- Insight Global (Los Angeles, CA)
- Job Description Insight Global is looking for a Sr. Financial Compliance Auditor for one of the largest health systems in the country. This person will be ... responsible for for conducting audits of claims processed by medical groups and health plans contracted with LA Care, focusing on regulatory and contractual … more
- Prime Therapeutics (Denver, CO)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims ... claims , educating Prime's network pharmacies and driving contract compliance , and supporting downstream claim corrections and eliminate potential waste.… more
- UCLA Health (Los Angeles, CA)
- …to the next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned ... to the auditor . You will review claims (paid, pending,...of benefits, authorization for services, contract interpretation, Division of Financial Responsibility (DOFR), and application/ compliance with policies… more
- 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
- New York State Civil Service (Brooklyn, NY)
- …1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category Financial , Accounting, Auditing Salary Grade 18 Bargaining Unit PS&T - Professional, Scientific, ... City Brooklyn State NY Zip Code 11201 Duties Description Auditor 1 (Tax) performs on-site field audits and examinations...of taxpayers' books, records, and substantiating data to determine compliance with various articles of the New York State… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE MANAGEMENT AUDITOR CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. IF ... YOU ARE HIRED PROVISIONALLY AS A MANAGEMENT AUDITOR , YOU MUST TAKE AND PASS THE MANAGEMENT ...assessment process to ensure the integrity, efficiency, and regulatory compliance of HRA operations. Within OAS, County Demo Unit… more
- New York State Civil Service (Syracuse, NY)
- …1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category Financial , Accounting, Auditing Salary Grade 18 Bargaining Unit PS&T - Professional, Scientific, ... and examinations of taxpayer's books and records to determine compliance with the various articles of the NYS Tax...and advocate disputed cases at BCMS conferences and Small Claims Hearings; may participate at hearings as a witness… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- …fee discount practices to ensure efficiency, accuracy, and completeness of encounters, claims and transactions in compliance with payer rules and regulations ... Billing Auditor for Shared Services Fully Remote * Rochester,...in medical billing and collections including follow-up on unpaid claims , researching insurance claims issues, and appealing… more
- ManpowerGroup (Vienna, VA)
- …of BOLI and COLI policies. + Conduct thorough audits of life and death claims to verify accuracy, completeness, and compliance with company policies and industry ... seeking a Bank and Corporate Owned Life Insurance (BOLI/COLI) Auditor to join their team. As a Bank and... examiners, underwriters, and legal teams to resolve complex claims issues. + Ensure compliance with regulatory… more
- The County of Los Angeles (Los Angeles, CA)
- …and knowledge, in a governmental agency conducting complex management, performance, financial , and compliance audits according to professional auditing ... independence and knowledge,in a governmental agencyconducting complex management, performance, financial , and compliance audits according to professional… more
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