- Elevance Health (Denver, CO)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- Ankura (New York, NY)
- …and regulatory challenges. Role Overview The Senior Director will support the Healthcare Payer team within Ankura's Disputes & Economics practice - one of ... clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit , and investigation projects for clients. + Oversee and conduct data… more
- The Cigna Group (Bloomfield, CT)
- …is seeking a strategic, intellectually curious, and results-driven professional to join its Internal Audit team as an IT Audit Advisor. This role is critical to ... pursuit of advanced certifications and thought leadership in the audit and technology space. **Key responsibilities:** + Build and...in all work and commitments. + Knowledge of the healthcare industry is preferred and considered a valuable asset.… more
- Elevance Health (Indianapolis, IN)
- …stability and compliance of internal controls over financial reporting and audit /regulatory compliance obligations. Key regulations and standards supported by these ... include Generally Accepted Accounting Principles (GAAP), Sarbanes-Oxley (SOX), statutory Model Audit Rule (MAR), and System and Organization Controls 1 (SOC1)… more
- Lilly (Indianapolis, IN)
- …to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to ... the organization's risk management, control, and governance processes. Execute audit engagements and supporting or related projects. Work with cross-functional… more
- Trinity Health (Livonia, MI)
- …Accountant is expected to demonstrate problem solving skills as related to healthcare financial operations and an understanding of external, regulatory, payor and ... audits, the periodic review of financial records, and financial statements including Audit Requirements for Federal Awards (grants; "Uniform Guidance" or "Single … more
- Penn Medicine (Philadelphia, PA)
- …and procedures of Penn Medicine to ensure necessary controls, documentation, and audit trails. + Performs duties in accordance with Penn Medicine and entity ... and procedures of Penn Medicine to ensure necessary controls, documentation, and audit trails. + Performs duties in accordance with Penn Medicine and entity… more
- Somatus (Mclean, VA)
- …grow, and be the best version of themselves, including: + Subsidized, personal healthcare coverage (medical, dental vision) + Flexible Paid Time Off (PTO) + ... The Director, Quality will work closely with Sr. Manager, Audit Risk and the Regulatory and Accreditation Team to...**Required** + Bachelor's Degree Nursing degree, or other comparable healthcare + Three (3) years management in healthcare… more
- Wolters Kluwer (Princeton, NJ)
- …Kluwer is a global leader in professional information services. Professionals in healthcare , legal, business, tax, accounting, finance, audit , risk and ... compliance rely on Wolters Kluwer's market-leading information-enabled tools and software solutions to manage their business efficiently and deliver results to their clients and succeed in an ever more dynamic world. Wolters Kluwer combines deep domain… more
- Wolters Kluwer (New York, NY)
- …Kluwer is a global leader in professional information services. Professionals in healthcare , legal, business, tax, accounting, finance, audit , risk and ... compliance rely on Wolters Kluwer's market-leading information-enabled tools and software solutions to manage their business efficiently and deliver results to their clients and succeed in an ever more dynamic world. Wolters Kluwer combines deep domain… more