- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...supervision. PRIMARY RESPONSIBILITIES: + Conducts monthly audits of CPHL claims utilizing CPHL guidelines, policies and procedures or any… more
- ManpowerGroup (New York, NY)
- Jefferson Wells is seeking an experienced **Insurance Auditor with Life Claims ** expertise to join our team. The successful candidate will be responsible for ... compliance with company policies, industry standards, and regulatory requirements. The auditor will analyze the claims documentation and processes, identify… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency State Comptroller, Office of the Title Auditor 1, SG-18, Auditor Trainee 2, (Equated to SG-16), Auditor Trainee 1, (Equated to ... various tests, reviews, reconciliations, analyses and evaluations of accounts, claims , records, and procedures.o Assists in ongoing audit/examination strategy and… more
- Sedgwick (New York, NY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor As an Attorney Auditor at Sedgwick, you'll have the opportunity ... physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE** The Attorney Auditor reviews legal and non-legal invoices on behalf of our clients for… more
- Elevance Health (Woodbridge, NJ)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- New York State Civil Service (New York, NY)
- …HELP No Agency Attorney General, Office of the Title Forensic Auditor : Investigate Complex Healthcare Fraud (6383) Occupational Category Financial, Accounting, ... Criminal Justice DivisionMedicaid Fraud Control Unit - New York CityForensic Accountant/ Auditor Reference No. MFCU_NYC_FAA_6383Salary is $66,964 + $3,400 in location… more
- Zurich NA (New York, NY)
- Chief Auditor - Zurich Cover-More 123124 **About Us** **Zurich Group Audit** Zurich Group Audit is a diverse international team of over 250 colleagues from 33 ... as Zurich Cover-More integrates the newly acquired Travel Guard business. The Chief Auditor Zurich Cover-More has a global remit and will be responsible for… more
- City of New York (New York, NY)
- …submit approximately 4500 payment requests annually. DDC seeks a Capital Payment Auditor to review and process these payment requisitions. To process these ... and task order registrations (in FMS3); and adjust payment voucher(s) due to liens, claims and assignments. The candidate will use the DDC automated ledger system to… more
- City of New York (New York, NY)
- …reports. - Participates in and reviews the processing of fiscal documents, claims , financial statements, and the accounting for the receipt, deposit and disbursement ... of large sums of money. - Performs work using information available in various phases of the accounting systems, account relationships and established techniques for computing and verifying accounting data. - Examines, analyzes, reconciles, adjusts and… more
- City of New York (New York, NY)
- …of guidance. - Conduct and perform reviews/audits and analyze reimbursement claims , conduct field/site visits to ensure compliance with Local laws/regulations, ... Comptroller's Directives and any other City mandate. - Under supervisory direction, conduct detailed fiscal/operational and financial audit reviews to evaluate systems of internal control effectiveness. This includes reviews of invoices, Certified Payroll… more
- City of New York (New York, NY)
- …relating to cost allocation. The Finance Office is recruiting for one (1) Management Auditor II to function as an Administrative Claims Preparer who will: - ... Job Description APPLICANTS MUST BE PERMANENT IN THE MANAGEMENT AUDITOR CIVIL SERVICE TITLE, OR BE PERMANENT IN A...COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE Bureau of Claims and Reimbursement (BCR) is responsible for the daily… more
- Axis (New York, NY)
- …accurate evaluation of claims and litigation in a manner that exceeds auditor expectations. *Preferred candidates will be able to commute to an AXIS office, we ... part in the selection process. Reporting to Head of Primary Casualty Claims and under limited direction, provides technical and administrative supervision to a… more
- City of New York (New York, NY)
- …PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE MANAGEMENT AUDITOR CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. CANDIDATES MUST STATE THE TITLE ... - Reviewing CBO's independently audited financial statements. - Conducting reviews of monthly claims for reimbursement submitted by CBOs, as part of the NYC Health… more
- City of New York (New York, NY)
- …serving in either a permanent Administrative Accountant or Administrative Management Auditor civil service title. Those who are reachable on the promotional ... are in contract with the City, as well as claims , workers' compensation, labor law, line of duty, certificate...in either a permanent Administrative Accountant or Administrative Management Auditor civil service title. Those who are reachable on… more
- Terumo Medical Corporation (Somerset, NJ)
- …business partners. + Extensive knowledge of laws (FD&CA, Anti-kickback Statute, False Claims Act, Foreign Corrupt Practices Act, HIPAA, Sunshine Act, and State ... education and prior work experience. Certified Public Accountant, Certified Internal Auditor , and/or Compliance Certification a strong plus. + Strong experience with… more
- Amazon (New York, NY)
- …ongoing financial and risk analysis. -Support ongoing actuarial support for outside auditor review of financial estimates and results. -Design studies to monitor the ... of actuarial reserving, forecasting and medical economics -Expertise in working with medical claims data and using programming languages such as SQL, R, SAS, Python,… more