- Elevance Health (South Portland, ME)
- ** Clinical Provider Auditor II ** _Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Clinical Provider Auditor II is responsible for… more
- Elevance Health (Hanover, MD)
- ** Clinical Provider Auditor II ** **Supports the Payment Integrity line of business** _Lo_ _cation: This is a field position expected to be in clinic 60% ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II ** is responsible for… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Staff Auditor II Augusta , Maine , United States | Auditor | Full-time | Partially remote Apply by: May 30, 2025 Apply with Linkedin Apply Department of ... to its staff. ABOUT THE POSITION: As a Staff Auditor II you will: + Perform independent...and standards. + Analyze budget and expenditure information and/or clinical and professional records in a forensic capacity requiring… more
- Omnicell (Grapevine, TX)
- **Job Description:** The Regulatory Auditor position plays a critical role in safeguarding the integrity and compliance of pharmacy operations. This position is ... to transforming pharmacy care through outcomes-centric innovation designed to optimize clinical and business outcomes across all settings of care. We strive… more
- The County of Los Angeles (Los Angeles, CA)
- …the level of the County of Los Angeles class of Senior Contract Program Auditor **. PHYSICAL CLASS: Physical Class II - Light: This class includes administrative ... HEAD CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4448498) Apply HEAD… more
- Highmark Health (Columbus, OH)
- …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system...+ Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and… more
- LA Care Health Plan (Los Angeles, CA)
- HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's… more
- Fujifilm (College Station, TX)
- **Position Overview** The Quality Assurance - Compliance Specialist II - Audit and Inspectionwill support all associated responsibilities in compliance with FUJIFILM ... with Quality management to ensure quality systems support cGMP manufacturing of pre- clinical to commercial products. + Compliance + Ensure self-have no overdue… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... program, procedure, budget, or personnel. - OR - Option II : Two (2) years of highly responsible administrative or...Assistant III**, Assistant Hospital Administrator I , Contract Program Auditor , or higher. YouMUSTmeet one of the above… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... control systems. Supervises the review of audit findings prepared by the County Auditor and outside agencies and supervises the preparation of reports to support… more
- The County of Los Angeles (Los Angeles, CA)
- …of Intermediate Accountant- Auditor , Accountant III or higher. PHYSICAL CLASS II - Light: This class includes administrative and clerical positions requiring a ... in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society ... or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... balances; assisting in the reconciling of accounts with the Auditor 's abstract; compiling prescribed financial-statistical data and preparing highly standardized… more
- Stanford University (Stanford, CA)
- …to improving the lives of patients with serious lung disease. Our goal is to provide outstanding clinical and research training to the next generation of leaders ... Pulmonary, Allergy, and Critical Care Medicine. We are committed to strong clinical investigations including the evaluation of new pharmacologic agents, which offer… more
- Stanford University (Stanford, CA)
- …States** **New** Finance Post Date 6 days ago Requisition # 106397 **Cancer Clinical Trials Office Research Administrator 3 - Hybrid** The Stanford Cancer Institute ... for the complete range of cancer-related research, including basic, translational, clinical and population-based science. The SCI brings together faculty with… more
- ThermoFisher Scientific (Bethesda, MD)
- …- enabling our customers to make the world healthier, cleaner and safer. We provide our teams with the resources needed to achieve individual career goals while ... step beyond through research, development and delivery of life-changing therapies. With clinical trials conducted in 100+ countries and ongoing development of novel… more
- HCA Healthcare (Pensacola, FL)
- …by location._** Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the HCA ... and appropriately. Accurately maintains and coordinates required documentation logs + Provide direction and training to other technicians as assigned. + Assists… more
- HCA Healthcare (Portsmouth, NH)
- …all work orders for facilities, Biomed and IS department. + Infection Control Auditor for the Infection Control Department. + Contact for the Environmental Safety ... and Service Recovery. + Work in tandem with Diagnostics Clinical Coordinator to maintain daily logistical flow and troubleshoot...the needs of the clinic, physicians and staff to provide quality patient care. + Able to prioritize tasks… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... Health Services or Mental Health, departmental administration and by the Auditor -Controller when necessary. Writes policy and procedure manuals pertinent to… more
- State of Massachusetts (Everett, MA)
- …comprehensive, and accurate. 2. Establish and maintain effective supervision structures. Provide timely supervision and direct support to PRS Supervisors, including ... other team staff. Develops and maintains a cohesive staff unit, to provide an opportunity for staff, supervisors, and/or administrators to share information,… more
Related Job Searches:
Auditor,
Auditor II,
Clinical,
Clinical Provider,
Clinical Provider Auditor,
II,
Provider,
Provider Auditor