- FM (Norwood, MA)
- …in your marketplace. + Reviews and analyzes incoming Facilities and Procedures Audit (F&PA) reports completed by surveillance auditors to identify quality control ... deficiencies, non-conformance to FM Approvals' requirements, and/or non- compliance with the standards of jurisdictional authorities. + Compares the surveillance … more
- The Cigna Group (Bloomfield, CT)
- …Hierarchical Condition Category (HCC) expertise, evaluating data accuracy and record compliance , executing on audit requirements, and identifying and ... The Quality Review & Audit Senior Analyst ("Analyst") exhibits expertise in evaluating...evaluating complex medical documentation for diagnosis code accuracy and compliance in support of the HHS' Risk Adjustment (RA)… more
- The Cigna Group (Bloomfield, CT)
- …Category expertise to the role, evaluates complex medical conditions, determines compliance of medical documentation, identifies trends, and suggests improvements in ... of gaps and/or inaccuracies in risk adjustment data and identification of compliance risks in support of IFP Risk Adjustment (RA) programs, including the… more
- The Cigna Group (Jefferson City, MO)
- **JOB DESCRIPTION** + The Quality Review and Audit Lead Analyst is responsible for supporting Accredo Specialty Pharmacy's organizational goals of delivering high ... by professionally addressing their needs, delivering accurate information and ensuring compliance to established standards. As a member of the Quality Department… more
- Capital One (Mclean, VA)
- Manager, Quantitative Analysis - Model Risk Audit At Capital One data is at the center of everything we do. As a startup, we disrupted the credit card industry by ... their financial lives. As part of Capital One's Model Audit team, you will have a unique vantage point...One offers a comprehensive, competitive, and inclusive set of health , financial and other benefits that support your total… more
- SMX (Fort Belvoir, VA)
- Army Data Audit Manager (ADAM) Program Support Analyst (Senior) (4667) (TS/SCI) (Ft. Belvoir, VA)at SMX(View all jobs) (https://www.smxtech.com/careers/) Fort ... Belvoir, VA SMX is seeking an **Army Data Audit Manager (ADAM) Program Analyst Senior** . This position...guidance regularly, updating existing policies as necessary to ensure compliance . + Navigate, evaluate, and communicate standards for "Tier… more
- Deluxe (Fort Worth, TX)
- …processing solution that accepts a wide range of payment methods, simplifies PCI compliance and deposits money in your bank account while delivering smooth checkout ... Follow us on LinkedIn (http://www.linkedin.com/company/deluxe/posts/?feedView=all) RESPONSIBILITIES: As a Risk Audit /Loss Prevention Specialist, you will play a critical role… more
- Guidehouse (Chantilly, VA)
- …such as strategic planning, accounting and financial analysis, reporting and compliance , policy formulation and adherence, and training and process improvement. ... as well as other internal and external stakeholders. The requested Accounting / Audit Manager will be tasked with assisting Business Enterprises in their quarterly… more
- AnMed Health (Anderson, SC)
- …the heart of Anderson, South Carolina, AnMed is a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and ... current of all Government/State/HIPPA, etc., rules and regulations pertaining to compliance in billing. Responsible for analyzing denials and initiating appeals,… more
- MUFG (Tempe, AZ)
- …recruitment team will provide more details. **Job Summary:** Support audit execution analytics, consultative relationships with key business stakeholders, ... analytics, BI needs to meet business needs, along with regulatory and compliance requirements Perform data preparation work (eg, source, scrub, mine, and integrate… more