- UPMC (Pittsburgh, PA)
- …experience, Clinical Documentation Improvement, Fraud & Abuse, Chart Auditing, or Quality Review experience required. + Ability to analyze diagnosis codes, ... opportunities. + Work in collaboration with appropriate Health Plan departments including Quality Assurance, Medicare, and the Fraud , Waste team to facilitate… more
- CVS Health (IL)
- …and directives. + Demonstrates a strong commitment to enhancing and promoting quality ; consistently delivers accurate and thorough work, and supports others in ... opportunities for providers, vendors and peers. + Expertise in medical documentation, fraud , abuse and penalties for documentation and coding violations based on… more
- Option Care Health (Bannockburn, IL)
- …security, and fraud and abuse. + Perform data analysis and review of documentation to identify potential compliance issues, irregularities, or trends, and ... best and brightest talent in healthcare. **Job Description Summary:** The Analyst , Compliance Auditing, Monitoring and Analytics is responsible for supporting the… more
- CVS Health (IN)
- …all with heart, each and every day. **Position Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team ... + Identifies and recommends opportunities for process improvements so that productivity and quality goals can be met or exceeded and operational efficiency and final… more
- CACI International (Sterling, VA)
- Program Operations Analyst Job Category: Project and Program Management Time Type: Full time Minimum Clearance Required to Start: None Employee Type: Regular ... * CACI is currently looking for a Program Operations Analyst with Agile methodology experience to join our Customs...a timely and cost-effective manner while maintaining the highest quality of performance. This position will also support other… more
- Markem-Imaje (Keene, NH)
- …websites at https://careers.dovercorporation.com/ . To learn how you can protect yourself, review our Recruitment Fraud Notice on our careers site ... Senior Tax and Compliance Analyst Location: Keene, NH, US, 03431 Work Arrangement:...systems. Markem-Imaje delivers fully integrated solutions that enable product quality and safety, regulatory and retailer compliance, better product… more
- S&P Global (New York, NY)
- …and have a knack for problem-solving. **Responsibilities** : + Analyze credit quality of collateral pools, review performance data, credit models, underwriting ... Team** : S&P Global Ratings is seeking an experienced analyst to join its Structured Finance Ratings practice which...results in a timely manner for rating committees. + Review legal and operating documents to ensure compliance with… more
- S&P Global (New York, NY)
- **About the Role:** **Grade Level (for internal use):** 09 The Junior Risk Analyst within Ratings Compliance & Risk has a broad range of responsibilities supporting ... internal control processes, including maintenance of process, risk, and control inventory, review of internal control issues, assessment of controls, and risk and… more
- KeyBank (Brooklyn, OH)
- …FUNCTIONS** Reviewing complex AML investigations worked by investigators and/or quality of reviews while verifying/validating customer information and transaction ... superior investigative/analytical skills while confirming the decisioning/outcome of an investigation/ review (ie SAR or customer retention decision). Ensure the… more
- Zions Bancorporation (Midvale, UT)
- …the talent; we bring the opportunity. We are currently seeking a **BSA/AML Surveillance Analyst ** to join our team. This position will be in-office in Midvale, UT. . ... related to illegal activities such as money laundering, terrorist financing or fraud . Utilize multiple sources for determining alerted activity is not suspicious… more