- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Quality Audit Professional 2 analyzes and investigates quality issues. The ... Quality Audit Professional 2 work assignments are varied and frequently require...independent determination of the appropriate courses of action. The Quality Audit Professional 2 supports… more
- ADM (Decatur, IL)
- …oversight on an additional projects each month. + Oversee and mentor less experienced audit team members, ensuring quality and consistency in audit ... professional certification or graduate degree. + Ensure draft audit reports are issued within 30 business days of...to the outcome of the solution, we enrich the quality of life the world over. Learn more at… more
- ADM (Decatur, IL)
- …substance) **Preferred Prior Professional Experiences -** + 3+ years of relevant Audit experience **Career Description -** A Audit Analyst works under direct ... **93468BR** **Job Title:** Internal Audit Analyst - Chicago or Decatur, IL **Department/Function:**...execution plan outlined as a staff auditor to obtain professional certification (CPA, CIA, and CISA) and make progress… more
- Cherry Bekaert (Springfield, IL)
- …we'd like to hear from you. Lets grow your career as an **Insurance Audit Manager** supporting our Louisville practice. **What your day looks like:** + Communicating ... ensure that engagement risks are identified and appropriate responses (including specific audit steps) are taken. + Mentor and develop associates by providing timely… more
- Humana (Springfield, IL)
- …caring community and help us put health first** The Business Technical Support Professional provides support for handling and analyzing data that pertains to the ... compliance of Humana producers. The Business Technical Support Professional will work assignments involve moderately complex to complex issues where the analysis of… more
- Humana (Springfield, IL)
- …and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to governmental and contractual requirements, ... determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes to the execution of the organization's risk… more
- Trustmark (Springfield, IL)
- …Experience group. The primary function of this role is to train and audit new and existing staff in all products including appropriate claim handling. Ensures ... Key Accountabilities + Deliver new hire training.Deliver ongoing functional and professional development training + Maintain, update and create new knowledge… more
- Highmark Health (Springfield, IL)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- Amazon (Springfield, IL)
- …Associates are trained and knowledgeable of their responsibilities under each policy. Audit the quality , delivery (including qualifications of the trainer), and ... and fix all identified deficiencies. - Deliver on-time and quality projects to Operations. - Analyze WHS metrics and...these risks and prevent injury at other FCs. - Audit record-keeping practices and Gensuite entries to be aligned… more
- Ally (Springfield, IL)
- …refund process. Ensure all transactions are processed in a timely manner. * Audit Responsibilities: Conduct audit duties, focusing on due diligence processes ... vendors. Verify vendor compliance with company standards and regulatory requirements. * Quality Control: Maintain quality control over dealer inventory insurance… more
- Eliassen Group (Springfield, IL)
- …and direct mail communications, proofreading other team members' work, documenting audit requirements and obtaining approvals from various key partners. The ... remain in compliance with company policies and procedures and maintain internal audit document files Communicate the creative details and timelines with all key… more
- Canon USA & Affiliates (Springfield, IL)
- …including ongoing maintenance/support of finance systems, user training and internal/external audit support. Perform all duties in accordance with the company's ... rates or tariffs of company are both compliant with the respective professional and governmental regulations, as well as competitive and sustainable (ie monitoring… more
- Datavant (Springfield, IL)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding...manner ensuring that appropriate changes are implemented. + Support audit processes ensuring work flows and results are properly… more
- Cherry Bekaert (Springfield, IL)
- …guide and support you at each stage of your personal and professional journey. To support the continued growth of our Deal Advisory ... Participate in performance reviews and new business development activities + Perform quality of earnings and working capital analyses + Identify and evaluate matters… more
- Cherry Bekaert (Springfield, IL)
- …a collaborative environment focused on enabling your career growth and continuous professional development. Our Marketing Department team is looking for a SEO ... SEO audits using tools like Screaming Frog, SEMrush Site Audit , and Google Search Console to identify and resolve...search results + Assist in identifying opportunities for acquiring high- quality backlinks + Assist with tracking and analyzing SEO… more
- Option Care Health (Springfield, IL)
- …business teams. Collaborate across all functions including Operations, Market Access, Internal Audit , Legal, Clinical & Quality , Human Resources and Finance and ... and other functions. Collaborate with Compliance Operations on healthcare professional engagement process, Corporate Integrity Agreement requirements, internal investigations,… more
- Sedgwick (Springfield, IL)
- …reviews, and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... client. + Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim… more
- Datavant (Springfield, IL)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... support to client relations for trainings needed for client audit findings + Research and analysis of coding error...analyze data to determine the root cause of identified quality /production concerns + Ability to work in a fast-paced… more
- Prime Therapeutics (Springfield, IL)
- …internal and external distribution Compliance Committee and the Compliance and Audit Committee and supports the Chief Compliance Officer's compliance governance ... + PBM/health care experience + Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional ...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- City National Bank (Springfield, IL)
- …proactively identified opportunities and ideas for improvements * Conduct targeted quality assurance reviews to ensure vendor and vendor relationship owner/s ... IT Vendor Management or working in IT *Additional Qualifications* * Advanced senior professional with wide ranging experience uses professional concepts and to… more