- Datavant (Madison, WI)
- …the QA team, driving professional development and team accountability. The QA Audit teams currently oversee digital fulfillment, the quality portion of the ... life experiences to realize our bold vision for healthcare. We are seeking a QA Audit Manager to lead Datavant's Quality Assurance Audit function. This role… more
- Coinbase (Madison, WI)
- … team is responsible for strategic analysis, risk assessments, development of the audit plan, project management, quality review, report issuance and issue ... and offshore resources, across multiple time zones. Set performance standards, ensure high- quality deliverables, and drive timely execution of audit and… more
- Western Digital (Madison, WI)
- …and consumers alike under our Western Digital(R), WD(R), WD_BLACK (TM) , and SanDisk(R) Professional brands. We are a key partner to some of the largest and ... future of data storage. **Job Description** The Manager, IT Audit , will play a key role within Western Digital's...accurate in AuditBoard in accordance with IA methodology and professional standards. Risk & Governance + Partner with Enterprise… more
- WelbeHealth (Madison, WI)
- …and Related Entity (FDR) compliance + Collaborate with operational, clinical, and quality leadership to ensure that audit findings drive enterprise-wide ... with a minimum of five (5) years interacting with audit activities in a healthcare setting + Professional... audit activities in a healthcare setting + Professional certifications such as Certification in Healthcare Compliance (CHC),… more
- Coinbase (Madison, WI)
- …experience in coding languages such as Python, Ruby, etc. *Nice to haves:* * Professional Internal Audit / IT / Security qualification (eg, CISA, CFE, etc.) ... and fully supported. Coinbase is looking for an Internal Audit Senior, IT to join the Internal Audit...analytical and problem solving skills, with high standards for quality , accuracy and attention to detail. * Excellent written… more
- Datavant (Madison, WI)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... healthcare. As an **ProFee Audit Specialist** you will be instrumental in addressing consulting...in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, interim… more
- Datavant (Madison, WI)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, and coding… more
- Datavant (Madison, WI)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, interim coding… more
- CVS Health (Madison, WI)
- …and efficiencies within operations. **Required Qualifications** + 5+ years in internal audit , quality assurance, or pharmacy operations + 5+ years in ... with heart, each and every day. **Position Summary** The Specialty Pharmacy Off-Phone Audit Manager leads the internal audit function for CVS Specialty's… more
- Humana (Madison, WI)
- …caring community and help us put health first** The Senior Agency Management Professional provides support for handling and analyzing data that pertains to the ... and commissions of Humana external producers. The Senior Agency Management Professional work assignments involve moderately complex to complex issues where the… more
- ABBTECH Professional Resources, Inc. (Madison, WI)
- …Group Services, Inc., we pride ourselves on delivering unparalleled service quality , coupled with a client-focused approach that ensures responsiveness and lasting ... impactful financial projects and drive organizational success. **Essential Functions** **_1. Audit Projects_** **?** Variety **of Audits:** + Conduct various types… more
- Actalent (Stoughton, WI)
- …actions on quality issues with supporting documentation. + Participate in Quality Management System (QMS) audit activities. + Evaluate calibration results ... collaborating with cross-functional teams and maintaining high standards of quality and accuracy. The dress code is professional... quality and accuracy. The dress code is professional , and the position requires adherence to safety protocols… more
- ThermoFisher Scientific (Middleton, WI)
- …improve tracking and efficiency. + Collaborate with team members in Production and Quality to build robust documentation to support audit readiness. + ... organization now and into the future. Our interns receive ** professional ** **mentorship** **and leadership** **development** **opportunities** to support future… more
- Humana (Madison, WI)
- …community and help us put health first** The Medicaid Process Improvement Professional 2 is responsible for analyzing and evaluating the effectiveness of existing ... addressing operational inefficiencies, system discrepancies, or member-level variances. The professional collaborates closely with cross-functional teams, including state agencies,… more
- Humana (Madison, WI)
- …caring community and help us put health first** The Senior Payment Integrity Professional uses technology and data mining, detects anomalies in data to identify and ... of fraud waste and our financial recovery. The Senior Payment Integrity Professional work assignments involve moderately complex to complex issues where the analysis… more
- Humana (Madison, WI)
- …to drive accurate and timely submissions. The Senior Data and Reporting Professional integrates data from multiple sources to produce requested or required data ... Medicaid contracts + Exposure to CMS reporting standards + Experience with audit preparation and data validation processes **Additional Information** **Work at Home… more
- CenterWell (Madison, WI)
- …and Program Managers supporting consultative, onshore, and offshore coding teams. ** Quality and Compliance:** + Oversee coding quality assurance programs ... and compliance with CMS, HHS, and other regulatory bodies. + Monitor audit outcomes and implement corrective actions and targeted training programs. **Process… more
- Molina Healthcare (Madison, WI)
- …Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare ... The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure… more
- Molina Healthcare (Madison, WI)
- …: Ensure alignment to CMS, HIPAA, state regulations, and audit readiness. Establish governance, RAID (risks/assumptions/issues/dependencies), and quality ... /compliance (CMS, HIPAA, NCQA, state regs). + Designs and embeds controls, SLAs, and quality checks to support audit readiness and reduce rework. + **Process… more
- CVS Health (Madison, WI)
- …organizations' compliance with NCQA Accreditation standards and supporting quality activities. This role involves conducting audits, preparing documentation, ... accreditation reviews. The auditor plays a critical role in maintaining quality standards and regulatory compliance across managed care operations. **Key… more