• Pharmacy Claims Auditor CPhT

    Conduent (Los Angeles, CA)
    …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
    Conduent (06/21/25)
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  • Claims and Call Auditor (Call Center…

    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
    CHS (06/14/25)
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  • Pharmacist - Claims Auditor

    Conduent (Alexandria, VA)
    …where individuality is noticed and valued every day. **Pharmacist - Claims Auditor /Reviewer (Part-Time)** **Conduent Payment Integrity Solutions** **Are you ... audits on behalf of major healthcare payers. As a **Pharmacist - Claims Auditor /Reviewer** , you'll apply your clinical knowledge and regulatory expertise… more
    Conduent (06/21/25)
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  • Claims Auditor (Remote)

    WTW (Chicago, IL)
    **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report. You will… more
    WTW (07/11/25)
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  • Revenue Tax Auditor Trainee

    Commonwealth of Pennsylvania (PA)
    Revenue Tax Auditor Trainee Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4985170) Apply  Revenue Tax Auditor Trainee Salary $56,802.00 - ... candidates like you to join us as Revenue Tax Auditor Trainees with the Bureau of Audits, Pittsburgh Regional...Schedule and Additional Information: + Full-time employment + Work hours are 8:30 AM to 4:30 PM, Monday -… more
    Commonwealth of Pennsylvania (07/10/25)
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  • Onsite Pharmacy Auditor (based…

    Prime Therapeutics (San Diego, CA)
    …passion and drives every decision we make. **Job Posting Title** Onsite Pharmacy Auditor (based in California) **Job Description** The Onsite Pharmacy Auditor ... pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting… more
    Prime Therapeutics (06/28/25)
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  • Auditor 1/ Auditor Trainee 1/…

    New York State Civil Service (Albany, NY)
    …or taxation OR2. Possess a bachelor's or higher degree with 24 semester credit hours in accounting, auditing, or taxation courses. AUDITOR TRAINEE 2:1. Possess a ... Agency Medicaid Inspector General, NYS Office of the Title Auditor 1/ Auditor Trainee 1/ Auditor Trainee...Jurisdictional Class Non-competitive Class Travel Percentage 20% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8 AM To… more
    New York State Civil Service (06/27/25)
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  • Auditor 1 (Tax)/ Auditor Trainee 1…

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... Jurisdictional Class Competitive Class Travel Percentage 10% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8:30 AM To...City Albany State NY Zip Code 12227 Duties Description Auditor 1 (Tax) performs on-site field audits and examinations… more
    New York State Civil Service (04/17/25)
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  • Inpatient DRG Quality Auditor

    Humana (Santa Fe, NM)
    …Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor partners, with a focus… more
    Humana (06/17/25)
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  • Auditor : Financial/TennCare

    Tennessee Comptroller of the Treasury (Nashville, TN)
    Auditor : Financial/TennCare This role focuses on examining, analyzing, and reviewing records, financial statements, claims data, and cost reports for providers ... The Comptroller of the Treasury is recruiting for a full-time Auditor : Financial/TennCare position in the Division of State Audit's Tenncare/Medicaid Section.… more
    Tennessee Comptroller of the Treasury (05/24/25)
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