- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Quality Audit Professional 2 analyzes and investigates quality issues. The ... Quality Audit Professional 2 work assignments are varied and frequently require...independent determination of the appropriate courses of action. The Quality Audit Professional 2 supports… more
- Deloitte (Hartford, CT)
- …to serve the unique circumstances and complexities of our clients. As a full-time audit professional , you'll design and execute audit procedures based on ... minded individual who enjoys coming up with innovative solutions? At Deloitte, we provide audit services using an approach designed to provide the flexibility… more
- Elevance Health (Wallingford, CT)
- …enterprise, across all lines of business and functions, in accordance with professional and departmental standards. Supports the audit plan development process ... **Internal Audit Manager/Lead** **Location:** This role requires associates to...limited to: + Lead the development and execution of high- quality assessments of the Company's complex processes and controls… more
- Deloitte (Hartford, CT)
- The internship program provides an introduction to audit . As an intern in Deloitte's Audit & Assurance practice, you'll experience the auditing profession from a ... of an auditor. You'll receive guidance and work closely with experienced audit professionals, as well as have the opportunity to participate in networking… more
- Hartford HealthCare (Farmington, CT)
- …*Key Areas of Responsibility* 1. Performs revenue opportunity assessment and executes the professional audit work plan which includes provider audit and ... programs and other common practices across the system. *_Position Summary:_* The Audit & Education Specialist develops and implements an effective and comprehensive … more
- Elevance Health (Wallingford, CT)
- **External Audit Facilitator** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while ... dynamic and adaptable workplace. Alternate locations may be considered. The **External Audit Facilitator** is responsible for managing the process for claims and… more
- Grant Thornton (Hartford, CT)
- As an Audit Manager, you will use your technical and leadership skills to oversee the completion of on-budget financial statement audits. You'll apply your knowledge ... business objectives and risks to enhance each financial statement audit - all with the resources, environment and support...to thrive + Representing Grant Thornton at recruiting and professional networking events + Building your technical and … more
- Cherry Bekaert (Hartford, CT)
- …we'd like to hear from you. Lets grow your career as an **Insurance Audit Manager** supporting our Louisville practice. **What your day looks like:** + Communicating ... ensure that engagement risks are identified and appropriate responses (including specific audit steps) are taken. + Mentor and develop associates by providing timely… more
- Travelers Insurance Company (Hartford, CT)
- …Is the Opportunity?** Under general supervision, the Business Analyst - Premium Audit is responsible for working with stakeholders to elicit, analyze, specify and ... requirements. Assist in defect resolution. + Measures and tracks quality of business analysis work. + Participate in determining...Insurance Product or Systems knowledge a plus._** + **_Premium Audit and RQI knowledge will be a plus._** +… more
- The Cigna Group (Bloomfield, CT)
- …**Review and validate correct process and savings was followed and documented.** **Communicates audit result with end users in a professional manner.** **Record ... preferred) or Certified Evaluation and Management Coder (CEMC).** + **Experience in Quality Auditing a plus.** + ** Professional E&M Coding experience for… more
- Hartford HealthCare (Farmington, CT)
- …provide system wide leadership and strategic direction for all aspects of Professional Billing (PB) coding, audit /education, and revenue integrity procedures ... operations, sets priorities, and establishes functional standards to ensure high- quality service delivery and exceptional customer/patient satisfaction * Drives… more
- Humana (Hartford, CT)
- …community and help us put health first** The IFG Senior Compliance Professional ensures compliance with Health Plan contracts and governmental requirements. The ... Senior Compliance Professional work assignments involve moderately complex to complex issues...documentation for compliance activities, including reports, training materials, and audit findings. + Participate in the development of policies… more
- Lockheed Martin (North Haven, CT)
- …effectiveness of processes\. * Assign and follow up on corrective action requests for audit findings and quality system escapes\. * Participate in the Quality ... root cause analysis, and determine effective corrective action for any confirmed quality system escapes\. * Work with teams to evaluate and improve efficiency… more
- Elevance Health (Wallingford, CT)
- …systems and reference information to make audit determinations and generate audit findings letters. + Validates accuracy and quality standards as set ... and autonomously with little oversight due to extremely high quality output and audit results that only...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Grant Thornton (Hartford, CT)
- …principals, managing directors (PPMDs) and professionals in evaluating new opportunities ( audit or other) or existing relationships for a client (or prospect) ... companies. The individual should have strong understanding of the professional standards established by independence standard setters and regulatory bodies,… more
- Humana (Hartford, CT)
- …caring community and help us put health first** The Business Technical Support Professional provides support for handling and analyzing data that pertains to the ... compliance of Humana producers. The Business Technical Support Professional will work assignments involve moderately complex to complex issues where the analysis of… more
- Humana (Hartford, CT)
- …and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to governmental and contractual requirements, ... determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes to the execution of the organization's risk… more
- Elevance Health (Wallingford, CT)
- …enterprise, across all lines of business and functions, in accordance with professional and departmental standards. Provide valuable insights to the business to ... are not limited to: + Lead the development and execution of high quality assessments of the Company's complex processes and controls (including statistical data) for… more
- Trustmark (Hartford, CT)
- …Experience group. The primary function of this role is to train and audit new and existing staff in all products including appropriate claim handling. Ensures ... Key Accountabilities + Deliver new hire training.Deliver ongoing functional and professional development training + Maintain, update and create new knowledge… more
- Highmark Health (Hartford, CT)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more