- Elevance Health (St. Louis, MO)
- …including specialized claims , working independently and without significant guidance. The ** Claims Auditor Senior ** is responsible for auditing of high ... - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + ** Claims Auditor Senior ** - all the above, plus : Service as a… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR CONTRACT PROGRAM AUDITOR Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5040931) Apply SENIOR CONTRACT PROGRAM AUDITOR ... motivated and career-minded individuals to fill the position of Senior Contract Program Auditor . To view classification...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- State of Massachusetts (Boston, MA)
- …or are redirected to the appropriate agency if it falls outside our jurisdiction. * Senior Auditor : Position Overview** * The Senior Auditor ... enforcement state and federal prosecutors. AOI may be investigating claims of public corruption or other wrongdoing in a...waste and abuse within state and municipal entities. The Senior Auditor will conduct research and analysis… more
- MAPFRE Insurance (Webster, MA)
- Internal Auditor (Webster or Boston, MA) Date: Oct 21, 2025 Location: Webster or Boston, MA, US Company: MAPFRE **Who We Are** A dynamic, forward-thinking ... risk mitigation, and continuous process improvement. We are looking for an Auditor to optimize and streamline our audit processes while driving innovation and… more
- CareFirst (Baltimore, MD)
- …for systematic investigations of a specific area of operations (ie, claims , customer service, enrollment) within the organization. Incumbent conducts a variety ... to negotiate effective solutions to audit issues. + Knowledge of all claims , service and enrollment processing systems. + Excellent communication skills (verbal and… more
- Sedgwick (Indianapolis, IN)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Internal auditor **PRIMARY PURPOSE OF THE ROLE:** To perform internal audit procedures under ... the general direction of the Internal Audit Senior ; to conduct walk-throughs for processes; to assist in...field strongly preferred. Certified Public Accountant (CPA), Certified Internal Auditor (CIA) or certified Information Systems Auditor … more
- CVS Health (Hartford, CT)
- …years of experience maximizing data accuracy. + Working knowledge of medical claims and coding. **Education** Bachelor's degree or equivalent experience (HS diploma ... + 4 years relevant experience) **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full-time salary for all… more
- City of New York (New York, NY)
- …with new or renovated structures such as firehouses, libraries, police precincts, courthouses, senior centers and more. Our work doesn't stop at buildings we also ... 4500 payment requests annually. DDC seeks a Capital Payment Auditor to review and process these payment requisitions. To...(in FMS3); and adjust payment voucher(s) due to liens, claims and assignments. The candidate will use the DDC… more
- DoorDash (San Francisco, CA)
- …at DoorDash. About the Role We are looking for a motivated and detail-oriented Senior Actuarial Analyst who will be a member of DoorDash's Corporate Risk & Insurance ... loss analysis, actuarial indication, and trend monitoring + Work alongside senior actuaries to refine monthly performance reporting and support automation of… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Insurance Appeals Senior , Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... Analyzes all correspondence regarding insurance denials for the revenue integrity auditor to take appropriate action. Prepares necessary documentation for insurance… more
- City of New York (New York, NY)
- …PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE MANAGEMENT AUDITOR CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. CANDIDATES MUST STATE THE TITLE ... to OCA's Director and will oversee one or more Senior Auditors. The Deputy Director will be required to...independently audited financial statements. - Conducting reviews of monthly claims for reimbursement submitted by CBOs, as part of… more
- Sedgwick (Shreveport, LA)
- …activities ensuring coverage for assigned areas to address high risk, working with senior management and all levels of the organization. + Analyzes and directs the ... + Evaluates the client requirements and gains agreement of understanding with senior management for conducting external assessments. + Partners with procurement to… more
- Johns Hopkins University (Baltimore, MD)
- …those issues. + Interact appropriately with all levels of personnel including senior and executive leadership, building good working relationships across the Johns ... Hopkins Institutions. + Nurture existing and develop new relationships with senior management to help achieve the department's strategic plans. + Represent… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, and compliance with ... processes. + Reviews, assesses and analyzes medical records, coding, billing, claims , reimbursements and workflow processes to ensure accuracy, completeness, and… more
- Robert Half Finance & Accounting (Farmington, CT)
- Description Senior Reinsurance Accountant Farmington -- Hybrid Schedule Contact: Brittany Rizzo / ###@roberthalf.c0m Reference ID: BR0013327972 About the Company Our ... a global footprint and a reputation for excellence, they are seeking a Senior Reinsurance Accountant to join their high-performing Finance team. The Opportunity As a… more
- Vibrant Emotional Health (New York, NY)
- …annual audits - Manage/supervise the general accounting staff in providing external auditor request. + Provide assistance to the Controller with various finance ... + Support leadership on special projects. + Provide strategic financial advice to senior management + Ensure that team policies and procedures are documented and… more
- Option Care Health (Bannockburn, IL)
- …to summarize and communicate complex findings effectively. Reporting to the Senior Manager, Compliance Auditing, Monitoring and Analytics, this individual assists in ... to analyze large datasets, such as related to healthcare operations, billing, claims , and patient information to support Compliance activities and to identify… more
- UNUM (Portland, ME)
- …and enhancing your professional skills + Gain exposure to networking opportunities with senior leader across our enterprise locations + Take part in social events, ... offers and compensation incentives + Provided competitor intelligence around available claims reporting for insurance and service products + Created new hire… more