• Clinical Provider Auditor

    Elevance Health (Hanover, MD)
    ** Clinical Provider Auditor Senior ** **Supports Payment Integrity line of business** _Lo_ _cation: This is a field position expected to be in clinic 60% ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor Senior ** is responsible… more
    Elevance Health (04/26/25)
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  • Senior Clinical Auditor

    Surgery Care Affiliates (Birmingham, AL)
    …will. Responsibilities Job Summary: As a member of the Regulatory Compliance Team, the Senior Clinical Auditor will conduct compliance focused clinical ... as support SCA Health' s compliance program . The Senior Clinical Auditor will work...departments/external sources + Work directly with the supervisor to provide timely communication of audit status + Work as… more
    Surgery Care Affiliates (04/04/25)
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  • Senior Internal Auditor - Day Shift…

    Penn State Health (Hershey, PA)
    …1 day in office per month with potential for additional days in office. As a Senior Internal Auditor at PSH, you will be actively engaged in utilizing your ... professionalism and confidence. In addition to audit work, the Senior Internal Auditor will work closely with...to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in… more
    Penn State Health (04/10/25)
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  • Senior Internal Auditor - Hybrid

    Houston Methodist (Houston, TX)
    …variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an ... At Houston Methodist, the Sr. Internal Auditor is responsible for independently planning, coordinating, and...- State Licensure **OR** + CIA - Certified Internal Auditor (IIA) **OR** + CFE - Certified Fraud Examiner… more
    Houston Methodist (05/10/25)
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  • Head Contract Program Auditor / Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …(2) years' experience at the level of the County of Los Angeles class of Senior Contract Program Auditor **. PHYSICAL CLASS: Physical Class II - Light: This class ... and monitoring contracts of public and private agencies which provide health care services for Los Angeles County. Essential...agencies with public contracts. **Experience at the level of Senior Contract Program Auditor in the County… more
    The County of Los Angeles (04/07/25)
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  • Senior Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …to reach new heights in your career and be what you want to be. We provide : + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & ... Reporting to the Director, Compliance Audit and Analysis, the Sr. Compliance Auditor will develop and execute audit, monitoring, and education for both facility… more
    Emory Healthcare/Emory University (03/04/25)
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  • Nurse Auditor /Rev Intgty Spec

    Chesapeake Regional Healthcare (Chesapeake, VA)
    …and other department staff on the outcomes of the audit results and assists provider services with educational efforts . Provide feedback and process improvement ... hospital departments and committees based on analysis and trending of hospital or provider audits . Provide written explanations to patients who are questioning… more
    Chesapeake Regional Healthcare (04/05/25)
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  • Hospital Coding Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …to reach new heights in your career and be what you want to be. We provide : + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & ... that ensure compliance with regulatory standards. Continuously evaluates inpatient hospital/ clinical billing compliance activities to assess compliance with the… more
    Emory Healthcare/Emory University (04/22/25)
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  • Senior Accounting Systems…

    The County of Los Angeles (Los Angeles, CA)
    SENIOR ACCOUNTING SYSTEMS TECHNICIAN/EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4827686) Apply  ... SENIOR ACCOUNTING SYSTEMS TECHNICIAN/EMERGENCY APPOINTMENT HOMELESSNESS Salary $90,820.32 -...medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services… more
    The County of Los Angeles (05/12/25)
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  • Manager, Clinical Quality Interventions…

    Molina Healthcare (Phoenix, AZ)
    provider outreach initiatives. + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with health ... and leads the interventions Joint Operations Committee representing the Molina Plan Senior Leadership Team. In all activities, the Manager works with the national… more
    Molina Healthcare (04/25/25)
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