- CVS Health (Hartford, CT)
- …matter expert on contract templates, documentation requirements, and contract management tools. Responsibilities also include conducting audits to support network ... care provider contracts. + Utilize recruitment databases and contract management tools to design, build, load, audit, and edit...communication across teams. + This role requires a high level of attention to detail, initiative, and the ability… more
- Molina Healthcare (Las Vegas, NV)
- …cost-effective member care. Essential Job Duties * Performs audits in utilization management , care management , member assessment, behavioral health, and/or other ... years health care experience, with at least 1 year experience in utilization management , care management , and/or managed care, or equivalent combination of… more
- University of Rochester (Albany, NY)
- …internal controls and security procedures. Prepares reports and recommendations for management on the results of information systems audits. **ESSENTIAL FUNCTIONS** ... the ability to provide advisory services through continuous communication with management . + Executes internal control risk assessments and develops customized audit… more
- Academy Sports + Outdoors (Dallas, TX)
- …remain organized, pay attention to detail and meet critical deadlines + Acceptable level of hearing and vision to perform job duties Responsibilities: + Manage and ... programs and communicates results with both store and corporate management + Manage program expenses to ensure adherence to...+ Up to 100% travel, as needed + Acceptable level of hearing and vision to perform job duties… more
- RTX Corporation (Farmington, CT)
- …approach to evaluate and improve the efficiency and effectiveness of risk management , governance, and financial and operational controls in a manner consistent with ... audit reports. + Present audit conclusions and recommendations to senior management . + Continuous self-improvement including the addition of technical skills, as… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …for Healthy Living (CPHL) claims. Collaborates with other Health plan departments and Management to ensure claims are processed in accordance with Federal, State and ... use and identifying any deficiencies. + Prepare summaries for management of quality review results, including basic analysis of...statements are intended to describe the general nature and level of work performed by individuals assigned to the… more
- MSC Industrial Supply Co. (Shelbyville, KY)
- …monitor effectiveness of Quality systems. Reports findings and makes recommendations to management for error reduction. Alerts management when indicators point ... satisfactorily.? The requirements listed below are representative of knowledge experience level and abilities required.? Reasonable accommodations may be made to… more
- Datavant (Harrisburg, PA)
- …according to scope of work, for the purpose of Onboarding, Focused, Service Level Agreements or Other Types of reviews, using appropriate assignment of codes and ... efficient, and positive manner + Adhere to the American Health Information Management Association's code of ethics. + Must be customer-service focused and exhibit… more
- BJC HealthCare (St. Louis, MO)
- …team of healthcare professionals and volunteers, specially trained in symptom management , pain control, counseling and bereavement services for the dying. Our ... **Role Purpose** Provides direct patient care activities including IV management , utilizing the nursing process, under the supervision of...has been designed to indicate the general nature and level of work performed by employees in this position.… more
- Insight Global (New York, NY)
- Job Description We are hiring External Auditors at the Senior Associate level for one of our big 4 customers upcoming busy season. They will support a variety of ... clients in the ASSET & WEALTH MANAGEMENT (AWM) sector ranging from small, fast-growing clients, to...industry experience (Private equity, venture capital, hedge fund, fund to fund, Asset & wealth management , etc.) CPA Big… more