- Humana (Juneau, AK)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation and independent… more
- Zurich NA (Juneau, AK)
- Premium Audit Auditor 112021 Zurich is currently looking for a Premium Audit Field Auditor to work within Florida or surrounding states preferred. All locations ... within their assigned territory. As a Premium Audit Field Auditor , your role is critical to providing clarification and...**The role will be filled at the Premium Audit Auditor I or Premium Audit Auditor I… more
- Humana (Juneau, AK)
- …of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ... is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require interpretation and… more
- Lincoln Financial Group (Juneau, AK)
- …**Requisition #:** 72935 **The Role at a Glance** As the Internal Auditor - Operations, you will provide independent assurance and consultative services designed ... and/or issue mitigation. + Provide a point of contact for the external auditor and regulators (such as the Departments of Insurance) regarding their audit… more
- Wolters Kluwer (Juneau, AK)
- …the system of internal control? If so, we have an Internal Control Senior Auditor opportunity that may be of interest. Wolters Kluwer has a mature three lines ... supports customer or regulatory audits as needed. The Internal Control Senior Auditor supports all these obligations. **Essential Duties:** . Advise, coach and train… more
- Intermountain Health (Juneau, AK)
- …**S** **top-loss Job Tasks** This position is responsible for thorough evaluation of all submitted claims to ensure appropriate reimbursement of Stop Loss claims. ... **Responsibilities:** *Analyzing claims to ensure all necessary documentation has been received and criteria are met for reimbursement, including evaluation of appropriate billing, member eligibility, contracts and plan specifications. *Coordinating with… more
- Nelnet (Juneau, AK)
- …System Security Professional (CISSP) (preferred), Certified Information Systems Auditor (CISA) (preferred), Certified Information Security Manager (CISM), Certified ... Internal Auditor (CIA), GIAC Systems and Network Auditor (GSNA). + Possession of an active QSA qualification is a plus. Note: _Candidates must agree to prepare… more
- Marriott (Juneau, AK)
- …(CRISC), Certified Information Security Manager (CISM), Certified Information Systems Auditor (CISA) or Certified Information Systems Security Professional (CISSP) ... **Preferred:** + A security certification such as GWAPT, GPEN, AWS Associate Architect, AWS Professional Architect, PCI experience. + Technical knowledge in one or more of the following areas is required: Application Security, Operating System security (UNIX,… more
- Wolters Kluwer (Juneau, AK)
- …(CCBCO) + Certified Anti-Money Laundering Specialists (CAMS) + Certified Internal Auditor ("CIA") **Preferred Qualifications** : + Experience working in consumer ... compliance, BSA/AML and OFAC, fair lending, UDAAP, and CRA compliance roles. + Consulting experience leading and delivering advisory consulting services. + Regulatory agency experience conducting bank examinations. + Internal audit experience leading and… more
- Cayuse Holdings (Juneau, AK)
- …additional tools like SCCM, SCOM, MDI, CrowdStrike for Identity, Quest Change Auditor for Active Directory (CAAD), Quest Recovery Manager for Active Directory (RMAD) ... etc. **Qualifications** **Affirmative Action/EEO Statement:** _Cayuse embraces diversity and equal opportunity in a serious way. We celebrate diversity and are committed to creating and building a team that represents a variety of backgrounds, perspectives,… more
- Marriott (Juneau, AK)
- …Certified Information Security Manager (CISM), Certified Information Systems Auditor (CISA) or Certified Information Systems Security Professional (CISSP)1+ ... year experience in using the Factor Analysis of Information Risk (FAIR) Model * Technical leadership experience in a sourced environment * Project management skills with a demonstrated ability to work independently and with others * Ability to manage the… more