- 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 ... Auditor is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting downstream … more
- Conduent (Los Angeles, CA)
- …be part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like ... behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a...claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... to bending, reaching, kneeling, stooping and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** PA123… 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
- 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 ... administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report. You will… more
- Commonwealth of Pennsylvania (PA)
- Field Auditor 3 (Local Government) - Allegheny Co Support Admin Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4962984) Apply Field ... Auditor 3 (Local Government) - Allegheny Co Support Admin...Schedule and Additional Information: + Full-time employment + Work hours are 8:00 AM to 4:00 PM, Monday -… more
- Commonwealth of Pennsylvania (PA)
- Auditor 1 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5004985) Apply Auditor 1 Salary $51,971.00 - $79,062.00 Annually Location ... of Audits, Liquor Control Board Operations is seeking an Auditor 1 to join our team of professionals. With...Schedule and Additional Information: + Full-time employment + Work hours are 8:00 AM to 4:30 PM, Monday -… more
- Prime Therapeutics (San Diego, CA)
- …passion and drives every decision we make. **Job Posting Title** Onsite Pharmacy Auditor (based in California) **Job Description** The Onsite Pharmacy Auditor ... pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting… more
- New York State Civil Service (Syracuse, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... Jurisdictional Class Competitive Class Travel Percentage 10% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8:30 AM To...and advocate disputed cases at BCMS conferences and Small Claims Hearings; may participate at hearings as a witness… more
- New York State Civil Service (Brooklyn, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... Jurisdictional Class Competitive Class Travel Percentage 10% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8:30 AM To...City Brooklyn State NY Zip Code 11201 Duties Description Auditor 1 (Tax) performs on-site field audits and examinations… more
- Humana (Montgomery, AL)
- …Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor partners, with a focus… more
- Tennessee Comptroller of the Treasury (Nashville, TN)
- Auditor : Financial/TennCare This role focuses on examining, analyzing, and reviewing records, financial statements, claims data, and cost reports for providers ... The Comptroller of the Treasury is recruiting for a full-time Auditor : Financial/TennCare position in the Division of State Audit's Tenncare/Medicaid Section.… more
- MyFlorida (Jacksonville, FL)
- TAX AUDITOR I - 79000252 Date: Jul 25, 2025 The State...one personal holiday + Ability to earn up to 104 hours of paid annual leave annually as a new employee ... 857526 Agency: Business and Professional Regulations Working Title: TAX AUDITOR I - 79000252 Pay Plan: Career Service Position...of Florida + Ability to earn up to 104 hours of paid sick leave annually. + The State… more
- Sharp HealthCare (San Diego, CA)
- …Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Other ** Hours ** **:** **Shift Start Time:** Variable **Shift End Time:** Variable ... **AWS Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift...business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency SUNY System Administration Title Internal Auditor Occupational Category Financial, Accounting, Auditing Salary Grade NS Bargaining Unit M/C - ... Appointment Type Permanent Jurisdictional Class Unclassified Service Travel Percentage 0% Workweek Mon-Fri Hours Per Week 40 Workday From 8 AM To 5 PM Flextime… more
- Health Advocates Network (Albany, NY)
- Health Advocates Network is currently seeking a ** Auditor ** to work at a facility in **Albany, NY.** These are _registry_ positions with our company. **Pay Rate:** ... $32 / hour *W2 **Shift Details:** + M-F, 37.5 hours , 8 hour day **Job Descriptions:** The successful candidates...include: * Perform desk reviews of fiscal reports and claim for payment voucher packets collected from EMS Grantees,… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Inpatient Coding Auditor and Educator, Centralized Coding Full-Time, 80 Hours per pay period, Day Shift Covenant Health Overview: Covenant Health is ... to ensure compliance. + + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance. + + Performs… more
- City of Chicago (Chicago, IL)
- **Description:** **BID/JOB ANNOUNCEMENT** AUDITOR III Department of Finance Tax Division **Number of Positions:** **2** **(Additional vacancies are possible pending ... works on some more advanced discovery investigations and refund claims . . Designs audit programs and figures out a...St. 13 th Floor, Chicago, IL 60602 Shift: Monday-Friday Hours : 8:30 am to 4:30 pm **(** **_Shift may… more
- City of New York (New York, NY)
- Job Description Hours : Full-Time - 35 Hours Work Location: 30-30 Thomson Ave, LIC, Queens 11101 As the City's primary capital construction project manager, we ... 4500 payment requests annually. DDC seeks a Capital Payment Auditor to review and process these payment requisitions. To...(in FMS3); and adjust payment voucher(s) due to liens, claims and assignments. The candidate will use the DDC… more
- Atlantic Health System (Morristown, NJ)
- …+ Follows up with providers as needed until documentation improves + Assists with claim denial reports to ensure optimal reimbursement + Serves as a resource to the ... highlighted: Team Member Benefits + Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members) +… more