- Humana (Augusta, ME)
- **Become a part of our caring community and help us put health first** The Quality Audit Professional 2 analyzes and investigates quality issues. The ... Quality Audit Professional 2 work assignments are varied and frequently require...independent determination of the appropriate courses of action. The Quality Audit Professional 2 supports… more
- Cherry Bekaert (Augusta, ME)
- …we'd like to hear from you. Lets grow your career as an **Insurance Audit Manager** supporting our Louisville practice. **What your day looks like:** + Communicating ... ensure that engagement risks are identified and appropriate responses (including specific audit steps) are taken. + Mentor and develop associates by providing timely… more
- Humana (Augusta, ME)
- …community and help us put health first** The IFG Senior Compliance Professional ensures compliance with Health Plan contracts and governmental requirements. The ... Senior Compliance Professional work assignments involve moderately complex to complex issues...documentation for compliance activities, including reports, training materials, and audit findings. + Participate in the development of policies… more
- Humana (Augusta, ME)
- …caring community and help us put health first** The Business Technical Support Professional provides support for handling and analyzing data that pertains to the ... compliance of Humana producers. The Business Technical Support Professional will work assignments involve moderately complex to complex issues where the analysis of… more
- GE Aerospace (Auburn, ME)
- **Job Description Summary** The Quality FLIGHT DECK Leader will demonstrate knowledge and execution of FLIGHT DECK, six sigma and process improvement concepts, ... improvement to ensure that products are manufactured with the appropriate safety, quality , delivery, cost (SQDC) hierarchy. In addition, the FLIGHT DECK Leader will:… more
- Humana (Augusta, ME)
- …and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to governmental and contractual requirements, ... determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes to the execution of the organization's risk… more
- Trustmark (Augusta, ME)
- …Experience group. The primary function of this role is to train and audit new and existing staff in all products including appropriate claim handling. Ensures ... Key Accountabilities + Deliver new hire training.Deliver ongoing functional and professional development training + Maintain, update and create new knowledge… more
- Highmark Health (Augusta, ME)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- TD Bank (Lewiston, ME)
- …internal/external exam support, etc. **Depth & Scope:** + Highly seasoned professional role requiring substantial knowledge / expertise in a complex field ... own specific FCRM function of expertise **Shareholder Accountabilities:** + Provides high quality service and advice to key business (FCRM) partners and monitors… more
- Central Maine Medical Center (Lewiston, ME)
- …patient care and create an optimum physical environment.* Carries on continuous quality analysis, evaluation and audit of Imaging Services.* Initiates and ... development, and value to the populations served.Ensures compliance with patient quality care standards for all age groups. Maintains performance improvement… more
- Eliassen Group (Augusta, ME)
- …and direct mail communications, proofreading other team members' work, documenting audit requirements and obtaining approvals from various key partners. The ... remain in compliance with company policies and procedures and maintain internal audit document files Communicate the creative details and timelines with all key… more
- Canon USA & Affiliates (Augusta, ME)
- …including ongoing maintenance/support of finance systems, user training and internal/external audit support. Perform all duties in accordance with the company's ... rates or tariffs of company are both compliant with the respective professional and governmental regulations, as well as competitive and sustainable (ie monitoring… more
- Entergy (Brunswick, ME)
- …Construction, Commissioning and Closeout. + Ensures documentation of engineering and construction quality is adequately captured to support audit and prudency ... to project construction drawings and in accordance with project specifications, quality , and performance requirements. This position is responsible for coordinating… more
- Datavant (Augusta, ME)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding...manner ensuring that appropriate changes are implemented. + Support audit processes ensuring work flows and results are properly… more
- Cherry Bekaert (Augusta, ME)
- …guide and support you at each stage of your personal and professional journey. To support the continued growth of our Deal Advisory ... Participate in performance reviews and new business development activities + Perform quality of earnings and working capital analyses + Identify and evaluate matters… more
- Cherry Bekaert (Augusta, ME)
- …a collaborative environment focused on enabling your career growth and continuous professional development. Our Marketing Department team is looking for a SEO ... SEO audits using tools like Screaming Frog, SEMrush Site Audit , and Google Search Console to identify and resolve...search results + Assist in identifying opportunities for acquiring high- quality backlinks + Assist with tracking and analyzing SEO… more
- Sedgwick (Augusta, ME)
- …reviews, and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... client. + Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim… more
- Sedgwick (Augusta, ME)
- …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... client. + Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim… more
- Central Maine Medical Center (Lewiston, ME)
- …assists with nuclear medicine and PET/CT studies. + Ensures compliance with patient care quality standards as it relates to the care provided to all age groups of ... + Current membership and active participation in a Nuclear Medicine Technologist professional organization Living in Central Maine: While not at work, our team… more
- Datavant (Augusta, ME)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... support to client relations for trainings needed for client audit findings + Research and analysis of coding error...analyze data to determine the root cause of identified quality /production concerns + Ability to work in a fast-paced… more