- Elevance Health (Woburn, MA)
- ** Performance Quality Auditor I** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required in-person ... for employment, unless an accommodation is granted as required by law. The ** Performance Quality Auditor I** is responsible for evaluating the quality … more
- Humana (Boston, MA)
- …caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …with the Plans' provider agreements and the National Healthcare guidelines. The Professional Auditor helps improve clinical outcomes and quality of care, to ... true colors to blue. About the Role: The Professional Auditor is responsible for post-pay review to verify the...stakeholders informed of assessed levels of risk. Identifies potential quality of care issues and potential fraud, waste, or… more
- Elevance Health (Woburn, MA)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
- Cognizant (Boston, MA)
- …Follows all team procedures, including HIPAA policies and procedures, and meets team quality , turnaround time and productivity performance standards and goals + ... **Claims Auditor ** (remote) This is a remote position open...team: + Monitor, evaluate and score claims against established quality assurance instruments and standards + Verifying if the… more
- Deloitte (Boston, MA)
- Audit and Assurance - Information Technology Auditor - Manager Do you thrive in times of disruption? Have a passion for turning challenges and opportunities into ... resilient. Our market-leading team's help clients embrace complexity to accelerate performance , disrupt through innovation, and lead in their industries. The team… more
- Deloitte (Boston, MA)
- Audit and Assurance Information Technology Auditor - Senior Consultant Do you thrive in times of disruption? Have a passion for turning challenges and opportunities ... resilient. Our market-leading team's help clients embrace complexity to accelerate performance , disrupt through innovation, and lead in their industries. The team… more
- Highmark Health (Boston, MA)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, designs and… more
- UNUM (Boston, MA)
- …audit principles, practices, frameworks, and methodology. + Share responsibility for completing quality audit activities in support of team performance goals and ... + Award-winning culture + Inclusion and diversity as a priority + Performance Based Incentive Plans + Competitive benefits package that includes: Health, Vision,… more
- State of Massachusetts (Boston, MA)
- …with experience) GENERAL STATEMENT OF DUTIES We are seeking a detail-oriented and experienced auditor to evaluate and assess the quality and compliance of audit ... status **Job:** **Administrative Services* **Organization:** **Office of the State Auditor * **Title:** *Audit Quality Assurance Specialist * **Location:**… more
- State of Massachusetts (Boston, MA)
- …when applying per the application instructions below. The Office of State Auditor (OSA) serves as the chief accountability entity for the Massachusetts state ... OSA conducts audits of state entities and contractors to assess their performance and recommend improvements to enhance the effectiveness of government operations.… more
- Emerson (Mansfield, MA)
- …material through Material Rejection Notice process. + Prepare and deliver monthly performance reports relating to internal process quality and efficiency, ... If you are an experienced Quality Assurance professional who enjoys collaborating cross functionally...and regulatory agency audits. + Support achievement of business performance goals through data acquisition and analysis, scrap and… more
- Sensata Technologies, Inc. (Attleboro, MA)
- **JOB DUTIES:** The Product Quality Engineer is responsible for assuring the quality performance of their assigned product family (or families). Lead and ... stemming from New Business Opportunities. Provide feedback to Business leaders about quality related financial and non-financial performance of the assigned… more
- Humana (Boston, MA)
- …operational audits and consulting projects to help minimize risk and enhance performance of Humana's organization. This role is responsible for planning, executing, ... automated audit tools and data analytics to help minimize risk and enhance performance + Proactively inform segment management of significant risks or exposures +… more
- Coinbase (Boston, MA)
- …the goal of mitigating risk and improving technology, security, and operational performance without compromising 3rd Line of Defense independence and objectivity. * ... an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of...analytical and problem solving skills, with high standards for quality , accuracy and attention to detail. * Excellent written… more
- Molina Healthcare (Boston, MA)
- …Specialist, Member & Community Interventions implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... Marketplace, Medicaid) Executes health plan's member and community quality focused interventions and programs in accordance with prescribed program standards,… more
- Beth Israel Lahey Health (Charlestown, MA)
- …medical centers, acute and specialty hospitals, outpatient facilities, physician groups, performance networks, and community partners. As part of the leadership ... department aligned around shared goals and a commitment to: (1) Deliver high quality net revenue valuation and related finance models based on transparent and… more
- Deloitte (Boston, MA)
- …profession and learn more about the day-to-day responsibilities of an auditor . You'll receive guidance and work closely with experienced audit professionals, ... a vital source of information and advice, offering timely, constructive feedback on your performance . Recruiting for this role ends on May 29, 2026. Work You'll Do… more