- 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 ... will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report....work in a "hybrid" style, with a mix of remote , in-person and in-office interactions dependent on the needs… more
- ManpowerGroup (Vienna, VA)
- …organization. **Job Title:** Bank and Corporate Owned Life Insurance (BOLI/COLI) Auditor **Location: Remote ** **Pay Range:** $70.00/hour - $80.00/hour **What's ... seeking a Bank and Corporate Owned Life Insurance (BOLI/COLI) Auditor to join their team. As a Bank and...policies. + Conduct thorough audits of life and death claims to verify accuracy, completeness, and compliance with company… more
- Sedgwick (Annapolis, MD)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and candidates residing ... United States are encouraged to apply. As an Attorney Auditor at Sedgwick, you'll have the opportunity to take...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Actalent (West Des Moines, IA)
- …understanding of standard medical coding, including CPT, ICD-10, and HCPCS. The Nurse Auditor is responsible for adjudicating claims to comply with client ... Nurse Auditor Job Description This role requires a thorough...documentation. This includes determining accurate payment criteria for pending claims , auditing and pricing a wide variety of claim… more
- BayCare Health System (Raleigh, NC)
- …7:00 AM to 3:30 PM + **Days:** Monday - Friday The Inpatient Coding Auditor is a full-time remote position. _Sign on bonuses available!_ Responsibilities + ... the Tampa Bay area. **Position Details:** + **Location:** Fully Remote (must reside in the state of Florida, Georgia,...The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 165727 FlexStaff Compliance Auditor - Hybrid position- Chappaqua, NY- $105K *THIS IS A HYBRID POSITION- YOU MUST RESIDE LOCALLY* Are you passionate ... a meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic team! This hybrid position offers the… more
- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote . This person should have an extensive background in ... is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …cycle services performed for Bon Secours Mercy Health. *Please note this role is remote , but requires living in the continental US and working hours in alignment ... Assists in the review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for the development of compliance internal monitors… more
- Humana (Phoenix, AZ)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... be moving forward to next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will ... Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be… more
- DoorDash (Tempe, AZ)
- …company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are looking for forward ... DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's...Notice to Applicants for Jobs Located in NYC or Remote Jobs Associated With Office in NYC Only We… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- THIS IS NOT A REMOTE POSITION We are hiring a Medical Records Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, ... correspond with insurance companies to obtain accurate reimbursement for healthcare claims . This person will also be responsible for analyzing, abstracting,… more
- Medical Mutual of Ohio (OH)
- …by members, and members' health outcomes.** **Note: This is a fully remote opportunity. Eastern Time Zones preferred.** **Responsibilities** **HEDIS Analyst II** + ... To include data documentation, compilation, reconciliation, and research.Works directly external HEDIS/NCQA auditor to resolve any items on Issue Log. + Reviews data… more
- DoorDash (San Francisco, CA)
- …business by managing corporate insurance programs and mitigating risk across Actuarial, Claims Operations, and Risk Management & Mitigation. We operate at the ... cross-functionally to drive compliance and resilience. This role is remote -friendly within the US, with a preference for candidates...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more
- DoorDash (San Francisco, CA)
- …us continuously improve how we manage litigation at scale. This is a remote position based in the San Francisco Bay Area, with occasional in-office expectations ... requirements + Collaborate closely with outside counsel, in-house attorneys, claims professionals, and safety teams to move cases forward...Notice to Applicants for Jobs Located in NYC or Remote Jobs Associated With Office in NYC Only We… more
- Defense Microelectronics Activity (Mcclellan, CA)
- …IP Manager, Enablement Manager, MPW Manager, TAPO Share Point Manager, Trusted Auditor , MICP Assessable Unit Manager (AUM), COR or Program Management. Requirements ... QUALIFY? You MUST provide transcripts or other documentation to support your educational claims . All materials must be submitted by the closing date of the… more
- DoorDash (New York, NY)
- …to connect messaging to downstream metrics, from comprehension to NPS to claims behavior. + Brings strong cross-functional leadership and a track record of ... Notice to Applicants for Jobs Located in NYC or Remote Jobs Associated With Office in NYC Only We...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more
- BD (Becton, Dickinson and Company) (Four Oaks, NC)
- …Ensure compliance with quality systems, including holds, product disposition, intracompany claims , QMS audits, and metric data analysis. + Regulatory Compliance: Act ... Industry-recognized certification in a quality system element (eg, ASQ Certified Quality Auditor ) is preferred. **Knowledge and Skills** + Self-motivated and able to… more
- DoorDash (San Francisco, CA)
- …automation of recurring workflows + Collaborate with cross-functional teams-including Claims , Finance, and Legal-to incorporate operational insights into actuarial ... Notice to Applicants for Jobs Located in NYC or Remote Jobs Associated With Office in NYC Only We...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more
- BD (Becton, Dickinson and Company) (Four Oaks, NC)
- …products with a focus on minimizing Zero Escape incidents. + Oversee intracompany claims and drive the resolution process. + Conduct and handle QMS Audits, ensuring ... in a Quality System Element or specialty (eg, ASQ Certified Quality Auditor ) is highly desirable. + Experience as a designated representative preferred. **Knowledge… more
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