- Ventura County (Ventura, CA)
- …analyze (Accountant I) or calculates and analyzes (Accountant II) Incurred but not Reported medical claims based on system generated claim lag reports to provide ... Accountant I/II/ Senior Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4690309) Apply Accountant I/II/ Senior...up to $23,530 annually to offset the purchase of medical , dental, and/or vision insurance for you and your… more
- Henry Ford Health System (Detroit, MI)
- …claim defense costs and management of System reputation Will work under the guidance of Senior Claims Managers, Senior Claims Consultant, Director of ... professional and general liability, workers compensation and employers liability claims review, investigation, management and disposition, including financial mitigation… more
- Citizens (Wilmington, DE)
- …Managers and/or Senior Risk Managers primarily supporting the Fraud and Claims line of business Qualifications: + 8-12+ years experience in Risk Management, ... adherence to policies and procedures. + Advise and help senior management understand and manage risk and help to...Audit , or Compliance + Prior experience implementing and supporting… more
- Independent Health (Buffalo, NY)
- …knowledge and audit tips across the team. The Clinical & Coding Specialist- Senior will support the leadership in Hospital Audit in accomplishing all aspects ... statistics. + Perform validation of diagnosis and procedure coding by reviewing medical record documentation and/or provider claims data. Ensure coding… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- The Sr . Manager Quality Management System is responsible for monitoring the effectiveness of the GxP Quality Management Systems regarding CAPA, Deviations, ... experience in the Pharmaceutical (Drug/Biologics), Drug Device Combination Product and/or Medical Device industry. + Including 2 to 3 years of Manufacturing… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR NURSING INSTRUCTOR (EMERGENCY MEDICAL SERVICES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3309230) Apply SENIOR NURSING ... hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty...the Quality Improvement program for these sections. + Reviews audit and monitoring tools on an on-going basis to… more
- Tucson Electric Power (Tucson, AZ)
- …Manages Short-Term and Long-Term Disability (STD/LTD) programs and vendor relationships; ensures STD claims are coordinated with FMLA or general medical cases. o ... **Benefits Analyst - I, II, Senior or Lead** Company **Tucson Electric Power** Location..., including: o Manages all administrative aspects of leave claims to include tracking hours used/taken and working closely… more
- Walmart (Chino, CA)
- …safety regulatory agencies Assists with thirdparty audits Develops and presents audit findings to facility management Responds to inquiries by regulatory authorities ... Consults on complex claims and settlements Designs preventative claims management...management benchmarks Designs crossfunctional risk management processes tools and audit mechanisms Reviews and assesses risk management policies and… more
- Ventura County (Ventura, CA)
- Senior /Principal Accountant-MB Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4946844) Apply Senior /Principal Accountant-MB Salary ... contribution will be made to the 401(k) plan. + Health Insurance Plans: Medical , dental, and vision plans for you and your dependents. A maximum flexible… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Health Plan Auditor Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Senior Health Plan Auditor is a hybrid role and...and corrective action plans monitoring of financial solvency and claims processing compliance for specialty health plans and vendors.… more