established techniques for computing and verifying accounting… more
- City of New York (New York, NY)
- …of guidance. - Conduct and perform reviews/audits and analyze reimbursement claims , conduct field/site visits to ensure compliance with Local laws/regulations, ... direction, conduct detailed fiscal/operational and financial audit reviews to evaluate systems of internal control effectiveness. This includes reviews of invoices,… more
- Commonwealth Care Alliance (Boston, MA)
- …on financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System ) ... claims auditing and/or utilization review required + 7+ years experience with Optum Claims Editing System (CES), Zelis, Lyric or other editing tools +… more
- DoorDash (Tempe, AZ)
- …company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are looking for forward ... DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's...CRMs, G-Suite, and related tools. + Manage multiple operating systems simultaneously. + Maintain a high level of confidentiality… more
- Montana State University (Bozeman, MT)
- …), Certified Information Systems Security Professional ( CISSP ), Certified Information Systems Auditor ( CISA ) or similar within 6 months of established ... Title IT Professional Working Title Controlled Unclassified Information, Information Systems Security Manager Brief Position Overview The Controlled Unclassified… more
- Hartford HealthCare (Farmington, CT)
- …become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of ... and our departments now work on behalf of the system as a whole, rather than a single member....*__* *_Position Summary:_* The Quality Revenue Cycle Billing and Auditor Specialist is responsible for ensuring accuracy, compliance, compliance… more
- System One (Lakewood, NJ)
- …mechanical assembly operations. + Lead, manage, and improve the Quality Management System (QMS) in alignment with ISO 9001:2015 standards. + Supervise quality ... compliance. + Investigate product non-conformances, customer complaints, and warranty claims , leading root cause analysis and corrective/preventive actions (CAPA). +… more
- Indy Gov (Indianapolis, IN)
- …contacting customers and/or Assessor's Office for follow-up + Enter and review received claims in PVD.net taxing system and leave detailed notes regarding ... Building, IN Job Type Full Time Job Number 09377 Department Marion County Auditor Opening Date 10/09/2025 Closing Date 10/19/2025 11:59 PM Eastern + Description +… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …compensation, property, and casualty exposures. ORM is also responsible for managing all tort claims made against the state or any of its agencies, whether or not ... of Federal Regulations. ORM contracts with a third party administrator to provide claims adjusting and loss prevention services, however ORM retains its authority to… more