- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic ... Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …discrepancies, and policy non-compliance. Audits include reviewing medical records, applying clinical and coding knowledge, analyzing provider billing patterns, ... serve through our Healthsource blog: https://healthsource.premera.com/ . As a **Payment Integrity Auditor I** , you will support the overall objectives of the… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- About the Department The Clinical , Medical and Regulatory (CMR) department at Novo Nordisk is one of the most diverse and collaborative groups within the ... organization. From healthcare provider interactions and developing and implementing regulatory strategies with...NNI Finance, Global Business Services (GBS), PV & GDP Auditor (s) as well as with counterparts in Global Patient… more
- Insmed Incorporated (NJ)
- …will support implementation and ongoing management of digital systems used in clinical trial operations, quality control laboratories and other GxP areas, with a ... Audit, Quality Complaints and Production Process Control.What You'll Do: Provide Quality Assurance oversight for GxP computerized systems across their… more
- Stanford Health Care (Palo Alto, CA)
- …Education (GME) affiliation agreements + Physician outreach and other academic/ clinical support contracts + Coordinate with internal department, affiliated entities, ... issues in clear, concise narratives to support strategic decision-making. + Provide analytical and subject matter support to broader strategic and financial… more
- GRAIL (Durham, NC)
- …and we are using the power of next-generation sequencing (NGS), population-scale clinical studies, and state-of-the-art computer science and data science to overcome ... the Product Development Lifecycle supporting functions, including: Manufacturing Operations, Clinical Laboratory Operations, Program Management, Supply Chain, Materials Management,… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …safety, quality and compliance for the design, manufacture, and service of clinical and research products. Primary Responsibilities: The Global Vice President QARA ... and manage supplier qualification activities and monitor suppliers' performance and provide recommendations. + Coordinates and leads audit activities with all global… more
- Terumo Medical Corporation (Elkton, MD)
- …products, training and education programs that drive clear economic value, better clinical outcomes and improved quality of life for patients. TMC is part ... for Engineering, Quality and Manufacturing Operations. This role will provide primary support for the implementation, configuration, maintenance, and continuous… more
- Terumo Medical Corporation (Elkton, MD)
- …products, training and education programs that drive clear economic value, better clinical outcomes and improved quality of life for patients. TMC is part ... adherence to regulatory requirements and internal procedures. + Audit Support: Provide critical support during internal and external audits, ensuring all… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the ... financial health and compliance of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the… more
- Elevance Health (Las Vegas, NV)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records… more
- Elevance Health (Hanover, MD)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying… more
- Elevance Health (Tampa, FL)
- ** Clinical Provider Auditor II (CPC)** **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying… more
- UNC Health Care (Chapel Hill, NC)
- …from entity to entity across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during ... we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that are owned or… more
- Elevance Health (St. Louis, MO)
- … Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + **Claims Auditor Senior** - all the above, plus : ... Service as a subject matter expert for Policy and Clinical Guidelines. Associates at this level serve as a...or any combination of education and experience which would provide an equivalent background. + **Claims Auditor … more
- Insight Global (Plano, TX)
- …years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). Prior experience of working as a ... DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on… more
- Catholic Health (Buffalo, NY)
- …consistent, accurate, and meets data integrity for use in billing, reimbursement, clinical outcomes, and for reporting. The Auditor /Educator will monitor ... with coding conventions, billing rules and Federal and State regulations. The Auditor /Educator will also provide timely education and feedback for Clinicians,… more
- Sanofi Group (Morristown, NJ)
- …and reporting of assigned routine and non-routine GCP audits including Clinical Investigator Site, External Service Provider , and internal Process/System, ... **Job Title:** Senior Manager, CQA Auditor **Location** : Morristown, NJ **About the Job**...position will be focused on assessing GCP Compliance in clinical related activities and supporting the Quality Management System… more
- Humana (Corpus Christi, TX)
- …caring community and help us put health first** The Quality Assurance, Clinical Professional 1 consults and collaborates with clinicians to ensure high ... accountability of compliance and quality. The Quality Assurance, Clinical Professional 1 work assignments are often straightforward and of moderate complexity. The… more
- Catalent Pharma Solutions (Winchester, KY)
- **AR&D Associate Data Auditor ** Catalent, Inc. is a leading global contract development and manufacturing organization (CDMO) whose mission is to develop, ... and life-saving treatments for patients annually. The AR&D Associate Auditor is a professional career position within the Analytical...executing a broad range of high visibility tasks to provide scheduling and alignment for the AR&D Department in… more
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