- 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
- 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
- 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
- Athena Health Care Systems (Agawam, MA)
- …needed. Working with our team and residents will give you purpose in your professional and personal life. Here at Athena Health Care Systems, our employees are the ... take immense pride in their dedication. We are not only committed to delivering high- quality care and customer service to our patients and their families, but we… 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
- 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
- The Hartford (Hartford, CT)
- …to provide feedback loop to business partners.* Contribute to update of legal quality audit manual to reflect ongoingdevelopment of audit process.Customer ... with bill review unit standards and Hartford guidelines.* Perform quality legal bill review with processing of invoice fairly...review of the bill by the field handlerthrough final audit at the appeal level.* Support Claim reorganization and… more
- Wolters Kluwer (Glastonbury, CT)
- …through a continually evolving organizational structure. Supervise and motivate high quality , professional LBACOE analysts. + Monitor daily and long-term ... In addition, during heavy periods of incoming invoice volume, conduct the initial audit and/or quality assurance invoice review audit up to 15% of the time.… more
- Travelers Insurance Company (Hartford, CT)
- …and leverage effective alliances with TRM business partners in Underwriting, Premium Audit , Risk Control and Claim to promote understanding of compliance and to ... parties on TRM serviced business. + Oversee activities designed to keep the audit on track, meeting objectives within specified time frames, and evaluating results.… more
- Amazon (Newington, CT)
- …Associates are trained and knowledgeable of their responsibilities under each policy. Audit the quality , delivery (including qualifications of the trainer), and ... implement and fix all identified deficiencies. Deliver on-time and quality projects to Operations. Analyze WHS metrics and review...to these risks and prevent injury at other FCs. Audit record-keeping practices and Gensuite entries to be aligned… more