- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Provider Quality Audit Professional 2 operates within well-defined guidelines ... to determine appropriate methods, techniques, and analytical strategies. The ** Provider Quality Audit Professional...and microwave connection can be used only if they provide an optimal connection for associates. The use of… more
- General Motors (Hartford, CT)
- …people leader responsible for overseeing the development and implementation of audit methodologies, quality assurance, and training programs. Additionally, this ... What You'll Do - * Lead and manage the Professional Practices Group within GM Audit Services.... staff. * Collaborate with leadership team to align audit practices with organizational goals. * Provide … more
- Hartford HealthCare (Farmington, CT)
- …of Responsibility* 1. Performs revenue opportunity assessment and executes the professional audit work plan which includes provider audit and education ... manor. o Exemplary communication skills; ability to navigate challenging conversations and provide effective provider training in large and small groups. o… more
- CVS Health (Hartford, CT)
- …etc.** Engages all appropriate parties and **implements best practices and develops Audit Policies & Procedures.** + Assesses and validates the effectiveness of ... control over financial reporting. + Designs and oversees the execution of audit procedures, including sampling and testing, to improve and maintain business auditing… more
- Deloitte (Hartford, CT)
- …center of every decision, bringing both new risks and opportunities. As an Audit & Assurance Analyst, you could help our industry-leading clients navigate the risks ... Specific areas of work could include: + Assist clients in advancing the quality of information disclosed to markets and investors to meet regulatory and attestation… more
- Grant Thornton (Hartford, CT)
- As an Audit Manager with a specialization in the Insurance industry, you will use your technical and leadership skills to oversee the completion of on-budget ... business objectives and risks to enhance each financial statement audit - all with the resources, environment and support...to thrive + Representing Grant Thornton at recruiting and professional networking events + Building your technical and … more
- Grant Thornton (Hartford, CT)
- As an Audit Manager, you will use your technical and leadership skills to oversee the completion of on-budget financial statement audits. You'll apply your knowledge ... business objectives and risks to enhance each financial statement audit - all with the resources, environment and support...to thrive + Representing Grant Thornton at recruiting and professional networking events + Building your technical and … more
- WelbeHealth (Hartford, CT)
- **Claims Audit Analyst** At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable ... senior population while serving as a care provider and care plan to those individuals we serve....excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely… more
- Cherry Bekaert (Hartford, CT)
- …Cherry Bekaert LLP and Cherry Bekaert Advisory LLC, independently owned entities, provide professional services in an alternative practice structure in ... from you. Let's grow your career as an **Insurance Audit Manager** supporting our Louisville practice. **We will consider...client deliverables are provided in a timely manner. + Provide the engagement partner with timely status updates and… more
- Hartford HealthCare (Farmington, CT)
- …subject matter expert (SME) and collaborates with Revenue Cycle Medical Director to provide provider , CDI and coding education for DRG downgrade denials ... and comprehensive Health Information Management (HIM) Clinical Documentation Integrity (CDI) quality , audit , education, and denials prevention program consistent… more
- Hartford HealthCare (Farmington, CT)
- …Orthopedics and Tallwood Urology & Kidney. Position Summary: The Director of Professional Services Coding will provide system wide leadership and strategic ... direction for all aspects of Professional Billing (PB) coding, audit /education, and revenue integrity procedures that directly impact the organizations' revenue… more
- The Cigna Group (Bloomfield, CT)
- …for final review of formal written deliverables including audit scope memos, audit reports and critical presentations to ensure quality and accuracy. + Makes ... The Cigna Group is looking for talented leaders with prior audit experience and success driving highly functioning teams, who are interested in being part of Cigna's… more
- Humana (Hartford, CT)
- …community and help us put health first** The IFG Senior Compliance Professional ensures compliance with Health Plan contracts and governmental requirements. The ... Senior Compliance Professional work assignments involve moderately complex to complex issues...documentation for compliance activities, including reports, training materials, and audit findings. + Participate in the development of policies… more
- GAF (Hartford, CT)
- …in the implementation and continuous improvement of the standardized supplier quality audit .* Lead the development, implementation, maintenance, and reporting ... and operational excellence. **Job Summary** The Manager of Supplier Quality will provide leadership to assess and...assist in the enhancement and execution of the supplier audit program, quality control processes (eg, standardized… more
- Humana (Hartford, CT)
- …this role is Medicare Pharmacy and Part D. The Senior Compliance Professional will analyze business requirements, provide research and regulatory interpretation, ... community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional… more
- Grant Thornton (Hartford, CT)
- …principals, managing directors (PPMDs) and professionals in evaluating new opportunities ( audit or other) or existing relationships for a client (or prospect) ... companies. The individual should have strong understanding of the professional standards established by independence standard setters and regulatory bodies,… more
- Elevance Health (Wallingford, CT)
- …systems and reference information to make audit determinations and generate audit findings letters. + Maintains accuracy and quality standards as set ... + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. +… more
- Humana (Hartford, CT)
- …and help us put health first** The Senior Contract Management Professional evaluates, drafts, and negotiates contracts and other related documents, including ... for Humana, its subsidiaries and affiliates. The Senior Contract Management Professional work assignments involve moderately complex to complex issues where the… more
- Aerotek (Guilford, CT)
- **Job Title: Quality Control Technician** **Job Description** The Quality Control Technician is responsible for inspection and auditing within all areas of the ... manufacturing facility to assure quality standards are maintained. This role involves participating in... programs, such as Lean and NonConforming Materials. + Audit , review, and pre-approve process paperwork for critical customer… more
- H&H (New Haven, CT)
- …on the inspection of the project's quality control documents and system. The Quality Auditor will prepare audit reports and assessments and assist the ... assurance audits as needed for active projects + Provide monthly report of all project quality ...observations and findings of audits Benefits We offer a professional work environment, a competitive salary, benefits package and… more