- CAI (Frankfort, KY)
- 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 (Louisville, KY)
- …Association** + Certified Professional in Health Quality (CPHQ) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist, Quality Interventions/ QI … more
- Elevance Health (Louisville, KY)
- **Internal Auditor , Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... accommodation is granted as required by law. The **Internal Auditor , Senior** is responsible for conducting financial/operationalaudits, internal control… more
- Humana (Frankfort, KY)
- …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
- Humana (Frankfort, KY)
- …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 (Frankfort, KY)
- …**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 (Frankfort, KY)
- 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
- Confluent (Frankfort, KY)
- …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
- Exeter Government Services, LLC (Fort Knox, KY)
- …with tools such as Fortify Security Control Analyzer (SCA), Assured Compliance Assessment Solution (ACAS), HP ArcSight, and Enterprise Security Management (ESM). ... . Ensure DISA STIGs are implemented and enforced. . Perform enterprise-wide risk analysis and vulnerability assessments . Enter/manage data in the Army Portfolio Management Solution (APMS) registry and associated Assessment and Authorization (A&A) requirements… more
- Datavant (Frankfort, KY)
- …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 (Frankfort, KY)
- …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 (Frankfort, KY)
- …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 (Frankfort, KY)
- …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 (Frankfort, KY)
- …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
- Highmark Health (Frankfort, KY)
- …designs, develops, implements, supports, and enables Governance, Risk and Compliance (GRC) architecture and technology solutions to meet business capabilities ... and/or improve upon. Leverages industry, business, technology, risk, and compliance knowledge to enable and/or improve business processes, practices, organizations,… more
- Coinbase (Frankfort, KY)
- …Audit is to objectively evaluate and audit the effectiveness of governance, compliance , risk management, and control process. The in-house Coinbase Internal Audit ... Legal, IT, Security, and 2nd Line functions like Risk Management and Compliance ) and external auditors. Strategically manage these relationships to coordinate audit… more
- Merck (Frankfort, KY)
- …to ensure appropriate quality oversight of assigned studies. + Assesses compliance of clinical investigator sites, vendors, study activities, clinical study reports ... QA, exemplifies our Company's Leadership behaviors **Responsibilities relative to the Auditor Resourcer include:** + Support, advance, and drive the Clinical Quality… more
- Arvato Bertelsmann (Louisville, KY)
- …maintaining, and distributing all documents and communication relevant to compliance with Arvato's Corrective Action/CI System(s), including but not limited ... to: internal/external audit non-conformances, customer complaints, internal process compliance , objective evidence/verification of closed CARs, etc. Position is… more
- DoorDash (Louisville, KY)
- …safety: Maintain a safe working environment by performing all duties in compliance with DashMart safety and security standards. Complete all cleaning and warehouse ... The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:...match, paid time off and paid sick leave in compliance with applicable laws (eg Colorado Healthy Families and… more
- Cengage Group (Louisville, KY)
- …Best Practices; Information & Cyber Security Operation, Governance, Assurance and Compliance ; associated business processes and a solid understanding of the Industry ... CISM (Certified Information Security Manager) + CISA (Certified Information Systems Auditor ), + CSSLP (Certified Secure Software Lifecycle Professional), + CAP… more