• Nurse Auditor/Rev Intgty Spec

    Chesapeake Regional Healthcare (Chesapeake, VA)
    …Specialist is responsible for auditing itemized charges versus the patient medical record and other applicable hospital documentation, assigning modifiers to ... appropriate claims, researching edited claims for medical necessity, and advising the billing staff of appropriate...questions about itemized charges . Maintain reporting system of audit activities and identifies pattern and trending of results… more
    Chesapeake Regional Healthcare (04/05/25)
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  • Program Nurse Manager

    Horizon Services, Inc. (Albuquerque, NM)
    …all clinical and support personnel, including Licensed Vocational Nurses (LVNs), Emergency Medical Technicians (EMTs), and recovery staff. The RN is responsible ... JOB TITLE: Program Nurse Manager LOCATION: Gateway Medical Sobering Center, New Mexico Who are we?...documentation of services by direct service staff, perform random audit of files in partnership with the program's Compliance… more
    Horizon Services, Inc. (05/22/25)
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  • Investigator, SIU (Remote)

    Molina Healthcare (NE)
    …for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. ... Duties include performing accurate and reliable medical review audits that may also include coding and...coding accuracy and excellence. The position also entails producing audit reports for internal and external review. The position… more
    Molina Healthcare (04/20/25)
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  • Financial Officer

    Idaho Division of Human Resources (Caldwell, ID)
    …with a lifetime benefit! + Medical , Dental, and Vision benefits (https://ogi.idaho.gov/benefits-plans/) ... (Employee-only PPO coverage at $70.74/month for medical /vision and $12.08/month for dental; low-cost options for family members. Free High Deductible Health Plan for… more
    Idaho Division of Human Resources (05/24/25)
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  • Mainframe Tier One Support

    System One (Reston, VA)
    …and monitoring of SLAs and performance metrics. + Provide timely information for audit requests and ensure compliance with security and audit regulations. + ... IT engineers on day-to-day tasks and projects. + Participate in Disaster Recovery and Business Resumption initiatives. #M2 Ref: #855-IT Baltimore System One, and… more
    System One (04/25/25)
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  • Business Continuity/Risk Consultant

    System One (Farmers Branch, TX)
    …of internal risks and controls * Development of Business Continuity and Disaster Recovery Plans * Experience with Regulatory and/or Audit exams * ServiceNow ... of Businesses, and other risk partners (eg, Independent Risk Management, Compliance, Audit ). * Leads or influences resiliency risk initiatives and business as usual… more
    System One (03/19/25)
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  • Case Manager - Women's Rehabilitation Residential…

    Veterans Inc. (Worcester, MA)
    …life and in our community? Do you have a passion for helping those in substance abuse recovery ? If you answered yes, then you may have what it takes to be part of ... up a brand new women's RRS to provide client-centered care and recovery -oriented treatment within a therapeutic environment. We are looking for innovative staff… more
    Veterans Inc. (04/01/25)
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  • Finance & Accounting Supervisor

    Reyes Holdings (Toa Baja, PR)
    …. Support capital spending / approval process . Support pricing /rebate / recovery request process . Support development of annual business plans and quarterly ... initiatives . Develop/maintain key metrics as required . Support annual external audit process . Manage/lead direct report(s) within the Finance department . Oversee… more
    Reyes Holdings (05/09/25)
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  • Revenue Integrity Specialist

    Chesapeake Regional Healthcare (Chesapeake, VA)
    …responsible for performing audits of itemized charges versus the patient medical record and other applicable hospital documentation, assigning modifiers to ... appropriate claims, researching edited claims for medical necessity, and advising the revenue cycle staff of...on all Observation accounts for carve-out observation hours, extended recovery , and event management, spot checking accounts with random… more
    Chesapeake Regional Healthcare (04/25/25)
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  • Information Security Engineer II

    Conduent (Bowie, MD)
    …alerts; exploit attempt alerts + Participate and be an integral component of audit , compliance, and regulatory functions, including and not limited to: + audits of ... client requests + Supports the creation of business continuity/disaster recovery plans, to include conducting disaster recovery ...CIPP, CRISC, CISA, CISSP, CISM, ISO or any security/IT audit certification is a plus. + Minimum of Five… more
    Conduent (05/22/25)
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