- 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
- CVS Health (Phoenix, AZ)
- …part of CVS Caremark's extensive Pharmacy Audit division. The Medicare Pharmacy Claims Auditor will administer assigned Medicare Part-D Compliance Audit ... Programs, review pharmacy submitted Medicare claims , make independent decisions, and call network pharmacies to...or pharmacy. -2+ years experience in PBM or pharmacy claim processing systems . -Familiarity with current CMS… more
- Medical Mutual of Ohio (OH)
- …including HEDIS audit submission, Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey (HOS). Supports data capture and ... To include data documentation, compilation, reconciliation, and research.Works directly external HEDIS/NCQA auditor to resolve any items on Issue Log. + Reviews data… more
- Covenant Health Inc. (Knoxville, TN)
- …in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, ... patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times. Position… more
- Albany Medical Center (Albany, NY)
- …Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a pharmacy liaison and interface with finance, billing, revenue ... billing practices by reviewing patient records, medication orders, and insurance claims to identify and correct potential pharmaceutical billing errors. They are… more
- Actalent (Phoenix, AZ)
- …repair station. Our products include lap belts, multi-point safety restraints, and airbag systems for aircraft. The Quality Engineer will work in our repair station, ... FAA 14 CFR Part 21 and Part 145 quality system documentation. + Act as the main point of...standards. + 5 years of experience in Aerospace Quality Systems . + Formal and current accreditation as an ISO/AS9100… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …ICD10, DRG, APC, RBRVS, etc.). + Extensive experience with claims processing systems , claims flow, adjudication process, system edits and display ... in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned,… more
- Sedgwick (Nashville, TN)
- …Accountant (CPA), Certified Internal Auditor (CIA) or Certified Information Systems Auditor (CISA) certification strongly preferred. Great Plains knowledge a ... accounting processes; prepares month-end financial entries to general ledger system ; performs month-end variance review; and provides monthly forecast variance… more
- The County of Los Angeles (Los Angeles, CA)
- …of assets. Reviews trial balances of accounts and reconciles to the Auditor -Controller's Countywide Accounting and Purchasing System (eCAPS) and subsidiary ... Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its unified system of 23 health centers… more