- MetroPlusHealth (New York, NY)
- …to building strong relationships with its members and providers.Position OverviewClaims Quality Auditor is responsible for reviewing claims to determine if ... made correctly. This position analyzes data used in settling claims to determine the validity of payment of ...claims to determine the validity of payment of claims and reports overpayments, underpayments and other irregularities based… more
- 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
- Sedgwick (New York, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and candidates residing in any ... United States are encouraged to apply. As an Attorney Auditor at Sedgwick, you'll have the opportunity to take...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Elevance Health (Woodbridge, NJ)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
- Elevance Health (Woodbridge, NJ)
- **Performance Quality Auditor I** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required in-person training ... is granted as required by law. The **Performance Quality Auditor I** is responsible for evaluating the quality of...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… 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)
- Job Description The Internal Auditor is responsible to the Director of Internal Audit for the satisfactory completion of the following tasks: Under general ... reports. - Participates in and reviews the processing of fiscal documents, claims , financial statements, and the accounting for the receipt, deposit and disbursement… 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)
- …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
- DoorDash (New York, NY)
- …to connect messaging to downstream metrics, from comprehension to NPS to claims behavior. + Brings strong cross-functional leadership and a track record of ... 29, 2024. The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144)… more
