- CVS Health (Sacramento, CA)
- …all with heart, each and every day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This ... quality inter-rater review audits of medical records coded by internal team, as well as external vendor (if applicable)...ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of… more
- WTW (Chicago, IL)
- **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... claims administration knowledge, including experience with medical, dental, mental health and Medicare + Detailed knowledge of ICD-10 and CPT codes and coding… more
- Humana (Phoenix, AZ)
- …a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently operates about ... 340+ senior focused primary care centers in 15 states. The...adequacy, testing to ensure adherence with established policies and internal controls, and communicating issues and recommendations to management.… more
- Ventura County (Ventura, CA)
- Behavioral Health Finance Analyst I/II/ Senior Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5001534) Apply Behavioral Health Finance Analyst ... I/II/ Senior Salary $78,312.00 - $133,993.60 Annually Location Oxnard, CA...+ Assists with development of new accounting structure, classifications, internal controls, and reporting requirements; + Supervises Accounts Payable… more
- Highmark Health (Austin, TX)
- …**Preferred** **(Any of the Following)** + Certified Public Accountant (CPA) + Certified Internal Auditor (CIA) + Certified Fraud Examiner (CFE) + Certified in ... tracks the delivery of risk activities, including but not limited to internal and external audit progress, recurring risk and compliance reporting, mandated… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Internal Audit Sr Manager is a key leadership role responsible for developing, implementing, and overseeing the internal audit ... The ideal candidate should possess extensive experience in SOX compliance, internal controls, risk management, and audit project management. This position requires… more
- LA Care Health Plan (Los Angeles, CA)
- …of the following Licenses/ Certifications: Certified Public Accountant (CPA) Certified Internal Auditor (CIA) Certified Management Accountant (CMA) Certified ... Health Care (DMHC), Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and other federal and state guidelines. Responsible… more
- Kestra Medical Technologies, Inc (Kirkland, WA)
- The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders ... reimbursements. This role will have extensive interaction with other functions and senior management, and as such requires someone with excellent communication and… more
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