- Molina Healthcare (Yonkers, NY)
- …accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure ... that the contracts are configured correctly in QNXT. The claims are reviewed to ensure that the configured services...to detect any gaps in the correct payment of claims Make recommendations for potential revision and updates *… 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 (Newark, NJ)
- …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
- New York State Civil Service (Pearl River, NY)
- …HELP No Agency Attorney General, Office of the Title Forensic Auditor : Investigate Complex Healthcare Fraud, 6405 Occupational Category Financial, Accounting, ... Medicaid Fraud Control Unit - Pearl River (Rockland County)Forensic Accountant/ Auditor Reference No. MFCU_PR_FAA_6405Application Deadline is October 31, 2025Salary… 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)
- …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)
- …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
- Molina Healthcare (Yonkers, NY)
- …Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... auditing of critical information on claims ensuring adherence to business and system requirements of...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… 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