- Elkay (Milwaukee, WI)
- Freight Audit and Claims Analyst **_The Company_** Zurn Elkay Water Solutions Corporation is a thriving, values-driven company focused on doing the right things. ... Elkay Water Solutions Corporation family! **Job Description** The Freight Audit and Claims Analyst reports to the... Analyst reports to the Logistics Systems & Analytics Manager and will be responsible for freight audit… more
- Robert Half Finance & Accounting (San Antonio, TX)
- …company in the heart of the San Antonio market seeking to hire an experienced Claims Manager . With over 20 years of experience in the healthcare industry, this ... staff assignments, to meet productivity and quality standards. + Manage delegated claims audit and reporting processes to ensure compliance with CMS and other… more
- US Bank (Atlanta, GA)
- …what you excel at-all from Day One. **Job Description** **Job Description** The Corporate Audit Services (CAS) Senior Audit Manager supports internal ... majority (controlling) interest. This position supports the CAS Operations audit team, with a primary focus on claims..., disputes, complaints, and card operations processes. The Senior Audit Manager will lead a team of… more
- Axis (Red Bank, NJ)
- …Quality Assurance and Compliance + Developing and implementing claims technical claims handling quality file review and audit processes for direct handled ... oversight claims handling of Program and delegated/TPA claims as well as Manager Quality File...claims best practices and current regulatory requirements, analyzing audit results, reporting on the results, and developing post-… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Delegation Oversight Clinical Audit Job Category: Clinical Department: Executive Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Manager , Delegation Oversight Clinical Audit is directly...care with a focus in areas of Utilization Management claims . At least 3-5 years of supervisory/management experience in… more
- Universal Health Services (Riverside, CA)
- …errors in the auditor Access database program, and report all findings to the Manager . 3. Assist the Claims Examiners and other personnel with claims ... and receive care. SUMMARY: Responsible for auditing and training claims staff on all Managed Care claims ...formally, or informally, either verbally or in writing). 1. Audit the Claim Examiners' batches daily, to ensure all… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …to recovery and repayment of inappropriate payments discovered as a result of claims audit or investigation. + Maintains awareness of regulations and current ... protocols that align with Bon Secours Mercy Health's overall compliance audit and compliance responsibilities relative to acute and physician revenue cycle… more
- Access Dubuque (Dubuque, IA)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... Claims Team Lead - Liability **Sedgwick** 1 Positions...Client Service Representative (CSR) Kunkel & Associates, Inc. Account Manager - Property & Casualty Kunkel & Associates, Inc.… more
- AIG (Alpharetta, GA)
- …point for colleagues. + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ensuring ... Senior Claims Analyst Join us as a Senior ... Claims Analyst Join us as a Senior Claims Analyst to take on key responsibilities within a...you will act as a deputy for the Team Manager , and will provide training, and be a technical… more
- AIG (Jersey City, NJ)
- …point for colleagues. + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ensuring ... Senior Casualty Claims Analyst Join us as a Senior Casualty...you will act as a deputy for the Team Manager , and will provide training, and be a technical… more
- CVS Health (Tallahassee, FL)
- …care more personal, convenient and affordable. Job Purpose and Summary: As an Audit and Testing Program manager , you will provide technical, analytical, and ... audits and adequately communicate implications to ensure a successful audit experience for our clients. Your ability to research... experience for our clients. Your ability to research claims , read benefit setups in RxClaim, and articulate risks… more
- DATTCO (New Britain, CT)
- …duty notification and assignments, coordinating with the carrier on appropriate actions, resolving claims to closure and audit monthly billing. This in a ... Insurance Claims Representative Department: Risk Management Location: New Britain,...work; prepare modified duty letters and follow up with manager for updates and return to work + Monitor… more
- Upperline Health (Nashville, TN)
- …This is a hybrid role based in Nashville with flexibility to work remotely. About the Audit and Medical Records Manager Upperline Health is seeking an Audit ... Medical Records Manager to manage the internal audit process for our physician documentation of diagnosis and...Prescreen high risk compliance items and notes prior to claims being created. Qualifications of the Medical Chart Auditor:… more
- New York State Civil Service (Albany, NY)
- …Dormitory Authority of the State of New York Title Senior Cost Control / Claims Analyst - Albany, NY Occupational Category Other Professional Careers Salary Grade NS ... systems, project management systems, and scheduling applications (Primavera Contract Manager and P6 preferred). Must possess a valid driver's license.Essential… more
- The Hartford (Columbus, OH)
- …have end-to-end accountability for the reliability of all IT services within Claims , Contact Center, Billing, Premium Audit , Publishing, Identity Access ... we help shape the future. Reporting to the CIO Claims , Contact Center & Digital Enablement, the VP of...years of experience in an SRE or Full Stack Manager role, including RE experience at an organization that… more
- UCLA Health (Los Angeles, CA)
- …CMS compliance requirements. You will manage the coding consultants who provide audit , coding expertise, and provider education to internal and external clients. You ... of HIPAA * Extensive knowledge of HCC models V24 and V28 * Familiarity with claims and encounter data processes * Experience conducting mock RADV or actual RADV *… more
- Zurich NA (Schaumburg, IL)
- …across Zurich. + Leading and developing a team of 3 or 4 direct reports ( audit manager , senior auditor, auditor). + Leading a portfolio of audits including ... and assisting with strategy and direction for our global audit activities on Underwriting, Claims and Distribution,...for our global audit activities on Underwriting, Claims and Distribution, and delivering on these activities. +… more
- Amazon (New York, NY)
- Description Amazon's Global Risk Management and Claims team is seeking a Sr. Risk Analyst to assist with the development and management of Amazon's global insurance ... globally by engaging with operations, finance, and legal teams. Reporting to a Risk Manager within Treasury, this Sr. Risk Analyst will join a technical risk team… more
- UNC Health Care (Rocky Mount, NC)
- …health and well-being of the unique communities we serve. **Summary:** The Recovery Audit Nurse will work closely with other Business Office staff members to assist ... in facilitating: 1) clinically related reviews of patient accounts/ claims to ensure compliant billing guidelines (internal and external) are followed (including, but… more
- OneRail (Orlando, FL)
- …International Team, ensuring completeness, and participate in the second phase of the Claims along Director of Freight and Audit meetings. + Perform end-of-month ... OneRail's Temporary LP Connect Audit Clerks are responsible for analyzing and resolving...all approved payables are reported to the LP Connect Manager for final review. + Engage in special projects… more