- Elevance Health (Winston Salem, NC)
- …diploma or GED and a minimum of 4 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of ... any necessary information. + Completes and maintains detailed documentation of audit which includes decision methodology, system or processing errors, and monetary… more
- TD Bank (Greenville, SC)
- …generally up to $2.5 million. Contributes to team responsibility for insuring satisfactory audit , loan review, and other loan quality metrics. This role will support ... lending authority >/= $1 million preferred Small Business Administration/Agency, Healthcare Practice Solutions, or other specialty lending experience preferred +… more
- Staffing Solutions Organization (Albany, NY)
- …which is a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist 2 in in Albany, NY** **Division of Program Development & ... New York State_ ; + Assisting with development of inspection tool, desk audit tool, guidance documents, and/or training materials related to MRP physical site… more
- Molina Healthcare (Ann Arbor, MI)
- …enrollment-related areas. + Quality review and submission of deliverables to Molina Healthcare Government Contract and to State Medicaid Agencies. + Tracking all ... vendor use. + Assist manager with preparation of submission of Sarbanes-Oxley (SOX) audit data to internal and external auditors. + Assist with complex enrollment… more
- Molina Healthcare (Rochester, NY)
- …conducting and/or responding to research requests pertaining to government healthcare programs; preparing and submitting regulatory reports for filings; reviewing ... archive system, ensuring submitted reports are archived for historical and audit purposes. Ensures system is updated and complete. **JOB QUALIFICATIONS** **Required… more
- Hartford HealthCare (Bridgeport, CT)
- Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every ... matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. St. Vincent's Medical Center in Bridgeport has more than 3,200… more
- Prime Healthcare (Kansas City, KS)
- …- Kansas City, KS Here are some of the benefits of working at Prime Healthcare : + Health, dental, and vision insurance options + Paid vacation, sick time and ... Responsibilities **If you have advanced Excel proficiency, HRIS experience in a healthcare setting or Lawson (Infor), you are strongly encouraged to apply! Essential… more
- Molina Healthcare (Orlando, FL)
- …+ Manages Scorable Action Items (SAIs) related to pre-pay editing, post-pay audit , and overpayment recovery initiatives to ensure Health Plan SAI targets are ... payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to… more
- Molina Healthcare (Hartford, CT)
- …Plan's operational departments, programs and services, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance ... submissions to Regulators. * Leads efforts through local Data/Business Analysts to audit provider contract loads and claims payments to ensure compliance with… more
- Dove Healthcare (Chippewa Falls, WI)
- …residents, the role of RN Nurse Manager may be your next calling. At Dove Healthcare - Wissota Health & Regional Vent Center, you will assist the Nurse Manager in ... to each resident using clinical competence + Review and audit compliance with the resident's plan of care and...identity, national origin, disability, or Veteran status. About Dove Healthcare - Wissota Health & Regional Vent Center We… more