- Elevance Health (Hanover, MD)
- **Carelon Medical Coding/ Auditing Manager - Behavioral Health** **Supports Payment Integrity & Behavioral Health** _Location:_ **Hybrid 2:** This role requires ... and insightful analytics to improve the delivery of care. The **Medical** **Coding/ Auditing ** ** Manager ** is responsible for ensuring the accuracy of claims… more
- Hologic (San Diego, CA)
- … Auditing San Diego, CA, United States **Join Our Team as a Supplier Auditing Manager at Hologic** Hologic is seeking a committed Supplier Auditing ... of our innovative team. In this role, you will manage our supplier auditing program, ensuring that our suppliers adhere to rigorous regulatory and quality standards.… more
- Menards, Inc. (Eau Claire, WI)
- …based on job hazards + Any additional tasks as assigned by Plant Auditing Manager , or GM of Reverse Logistics Skills/Requirements Position Requirements: + ... Audit Manager Job#:395278 Location:EAU CLAIRE, WI - Corporate Office...responsible for oversight and performing of the MM GO Auditing Team. Perform risk assessments for new or renovated… more
- Trinity Health (Hartford, CT)
- …Type:** Full time **Shift:** Day Shift **Description:** The Medical Coding and Audit Manager provides the management for the Trinity Health Of New England (THONE) ... Health, THONE, Governmental and Payer rules and guidelines. The Manager , PNO Audit ensures that all providers meet regulatory...all providers meet regulatory compliance and provides oversight of auditing for the New England Region **What you will… more
- The Cigna Group (Bloomfield, CT)
- …regulatory compliance audits such as SOC1, SOC2 and SOX + Experience in auditing pharmacy benefit manager (PBM) and corporate functions preferred + Excellent ... **SOC 1 Compliance and Delivery Manager ** This is a senior, individual contributor role...Organization Controls (SOC1) Reports. The SOC1 Compliance and Delivery Manager will collaborate with organization-wide Technology teams to drive… more
- CVS Health (Scottsdale, AZ)
- …that will be provided to external state regulatory agencies and their contracted auditing organizations. As a Manager , PBM Market Conduct Exam Support within ... a dynamic individual to join our team in a Manager role. This position will perform highly complex support...others. **Preferred Qualifications:** + Prior experience in a relevant auditing or market conduct exam role in managed care,… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & ... purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is responsible for assisting the Appeal and Grievances… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …noises, various olfactory conditions, etc.) + Must be able to travel and assist in auditing venues with manager . + Travel is less than 50%. Interpersonal Skills ... Complete special projects as assigned by the Sr. QA Manager . Job Description: Essential Duties and Responsibilities + Provide...equivalent to the above may substitute. + Experience in auditing various USDA & FDA environments is a significant… more
- CVS Health (Scottsdale, AZ)
- …every day. This position requires a hybrid working schedule **Position Summary** The Manager , Commercial Compliance COE will be a key member of the Compliance ... Monitoring team and will lead the execution of assigned compliance monitoring activities in the commercial line of business. This role serves as a subject matter expert and is responsible for administrative planning and execution of complex and/or concurrent… more
- PNC (Cleveland, OH)
- …technology risk and control principles while leading a wide variety of technology auditing assignments. The Internal Audit Manager is responsible for leading ... to contribute to the company's success. As an Audit Manager Sr, you will be within PNC's Internal Audit...below: * 5+ years of internal or external IT auditing experience, or relevant business experience * Understanding of… more
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