- Houston Methodist (Houston, TX)
- …Public Accountant - State Licensure **AND** + CIA - Certified Internal Auditor (IIA) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills and competencies ... Physician Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic environment. Houston… more
- Veterans Affairs, Veterans Health Administration (Perry Point, MD)
- …operations across the organization; Plans and coordinates fiscal, acquisition, clinical and administrative operations; Establishes, monitors and manages the ... on environment of care rounds, Internal and External Quality Reviews, and external auditor site visits. These reviews include a review of work areas including… more
- Trinity Health (Albany, NY)
- …Specialist works in a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT ... payment models. + Identify coding discrepancies and work with risk adjustment auditor to communicate deficiencies to providers. Pay Range: $24.60- $35.70 Pay is… more
- UPMC (Pittsburgh, PA)
- …working from home and in the office two days per week. The Insurance Auditor Associate is primarily responsible for the review of high dollar claims and associated ... delivery systems. + Experience and knowledge of reimbursement mechanisms and clinical /procedural coding or five years of claims processing experience, including… more
- Cardinal Health (Annapolis, MD)
- …customized solutions for hospitals, healthcare systems, pharmacies, ambulatory surgery centers, clinical laboratories, physician offices and patients in the home. We ... the Governance of Enterprise IT), CISA (Certified Information Systems Auditor ), CISSP (Certified Information Systems Security Professional), CISM (Certified… more
- Molina Healthcare (NV)
- …Visio (flow chart equivalent) **PREFERRED QUALIFICATIONS:** + Degree in Preferred field: Clinical Quality, Public Health, or Healthcare + 5 years of experience in ... may be preferred for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested in… more
- Biomat USA, Inc. (Kissimmee, FL)
- …of equipment and documentation of procedures. * Ensures that Clinical Lab Improvement Amendments (CLIA) proficiency test surveys, complaint investigations, ... certification from American Society for Quality to be a Certified Quality Auditor . Certification as a Designated Trainer for quality area is required. \#BiomatUSA… more
- Actalent (Watertown, CT)
- …prevent recurrence. + Work closely with R&D, Regulatory Affairs, Manufacturing, and Clinical teams to ensure product quality throughout the development process. + ... + Certified Quality Engineer (CQE) + Six Sigma Certifications + Lead Auditor certification Work Environment The company fosters product performance by building… more
- BJC HealthCare (St. Louis, MO)
- …a team setting? BJC Home Care is looking for an licensed practical nurse Scheduler, auditor and field visits to assist our patients and our Hospice clinical ... team! **Schedule** Monday - Friday 7 am to 3:30 Weekends: as determined Holidays: 2 per year _*Position requires registration with the Family Care Safety registry_ \#LI-TP1 **Overview** **BJC Home Care** offers patients and their families a complete range of… more
- Amazon (Seattle, WA)
- …ongoing financial and risk analysis. -Support ongoing actuarial support for outside auditor review of financial estimates and results. -Design studies to monitor the ... effectively with stakeholders (Operations, Finance, Planning, & Accounting (FP&A), Clinical , etc.) -Bachelor's degree is required Preferred Qualifications - -Fellow… more