- CAI (Boston, MA)
- Compliance Auditor **Req number:** R6613 **Employment type:** Full time **Worksite flexibility:** Remote **Who we are** CAI is a global technology services firm ... trailblazers in bringing neurodiversity to the enterprise. **Job Summary** As the Compliance Auditor , you will focus on trade compliance operations, ensuring… more
- Molina Healthcare (Boston, MA)
- **JOB DESCRIPTION** **Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and ... the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. **KNOWLEDGE/SKILLS/ABILITIES**… more
- Eastern Bank (Wakefield, MA)
- …complex systems and processes in order to evaluate internal controls, compliance with banking regulations, and identify opportunities for effectiveness. + Examines ... integral role in planning each audit assignment through communication with the Assistant Auditor , Chief Auditor , and Bank management. + Communicates audit scope… more
- State of Massachusetts (Boston, MA)
- …when applying per the application instructions below./* The Office of the State Auditor (OSA) offers a unique opportunity to work in a government environment that ... for professional development. *SUPERVISION RECEIVED:* Work under the direct supervision of an Auditor -in-charge (AIC) who is at the level of Senior Auditor or… more
- Robert Half Accountemps (Boston, MA)
- Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts - 90% Remote Job Type: 1 Year Contract - Potential for Perm Hire Hours: 40 ... Start Date: December 1, 2025 Job Description We are seeking a qualified Auditor with healthcare experience to support Program Integrity activities for a state… more
- Humana (Boston, MA)
- …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 ... compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- WATTS (North Andover, MA)
- …quality reputation - and we have a dynamic future ahead. As a Sr. Internal Auditor at Watts Water Technologies, you will play a pivotal role in executing the annual ... Manager of Internal Audit, you will conduct operational, financial, fraud, and compliance audit projects. Additionally, you will leverage your experience with SAP… more
- Humana (Boston, MA)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct ... guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters, and… more
- Baylor Scott & White Health (Boston, MA)
- …**Job Summary** We are seeking a highly skilled and detail-oriented Senior Internal Auditor to join our Internal Audit team in the healthcare sector. This role ... is critical in operational efficiency, ensuring financial integrity, and regulatory compliance across the organization. The ideal candidate will have a strong… more
- Zurich NA (Boston, MA)
- Premium Audit Auditor II 127372 Zurich North America is hiring a Premium Audit Auditor II to join our team! We are open to hiring talent in one of the following ... the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation… more
- Tufts Medicine (Burlington, MA)
- **Professional Coding Auditor and Educator - Remote** **Job Profile** **Summary** This role focuses on activities related to revenue cycle operations such as ... chart abstraction, related coding education, evaluation of denials, and ensuring regulatory compliance . The coder will share feedback to providers to capture the… more
- Robert Half Finance & Accounting (Boston, MA)
- …Audit function!! We are looking for a dedicated and detail-oriented Senior Internal Auditor to join a respected financial services firm in Boston, Massachusetts. In ... and enhancing the organization's control environment while contributing to key compliance and certification initiatives. This position offers a unique opportunity to… more
- State of Massachusetts (Boston, MA)
- …processes for efficiency, effectiveness and adequacy of controls. * Conducts compliance , operational and financial reviews and audits; documents findings and ... functional operating techniques and identifies existing or potential issues of non- compliance . * Participate in meetings and presentations relevant to Treasury's… more
- Confluent (Boston, MA)
- …operational scalability, and business risk-and influence decisions that balance growth and compliance . + **Lead auditor engagement** , ensuring policies are ... conclusions on complex revenue arrangements; set clear interpretations that balance compliance , risk, and scalability. + **Structure and influence complex revenue… more
- Datavant (Boston, MA)
- …in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow ... operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape… more
- CVS Health (Boston, MA)
- …to Eastern and Central time zones._ **Job Summary:** The NCQA Accreditation Auditor is responsible for evaluating healthcare organizations' compliance with NCQA ... well as external customers to ensure readiness for NCQA accreditation reviews. The auditor plays a critical role in maintaining quality standards and regulatory … more
- Cardinal Health (Boston, MA)
- …as well as completes risk assessments. The **IT Governance and Compliance ** function within the organization develops, enhances, and maintains security policies ... and IT compliance programs in alignment with regulatory, legal, and contractual...the Governance of Enterprise IT), CISA (Certified Information Systems Auditor ), CISSP (Certified Information Systems Security Professional), CISM (Certified… more
- Datavant (Boston, MA)
- …in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow ... to help shape the future of healthcare from your own workspace! Seeking Outpatient Auditor proficient in SDS, I&I, Observation, ED. Plus if proficient in Profee ED.… more
- Datavant (Boston, MA)
- …addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...+ Demonstrate strong organizational, teamwork, and leadership skills. Inpatient auditor with 3-5 years of experience at a Trauma… more
- Integra LifeSciences (Braintree, MA)
- …profitability. + Direct the activities of the GSQ department to ensure compliance with all appropriate regulations and standards, including FDA, ISO 13485, CMDR, ... OR equivalent education and years of experience. + Lead auditor certification and/or CQA/CQE is highly desired. + Minimum...+ Travel up to 50% + ISO 13485 Certified Auditor preferred. + Experience using eQMS software solutions preferred.… more