- Grant Thornton (Philadelphia, PA)
- As a Process Risk & Claims Audit Manager, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand ... and help you achieve more, confidently. Your day-to-day may include: + Leverage claims operations experience and claim audit experience to review and analyze… more
- IQVIA (Wayne, PA)
- … claims processing** . + Identify and manage **payment data related to claims , rebill, and manage overrides.** + Audit readiness and fraud detection-including ... key growth drivers and trends. + Leads the monthly management forecast process for **pharmacy rebate manufacturers.** + Recommends and implements system solutions… more
- Akumin (Philadelphia, PA)
- …opportunities for improvement. + Ensure data integrity across systems and support audit readiness. **Compliance & Risk Management** + Maintain up-to-date ... oversee all facets of the billing lifecycle, including charge capture, claims management, collections, cash application, denial resolution, and system optimization.… more
- Citigroup (New Castle, DE)
- …of factual information, and provides assistance in the implementation of loan documentation process improvements. + Minimizes risk to the bank through increased ... while providing support to a variety of tasks related to the loan process . + Activities will include independently processing and closing loans within a complex… more
- Burns & McDonnell (Conshohocken, PA)
- …Negotiate prime contracts, CM contracts, subcontracts, and change orders. + Participate in risk review process . + Implement assigned sections of the Project ... client, supplier and company commissioning and startup teams as needed. + Implement, audit , and oversee project documentation. + Implement process for confirming… more
- Citigroup (New Castle, DE)
- …management of any potential client or control issues within the Operations. Identify process or procedural improvements within the Ops group with both internal and ... efficiencies. Able to work with multiple groups to ensure a streamline process . Must be versatile and demonstrate the ability to resolve issues/escalations while… more
- Penn Medicine (Bala Cynwyd, PA)
- …efficient and timely claim submission. . Review secured authorizations and pre-billed claims as needed to ensure they adequately reflect the procedures preformed . ... In partnership with coding colleagues, educate provider community through independent audit analysis to ensure knowledge and understanding of correct coding and… more
- Deloitte (Philadelphia, PA)
- …to clients in the insurance industry across business functions such as underwriting, claims , IT, finance and accounting + Coordinating with the client's tax and ... law and drafting technical memos + Assisting with IRS audit defense. The Team At Deloitte Tax LLP, our...operations while working within the confines of their individual risk profiles. Business Tax subject matter experts and industry… more
- Mallinckrodt Pharmaceuticals (Malvern, PA)
- …appropriate resolution and corrective action, if needed. Key steps of our process : + Assess concern and recommend an investigative approach + Develop investigation ... of active Compliance investigations Investigation Oversight & Support: + Investigations Process Support - Ensures effective functioning of our global investigations … more
- Burns & McDonnell (Conshohocken, PA)
- …client, supplier and company commissioning and startup teams as needed. * Implement, audit , and oversee project documentation. * Implement process for confirming ... related items. * Participate in internal and external project risk reviews and consult with Legal Department as required....oversee the downstream Request for Proposal (RFP) and bid process and prepare detailed scope of work documents for… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …them to achieve their goals. Our talented team delivers actuarial, audit , corporate communications, financial and investment, human capital services, information ... processes + Assist corporate actuaries in preparation of the annual Own Risk and Solvency Assessment report + Participate in programming, preparation, and… more