- Trinity Health (Des Moines, IA)
- …discrepancies with Medical Records Department and Admitting Department. + Collaborates with the Recovery Audit Contractor (RAC) Coordinator and Conifer for ... Medicare/Medicaid RAC Denials management. **MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:** + Current licensure as a registered nurse in the State of Iowa. + Five (5) years clinical nursing experience. + Bachelor of Science - Nursing or degree in… more
- System One (Pittsburgh, PA)
- …as well as critical vulnerabilities and implement remediation changes. Perform audit and compliance tasks for applications review quarterly certifications Review and ... application ids and manage them in Cyberark, Review and manage Disaster recovery plans. Required Skills: ServiceNow (SNOW) Change, Incident and Problem management… more
- Penn Medicine (Bala Cynwyd, PA)
- …related, but not limited to, Office of the Inspector General (OIG), Recovery Audit Contractors (RAC), Medicaid Integrity Contractors (MIC), Zone Program ... Appeals is responsible for the daily management and tracking of Government audit activity received by Penn hospitals, provider groups and alternative care settings.… more
- Entergy (Beaumont, TX)
- …and switching. + Participate in Preconstruction/Safety Kickoff meeting to set contractor expectations (safety, quality, constraints, etc.) + Assist with preparing ... company standards and confirmed with diagnostic testing or inspection. + Assist contractor and internal resources in development of Risk Assessments, which include:… more
- State of Colorado (Denver, CO)
- …Provider Payment Reviews + Fraud Investigation + Waste and abuse reviews and recoveries + Recovery Audit Contract (RAC) + Data analytics and data mining for FWA ... Investigation + Waste and abuse reviews and recoveries + Recovery Audit Contract (RAC) + Data analytics...FWA vendors, for example, RAC vendors. What kind of contractor oversight have you done with vendors working in… more
- State of Colorado (Denver, CO)
- …in provider pre-payment claims reviews and investigations, coordinates review projects and audit schedules and resolving provider billing issues as they arise + ... correspondence issued to providers and overpayment, pre-payment claims denials, recovery and financial details + Researching and gathering necessary information… more
- TECO Energy (Ruskin, FL)
- …Interact with Accounting Systems and Services, General Accounting, Regulatory Accounting, Audit , Corporate Taxes, Legal, and Risk Management to ensure all accounting ... Interact with Accounting Systems and Services, General Accounting, Regulatory Accounting, Audit , Corporate Taxes, Legal, and Risk Management to ensure all accounting… more
- Element Materials Technology (North Liberty, IA)
- …regulatory requirements and security standards frameworks. This includes managing risk, audit readiness, secure access, and data governance for all information ... CFR Part 11, GLP, ISO/IEC 27001), including system validation, access controls, audit trails, data retention, and change management. + Work closely with directors,… more
- NTT America, Inc. (Sacramento, CA)
- …and requests. + Create and maintain existing customizations with careful, organized documentation. + Audit user and security roles and access to meet and report on ... audit controls. **KNOWLEDGE & ATTRIBUTES** + Knowledge and understanding...+ Previous experience working with managed services providers or contractor support. + Demonstrated experience of the functional aspects… more
- EMCOR Group (Mclean, VA)
- …Configuration Management Plan, Incident Response Plan, Business Continuity and IT Disaster Recovery Plan, Risk Mitigation Plan, and general policy and procedures, as ... + Coordinate activities between Operating Companies and Corporate as related to third-party audit activities, self-assessments, and audit cycles + Assist in the… more