- Grant Thornton (New York, NY)
- As a Process Risk & Claims Audit Manager, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand ... and help you achieve more, confidently. Your day-to-day may include: + Leverage claims operations experience and claim audit experience to review and analyze… more
- Grant Thornton (Los Angeles, CA)
- …of enterprise or operational risk management programs, and/or entity-level and business process controls for Internal Audit , or other risk management, ... As a Healthcare Process Risk Senior Associate, you will...but are not limited to co-sourced and outsourced internal audit , internal control assessments, enterprise risk management… more
- ICW Group (Sacramento, CA)
- …This position is responsible for the development and execution of the Claims audit program, identifying trends and promoting continuous improvement. This ... gaps. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Develops and provides oversight of the Claims Audit & Compliance program. + Develops and executes end-to-end… more
- Molina Healthcare (AZ)
- …(eg, first-pass resolution, auto-adjudication rate, claims cycle time, audit findings, cost-to-serve). + Process Optimization: Lead current/future-state ... state regs). + Designs and embeds controls, SLAs, and quality checks to support audit readiness and reduce rework. + ** Process Improvement & Change Management**… more
- CHS (Clearwater, FL)
- …approval status. * Developing and implementing strategies for greater automation in the claims process , including electronic receipt of claims and ... clients. * Management of relationships with essential vendors involved with the Claims Adjudication process , including clearinghouses, claims cost control… more
- State of Colorado (Denver, CO)
- …feedback, coaching, and recommendations to audits specialists. Auditor IV will function as an audit process and FAMLI statute expert related to all aspects of ... Field Audit Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5141384) Apply Field ...believe in outstanding customer service, an inclusive culture, continued process improvement and in our role as a trusted… more
- Bank of America (Newark, DE)
- …evaluating the design and execution of business processes/controls associated with Fraud and claims risk management activities (eg fraud claims , prevention ... would involve learning on each new assignment. + Executes audit strategy for the sound application of risk...seek an accommodation through the Bank's required accommodation request process before your first day of work. This communication… more
- DoorDash (Tempe, AZ)
- …the company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are looking for ... About the Team The Risk & Insurance team at DoorDash is responsible...DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's… more
- Johns Hopkins University (Baltimore, MD)
- …internal audit plan in assigned areas, including performing effective risk assessments and meeting with institutional management to support the development of ... claims processing, premium billing, encounter data, utilization management, risk adjustment, provider contracting, quality metrics, and related operations. +… more
- Axis (Short Hills, NJ)
- …part in the selection process . About the Team AXIS is hiring a Claims Specialist - Primary Casualty for its North America Claim Team. This role involves managing ... We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns...primary claims for AXIS US Primary Casualty policies. How does… more