- Elevance Health (Mason, OH)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work virtually ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Conduent (Alexandria, VA)
- …Integrity Solutions team performs detailed pharmacy claims audits on behalf of major healthcare payers. As a **Pharmacist - Claims Auditor /Reviewer** , you'll ... individuality is noticed and valued every day. **Pharmacist - Claims Auditor /Reviewer (Part-Time)** **Conduent Payment Integrity Solutions** **Are you a licensed… more
- Trinity Health (Silver Spring, MD)
- …Part time **Shift:** Day Shift **Description:** **Job Title:** Coding Auditor and Educator (Remote) **Employment Type:** Part-time **Shift:** Days **(SUMMARY) ... the organization + **Location:** Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD.… more
- NTT DATA North America (Decatur, IL)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a Claims Auditor to join our team for a remote position. 100% Remote, Client provides equipment ... possibility of Direct Hire Pay Rate $21-$22/hr **Position Summary:** The Claims Auditor position reports to the Chief Administrative Officer. This position audits… more
- Molina Healthcare (Albuquerque, NM)
- …Develop and implement processes and procedures to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services (CMS) regulations and ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Pactiv Evergreen (Mount Carmel, PA)
- **Overview** ** Auditor Quality-Injection Molding** |Hiring Immediately | **Mt. Carmel, PA** **Shift/Schedule: 7a-7p** **Compensation:** + Starting pay rate **$** ... + New Hire Wellness Bonus (see plan details) + Healthcare and Dependent day care flexible spending accounts +...to be understood and performed within the position of Auditor Quality. Company-wide standards, practices and policies that are… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Position Summary: Under the direction of the Compliance Officer the main duties for this position include: analysis of professional coding and billing ... and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding, and billing guidelines.… more
- IQVIA (Indianapolis, IN)
- We are seeking a **QA Auditor 1** to join Q2 Solutions, IQVIA's laboratory business at **Indianapolis, IN** . We hire passionate innovators who drive healthcare ... under the direction of senior QA staff. This role ensures regulatory compliance and strengthens operational excellence within a dynamic laboratory setting. **What… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and ... living. JOB SUMMARY: The objective is to ensure ongoing compliance , provide support and training by monitoring the field...monitoring the field staff on a monthly basis. The Trainer/ Auditor will provide oversight of the field staff. He/she… more
- Umpqua Bank (Greenwood Village, CO)
- Sr Auditor Audit and Loan Review Hillsboro, Oregon Spokane, Washington Tacoma, Washington Greenwood Village, Colorado Phoenix, Arizona **Description** **About Us:** ... effective working relationships with audit clients, business unit leadership, risk/ compliance partners, vendors, and within the Internal Audit department. Represent… more