- Banner Health (AZ)
- …Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), or Certified Healthcare Internal Audit Professional (CHIAP). Must possess a proficiency ... **Department Name:** Internal Audit **Work Shift:** Day **Job...controls, cyber security and risks, as well as current audit techniques and emerging risks facing the healthcare… more
- Datavant (Phoenix, AZ)
- …our bold vision for healthcare . **Role Summary:** The **Director of Internal Audit ** will design, implement, and oversee Datavant's legal and compliance ... Office of Inspector General's (OIG) compliance program guidance and healthcare industry internal audit standards....Audit will act as a trusted advisor to senior and executive leaders, and support communications to Datavant's… more
- Humana (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** The Director, Internal Audit develops, plans and evaluates internal audit programs ... ensure compliance with the organization's policies, procedures and standards. The Director, Internal Audit requires an in-depth understanding of how organization… more
- Cardinal Health (Phoenix, AZ)
- …with other documentation and coding and billing standards; communication of audit results to physicians, physician leadership, senior leadership, management, ... E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles and techniques; CMS… more
- Molina Healthcare (Scottsdale, AZ)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant… more
- CVS Health (AZ)
- …of insurances. This role will work cross-functionally and proactively with internal business partners to focus on the most important risks/assessments areas ... owners. + Assist in the identification, prioritization, and completion of exam/ audit deliverables. + Improve CVS Health's PBM Market Conduct Exam communications… more
- Molina Healthcare (Chandler, AZ)
- …and other guidance to assess compliance and support building regulatory compliance audit procedures. * At the direction of management, coordinates and performs ... with Federal and State laws and regulations, contract provisions, and internal policies and procedures. * Supports the Operational Oversight Manager, Director,… more
- Datavant (Phoenix, AZ)
- …to realize our bold vision for healthcare . **Reports to:** Head of Internal Controls & Audit **Position Summary:** We are seeking a highly motivated ... Ensure proper documentation and tracking of control activities for audit and regulatory purposes. 15. Internal Controls...updates and reports on progress toward IPO readiness and internal control implementation to senior leadership. 17.… more
- Baylor Scott & White Health (Phoenix, AZ)
- …documentation, and adequate support for conclusions. + Meets regularly with both Internal Audit and client management throughout projects to discuss project ... communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live... audit reports and reviews them with both Internal Audit and client management. + Performs… more
- Molina Healthcare (Mesa, AZ)
- …and/or regional lead, the Medical Records Collector supports the annual HEDIS audit and other HEDIS like audits, by organizing provider outreach, pursuit, collection ... and upload of provider medical records into the internal database. + Subject matter expert in the area...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more