- CVS Health (Scottsdale, AZ)
- … submitted through the CVS Health claims processing systems. The Pharmacy Claims Auditor will identify and rectify claim inaccuracies that would result in ... to not only help people get well, but help them stay well in body, mind and spirit. The Pharmacy Claims Reviewer is responsible for reviewing pharmacy claims… more
- Insight Global (Irvine, CA)
- …with strong understanding of medical terminology. Previous experience as a medical claims examiner or auditor preferred. Experience with claim investigation, ... An employer in the Irvine area is seeking a Claims Examiner II. This is a hybrid position, working...be responsible for the investigation, determination, and reporting of claims processing through auditing billing processes, including pre and… more
- Actalent (West Des Moines, IA)
- …requires auditing and pricing a wide variety of claim types and identifying claims requiring further review. The Nurse Auditor will also maintain productivity ... Job Title: Nurse Auditor Job Description We are seeking a highly...HCPCS. The successful candidate will be responsible for adjudicating claims , maintaining compliance with client contracts, and ensuring accuracy… more
- Actalent (West Des Moines, IA)
- …understanding of standard medical coding, including CPT, ICD-10, and HCPCS. The Nurse Auditor is responsible for adjudicating claims to comply with client ... Job Title: Nurse Auditor Job Description This role requires a thorough...documentation. This includes determining accurate payment criteria for pending claims , auditing and pricing a wide variety of claim… 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 audit submitted information and communicate business… more
- United Rentals (Stamford, CT)
- …charges, and other negotiated terms. + Apply these terms when assessing auditor claims to identify potential misinterpretations or overreach. + Findings ... internal and external stakeholders - with the goal of minimizing unwarranted financial claims and protecting company revenue. **What you'll do:** + Audit Intake &… more
- Insight Global (Phoenix, AZ)
- …logistics charges, and other negotiated terms. ○ Apply these terms when assessing auditor claims to identify potential misinterpretations or overreach. ○ Analyze ... and external stakeholders - with the goal of minimizing unwarranted financial claims and protecting company revenue. Responsibilities ○ Serve as the primary point… more
- The County of Los Angeles (Los Angeles, CA)
- INTERNAL AUDITOR / ACCOUNTANT- AUDITOR Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4103628) INTERNAL AUDITOR / ACCOUNTANT- ... CA Job Type Full time Job Number S0675I Department AUDITOR -CONTROLLER Opening Date 09/02/2025 Closing Date 9/19/2025 5:00 PM...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Auditor 1/ Auditor Trainee 1/ Auditor Trainee 2 (NY HELPS) Occupational Category ... 800 North Pearl Street City Albany State NY Zip Code 12204 Duties Description An Auditor 1 performs research on the functions of the organization to be audited to… more
- New York State Civil Service (Brooklyn, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... City Brooklyn State NY Zip Code 11201 Duties Description Auditor 1 (Tax) performs on-site field audits and examinations...and advocate disputed cases at BCMS conferences and Small Claims Hearings. May participate at hearings as a witness… more
Recent Jobs
-
Entry Level Developer (Intern)
- Two95 International Inc. (Cherry Hill, NJ)
-
Outside Sales Representative
- Haun Welding Supply (East Windsor, CT)
-
Business Development Manager, Strategic Accounts
- WATTS (Blauvelt, NY)
-
Medical Director for the Master Program in Forensic Medicine Open Rank: (Professor/Associate/Assistant)
- University of Maryland, Baltimore (Baltimore, MD)