• Senior Auditor (Provider Networks)

    CVS Health (Hartford, CT)
    …key member of the Network team, this role leverages deep expertise in healthcare provider contracts, provider data, and network operations to support the development ... **Required Qualifications** + 3-5 years of experience working in managed healthcare contracting, network management, or supporting roles. + QuickBase, Excel and… more
    CVS Health (10/29/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …Summary:** Working under the direction of the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will ... 011250 CCA- Claims Hiring for One Year Term **_This position...+ Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice to have):** + Masters… more
    Commonwealth Care Alliance (08/26/25)
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  • Insurance Appeals Senior

    Covenant Health Inc. (Knoxville, TN)
    Overview Insurance Appeals Senior , Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... region's top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and specialty services… more
    Covenant Health Inc. (09/23/25)
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  • Senior Actuarial Analyst

    DoorDash (San Francisco, CA)
    …at DoorDash. About the Role We are looking for a motivated and detail-oriented Senior Actuarial Analyst who will be a member of DoorDash's Corporate Risk & Insurance ... loss analysis, actuarial indication, and trend monitoring + Work alongside senior actuaries to refine monthly performance reporting and support automation of… more
    DoorDash (10/17/25)
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  • Internal Audit Manager (Office of Hopkins Internal…

    Johns Hopkins University (Baltimore, MD)
    …demonstrates subject matter expertise in operational internal auditing and the healthcare and/or higher education industry. Manages multiple complex internal audit ... those issues. + Interact appropriately with all levels of personnel including senior and executive leadership, building good working relationships across the Johns… more
    Johns Hopkins University (08/23/25)
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  • Analyst, Compliance Auditing, Monitoring…

    Option Care Health (Bannockburn, IL)
    …advanced analytics techniques to analyze large datasets, such as related to healthcare operations, billing, claims , and patient information to support Compliance ... preferred, as is familiarity with statistical methodologies. + Certified in Healthcare Compliance (CHC), Certified Internal Auditor (CIA), Certified Fraud… more
    Option Care Health (10/19/25)
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  • Compliance Coding And Billing Analyst

    University of Texas Rio Grande Valley (Mcallen, TX)
    …and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, and compliance with ... processes. + Reviews, assesses and analyzes medical records, coding, billing, claims , reimbursements and workflow processes to ensure accuracy, completeness, and… more
    University of Texas Rio Grande Valley (10/23/25)
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  • Business Intern (Summer 2026)

    UNUM (Portland, ME)
    …and enhancing your professional skills + Gain exposure to networking opportunities with senior leader across our enterprise locations + Take part in social events, ... offers and compensation incentives + Provided competitor intelligence around available claims reporting for insurance and service products + Created new hire… more
    UNUM (09/04/25)
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