- Fallon Health (Worcester, MA)
- …Manager of Configuration Audit and Directories, staff will perform an audit sampling of provider data within the symplr Payer application. Completes a score form ... review error trends and collaborate solutions for issues related to provider data . **Responsibilities** **Primary Job Responsibilities** * Reviews configuration… more
- Citizens (Boston, MA)
- Description Senior Auditor - Capital Markets/Broker Dealer The Internal Audit team at Citizens is hiring a Senior Auditor on our audit Capital Markets, Market ... control environment, risk management practices, and culture. The Senior Auditor will lead and/or participate on complex audits of...5:00 pm Some job boards have started using jobseeker-reported data to estimate salary ranges for roles. If you… more
- Humana (Boston, MA)
- …caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- Sanofi Group (Framingham, MA)
- **Job title** : Global Quality Auditor - Technology Audit and Inspection **Location:** Morristown, NJ or Framingham, MA **About the Job** We deliver 4.3 billion ... hope to patients and their families. Foster best-in-class performance by leveraging data , technology and diverse talents to secure product launches and support… more
- Federal Home Loan Bank of Boston (Boston, MA)
- Senior Internal Auditor Location Boston Apply Now (https://phh.tbe.taleo.net/phh01/ats/careers/v2/applyRequisition?org=FHLBBOSTON&cws=38&rid=429) Federal Home Loan ... Bank of Boston (FHLBank Boston) is a leading provider of wholesale funding for housing and community finance...are a vital resource that helps our members succeed, provide families with safe, decent affordable housing, and generate… more
- Eastern Bank (Lynn, MA)
- Auditor III/AVP The AVP Auditor makes most day-to-day decisions during the course of the audit; however, must also exercise judgment in knowing when to seek ... advice or approval from the Audit Manager or Chief Auditor . The Audit AVP makes overall recommendations as to...have experience in the preparation and analysis of audit data through computer-assisted audit tools + Must have/maintain current… more
- CIBC (Boston, MA)
- …visit CIBC.com (https://www.cibc.com/en/about-cibc.html) **What you'll be doing** The IT Senior Auditor is responsible for the execution of Internal Audit's testing ... contribute to business process control streams. The IT Senior Auditor will work with internal and external stakeholders to...basis. Communicate regularly with the team and manager to provide updates on progress. **Who you are** + **You… more
- CIBC (Boston, MA)
- …CIBC.com (https://www.cibc.com/en/about-cibc.html) **What you'll be doing** The Senior Auditor , Information Technology is responsible for conducting risk-focused ... control policies, and applicable legislation. The role applies advanced concepts to provide expertise in the development and completion of monthly audit reports,… more
- Highmark Health (Boston, MA)
- …prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to ... meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system...as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance… more
- State of Massachusetts (Boston, MA)
- …duties with integrity, excellence, and leadership. Additionally, we strive to provide economic opportunity, stability, and security for every Massachusetts resident. ... personnel; determines requirements and obtains, verifies, and analyzes available data ; observes actual practices, evaluates functional operating techniques and… more
- CIBC (Boston, MA)
- …**What you'll be doing** As a member of CIBC's team, the Senior Auditor is responsible for conducting risk-focused audits; advising business units on the design, ... control policies, and applicable legislation. The role applies advanced concepts to provide expertise in the development and completion of monthly audit reports,… more
- Beth Israel Lahey Health (Charlestown, MA)
- … to support Medicare, Medicaid and other regulatory filings, supporting financial and government auditor data requests, and servings as a liaison to the System & ... related finance models based on transparent and efficient methodologies; (2) Produce data and analytics that deliver actionable business insights to BILH hospital,… more
- Humana (Boston, MA)
- …while helping the team identify, consult on, develop, and maintain key supplemental data connections + Engage market and provider offices to establish high ... connections, deliver key operational reporting to management, and provide support and leadership on the ground for this...HEDIS roadmap. + Support annual standard and nonstandard supplemental data audit with NCQA and DTS auditor .… more
- Citizens (Boston, MA)
- …an opening for on our Operational Risk Management (ORM) Oversight team focused on Data risks. The role will provide independent oversight, review, and challenge ... that this colleague has strong domain knowledge of emerging data risks, data management standards, best practices,...+ Lead targeted risk assessments on emerging issues to provide an independent opinion on the impact to the… more
- Highmark Health (Boston, MA)
- …**Job Description :** **JOB SUMMARY** The Information Security Architect - Data Protection develops and guides the implementation of security architectures that ... protect sensitive data and ensure business continuity by mitigating associated risks....add value to job accomplishments. + May begin to provide leadership and mentoring in the areas of expertise… more
- Sanofi Group (Framingham, MA)
- …hope to patients and their families. Foster best-in-class performance by leveraging data , technology and diverse talents to secure product launches and support ... get started? **Main Responsibilities:** + Acts as a lead auditor or co- auditor , in accordance with Sanofi...Qualifications** + Minimum bachelor's degree in science, pharmacy, engineering, data science, or equivalent with at least +12 years… more
- State of Massachusetts (Boston, MA)
- …the federal Office of the Inspector General (Fed-OIG), the Office of the State Auditor (OSA), the State Office of the Inspector General (State-OIG), and the Office ... the Inspector General's Bureau of Investigations regarding investigations of MassHealth provider and member fraud, including the referral, monitoring and tracking of… more
- American Tower (Boston, MA)
- …of four years supervisory experience required. + Certified Information Systems Auditor , Certified Information Systems Security Professional, Certified in Risk and ... + Other preferred certifications include Certified Public Accountant and Certified Internal Auditor . + Knowledge of industry Risk and Control frameworks (SOX, NIST,… more
- Nelnet (Boston, MA)
- …with the industry standards for compliance and information security issues to provide our customers with world class information security & compliance services. ... with the industry standards for compliance and information security issues to provide our customers with world class information security & compliance services. The… more
- State of Massachusetts (Boston, MA)
- …staff at the OCABR and the Executive Office for Administration and Finance ("ANF") to provide data for potential changes to fees. Ensure that fees are added and ... the public health, safety and welfare by licensing qualified individuals and businesses to provide services to consumers. In addition, it is the duty of the DOL to… more