- Grant Thornton (Hartford, CT)
- 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
- Sedgwick (Hartford, CT)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Cardinal Health (Hartford, CT)
- …planning, as well as the development and completion of the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory ... evaluates the adequacy of management corrective action to improve deficiencies; maintains audit records. + Conducts risk assessments to define audit… more
- Ford Motor Company (Hartford, CT)
- …strategic decisions, or adoption of best practices . Manage internal and external audit procedures **UW Audit Process :** . Manage overall underwriting ... compliance . Lead and manage the quality/content of Underwriting audit findings and the audit process... to do so. Implement and monitor supplementary underwriter self- audit quality control processes ** Risk Management:** .… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …ready, oversee clinical trial and submission support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical data integrity. ... sites, and vendors (including contract research organizations) and ensure that audit results are communicated, and appropriate corrective actions are implemented and… more
- CVS Health (Hartford, CT)
- …Attention to detail and metrics analysis are a must as this role will oversee an annual risk assessment and audit process . This role will be part of the CVS ... International, Commercial, Government, Business Compliance Office (BCO), Legal, Network Team and Claims Processing Team to standardize due diligence process for… more
- Highmark Health (Hartford, CT)
- …to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and… more
- Burns & McDonnell (Wallingford, CT)
- …Negotiate prime contracts, CM contracts, subcontracts, and change orders. + Participate in risk review process . + Implement assigned sections of the Project ... client, supplier and company commissioning and startup teams as needed. + Implement, audit , and oversee project documentation. + Implement process for confirming… more
- Nuvance Health (Danbury, CT)
- …Integrity Team in the development of charge reconciliation reports and supports all audit , CDM and revenue and usage activity. Responsible for assisting in the build ... system wide CDM Tool as well as developing a process with IT to interface all charges and new...and concerns. Supports the activities of the Charge Integrity Audit Team by running reports and processing changes. Works… more
- WTW (Stamford, CT)
- …management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our ... drive revenue across our business by leading strategic quantitative and risk conversations with employer clients. We deliver quantitative reporting and projections… more
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