- CERiS (Fort Worth, TX)
- Position Summary: The DRG Audit Program Director is a strategic and operational leader responsible for the development, implementation, and oversight of all DRG ... clinical validation and audit initiatives. This role ensures the integrity of healthcare...to enhance coding accuracy, documentation completeness, and compliance. The Director leads a team of clinical and coding auditors… more
- Marriott International (Bethesda, MD)
- …Investigations, Legal and Internal Audit , in the resolution of EPLI and Fidelity claims . Advise the Director of Specialty Claims of any high exposure ... Liability (EPL) and Fidelity insurance lines. The Senior Manager, Specialty Claims provides assistance to the Director of Specialty Claims and the Senior … more
- San Francisco Art Institute (Beverly Hills, CA)
- …Position is All About Under the direction of the General Manager, the Director of Operations is responsible for driving store profitability by ensuring the efficient ... management experience handling all aspects of store operations The Director of Operations is responsible for managing budgets and...Line investigations Ensure all components of the SFA HR Audit are always at standard Ensure People Data is… more
- Metropolitan Transportation Authority (New York, NY)
- …commute, excellent customer service, and rewarding opportunities. Position Objective: The Deputy Director supports the Deputy Chief of Risk & Insurance Management in ... reduce the MTA's cost of risk through risk analysis and transfer, claims management practices, captive financial planning, insurance program placement, and other… more
- Washington University (St. Louis, MO)
- Scheduled Hours 40 Position Summary The Director of Billing Operations is responsible for overseeing and leading all aspects of the professional fee billing cycle ... a key leadership role in optimizing revenue cycle performance. The Director works closely with department leadership, faculty, clinical operations, compliance, and… more
- Accident Fund Holdings, Inc. (Lansing, MI)
- …guidelines on operating unit risk appetite, establishing quality standards, controls and audit capabilities. In addition, the Director will assist in developing ... excellence along with leading product and market development strategies. The Director will provide technical direction to each operating unit's underwriting… more
- Chubb (Wilmington, DE)
- Job Description Chubb North America Claims seeks a Claim Compliance Director to assist with and manage the day-to-day operations of the Chubb Quality Assurance ... (TPAs), Accident & Health and Personal Injury Protection (PIP) claims . RESPONSIBILITIES Assists with NA Claims market...Workers' Compensation, A&H and PIP. Assist with and develop audit /compliance related responses to ad hoc audit … more
- Kennedys (Berkeley Heights, NJ)
- …global policies and maintain good internal control systems and operational processes for audit review and ISO 9001 accreditation. Liaise with the Global Finance team ... to produce, prepare and analyse balance sheets, Profit and Loss audit schedules, management reports, yearly financial statements and any other management reports… more
- Cuyahoga County Board of Health (Cleveland, OH)
- POSITION AVAILABLE Position: Director of Finance Reports to : Chief Administrative Officer Position to be filled : September 8, 2025 Position Type: Full-time, ... and timely filing of financial reporting to all stakeholders. Directs the audit and payment of salary disbursements, payroll deductions, and related obligations.… more
- US Orthopaedic Partners (Alpharetta, GA)
- …the management of coding and billing compliance matters Develop edits within claims scrubber EHR software including testing and validation Prepare and provide coding ... rules/guidelines CPT/ICD-10/HCPCS coding rules Medical terminology and healthcare compliance audit requirements CMS regulations and guidelines Minimum of 10+ years… more
- Tal Healthcare (White Plains, NY)
- …You'll play a key role in data analysis, contract modeling, audit support, and payer relations-ultimately strengthening the organization's financial health and ... Analyze reimbursement data based on contract structure and hospital-negotiated rates. Audit and reconcile plan payments to identify and report contract variances.… more
- WMC Health (Valhalla, NY)
- …set up and maintained. Software & Data Management Maintain, test, and audit split-billing software and associated data feeds, ensuring accuracy and compliance. ... Develop and refine claims qualification logic and data feeds for contract pharmacy...Auditing & Compliance Oversight Develop and maintain a 340B audit compliance program, executing self-audits and implementing corrective action… more
- Transdev (Lombard, IL)
- …staff position within North American headquarters responsible to support FP&A Manager and Director of Accounting on a variety key projects. We offer a competitive ... Responsibilities: Primary support for key internal topic of insurance and insured claims estimates Work with actuary and risk department to support valuation of… more
- Sunrise Senior Living (Westmont, IL)
- …internal business controls. Process and manage unemployment and worker's compensation claims and update claim activity as necessary. Clearly communicate and convey ... company policy and completed for each business area. Assist in providing audit materials and information as requested. Meet business process deadlines consistently.… more
- MCI Careers (Savannah, GA)
- …and production of direct reports. Operations Managers work closely with the site director and client account managers to ensure adherence to corporate policies and ... departments such as Quality Assurance, Training, IT, and Recruiting Design and audit quality assurance strategies to ensure top-tier service delivery Manage hiring,… more
- FORTUNE SOCIETY INC (Long Island City, NY)
- …City Position Summary: Responsible for assisting the Senior Controller and the Director of Accounting in providing a system of internal accounting controls that ... and the Payroll Administrator and provides support on government contracts, claims processing and analysis, and performs other routine analysis. Essential Duties… more
- Eaton (Beachwood, OH)
- …in Beachwood, Ohio. Relocation is offered for this position. Reporting to the Director of Corporate Accounting and Reporting, this individual will lead the corporate ... *Responsible for overseeing the accounting for the US healthcare program ( claims and available discounts/rebates), including coordination with the global benefits… more
- Allianz (Chicago, IL)
- …or O'Fallon, MO offices. The Impact You Will Have Reporting to the Director , HRIS and Payroll, you will: Payroll Administration Governance and Quality Assurance ... procedures and workflow processes within the payroll area Archive records to satisfy audit and statutory requirements Draft standards to improve quality as well as… more
- Transdev (Garden City, NY)
- …York, is hiring a Purchasing Specialist.Under the direction of the Senior Director of Procurement, the Purchasing Specialist shall be responsible for drafting ... contract terms & conditions and meet applicable regulations, mandatory rules and audit requirements. Analyze & tabulate bids, create change notices & negotiate… more
- MCI Careers (Mesilla, NM)
- …and production of direct reports. Operations Managers work closely with the site director and client account managers to ensure adherence to corporate policies and ... organization, such as quality assurance, training, IT, and recruiting. Develop and audit quality assurance strategies to ensure the delivery of world-class service… more
