- Molina Healthcare (Fort Worth, TX)
- …fashion and in accordance with unit standards. **Knowledge/Skills/Abilities** * Trains audit staff on configuration functionality, enhancements and updates. * ... of business rules as they apply to each database. Validate accuracy of configuration and ensure adherence to business and system requirements of customers as it… more
- Charles Schwab (Westlake, TX)
- …Participate in an audit team may include internal or co-sourced internal audit professionals. o Lead meetings with partners o Ensure coordination with ... identification of risks and issues, validating appropriateness of fieldwork testing, and sign-off on audit deliverables. o Lead and advance changes in audit … more
- Molina Healthcare (Fort Worth, TX)
- …criteria (eg, first-pass resolution, auto-adjudication rate, claims cycle time, audit findings, cost-to-serve). + Process Optimization: Lead current/future-state ... : Ensure alignment to CMS, HIPAA, state regulations, and audit readiness. Establish governance, RAID (risks/assumptions/issues/dependencies), and quality … more