- Prime Therapeutics (Madison, WI)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims ... Auditor is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting downstream … more
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans Claims Auditor III Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Specialty Plans Auditor III is responsible for planning audits and audit work programs that address… more
- Conduent (Chicago, IL)
- …be part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like ... behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a...claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... to bending, reaching, kneeling, stooping and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** PA123… more
- The Cigna Group (Nashville, TN)
- **Quality Assurance Claims Systems Auditor , Senior Analyst** Are you passionate about driving growth and improving lives? EviCore, a division of The Cigna Group ... is seeking a Quality Assurance Claims Systems Auditor , Senior Analyst. In this...Review and analyze provider contracts to ensure compliance with company policies and regulatory requirements o Verify the accuracy… more
- UCLA Health (Los Angeles, CA)
- …an exciting new direction. You can do all this and more at UCLA Health. The Claims Quality Auditor serves as the primary point of contact for submission and ... reports for the department. Additional responsibilities include: + Reviewing claims for accuracy, appropriate application of benefits, contract interpretation and… more
- ManpowerGroup (New York, NY)
- …with company policies, industry standards, and regulatory requirements. The auditor will analyze the claims documentation and processes, identify ... Jefferson Wells is seeking an experienced **Insurance Auditor with Life Claims ** expertise to... Claims : Conduct thorough audits of life insurance claims , including verifying claim amounts, beneficiary information,… more
- ManpowerGroup (Vienna, VA)
- …and death claims to verify accuracy, completeness, and compliance with company policies and industry regulations. + Analyze claims documentation, including ... Our client, is seeking a Bank and Corporate Owned Life Insurance (BOLI/COLI) Auditor to join their team. As a Bank and Corporate Owned Life Insurance (BOLI/COLI) … more
- Elevance Health (Norfolk, VA)
- …using medical charts, medical notes, and provider contracts. + Verifies dollar amount on claim is correct in claims system and writes report of the findings ... **Provider Auditor ** _This position will work a hybrid model...itemized bills and providers contracts to ensure that a claim is paid in accordance with the contract, provider… more
- Robert Half Office Team (Moline, IL)
- Description We are partnering with John Deere to find their next Warranty Auditor to join the World Headquarters team in Moline! This is an exciting opportunity for ... and financial accuracy. About the Role: As a Warranty Auditor , you will be responsible for reviewing and auditing...you will be responsible for reviewing and auditing warranty claims submitted by dealerships to ensure accuracy and compliance… more