• Staff Auditor I

    State of Maine, Bureau of Human Resources (Augusta, ME)
    Staff Auditor I Augusta , Maine , United States | Auditor | Full-time | Partially remote Apply by: May 30, 2025 Apply with Linkedin Apply Department of ... of training opportunities to its staff . ABOUT THE POSITION: As a Staff Auditor I you will: + Perform professional audit work under direction of senior… more
    State of Maine, Bureau of Human Resources (05/05/25)
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  • Staff Auditor II

    State of Maine, Bureau of Human Resources (Augusta, ME)
    Staff Auditor II Augusta , Maine , United States | Auditor | Full-time | Partially remote Apply by: May 30, 2025 Apply with Linkedin Apply Department of ... of training opportunities to its staff . ABOUT THE POSITION: As a Staff Auditor II you will: + Perform independent and complex audits of MaineCare Providers… more
    State of Maine, Bureau of Human Resources (05/05/25)
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  • Senior Auditor - Office of the State…

    State of Maine, Bureau of Human Resources (Augusta, ME)
    …both accounting principles and auditing standards. The daily responsibilities of a Senior Auditor includes . Providing direct supervision to staff auditors by ... operations. . Conducting special projects approved by the state auditor . Providing technical assistance to senior staff... auditor . Providing technical assistance to senior staff in other agencies . Interpretations of laws, regulations… more
    State of Maine, Bureau of Human Resources (05/10/25)
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  • Inpatient DRG Quality Auditor

    Humana (Augusta, ME)
    …a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for...that focuses on the well-being of their consumers and staff , and rewards performance, then you should strongly consider… more
    Humana (05/03/25)
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  • Coding Auditor Educator

    Highmark Health (Augusta, ME)
    …works with external resources to present final audit findings to department staff , physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT ... Performs other duties as assigned or required including training/mentoring of new staff , performing audits and research related to special projects and providing… more
    Highmark Health (05/09/25)
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  • Staff Security Program Manager (GRC)

    EDB (Augusta, ME)
    …position for candidates based in the US (EST/CST time zones preferred).** As a ** Staff Security Program Manager** on the Information Security team, you will play a ... **What will give you an edge:** + Certified Information Security Auditor (CISA) or Certified Information Systems Security Professional (CISSP) certifications +… more
    EDB (03/12/25)
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  • Investigator, Specialist Investigations Unit

    Evolent (Augusta, ME)
    …health conditions + Leadership skills to effectively communicate with staff and regulatory representatives + Investigative, decision-making, problem solving, ... (*Certified Professional Coder, Certified Coding Specialist, Certified Professional Medical Auditor ) **Technical Requirements:** We require that all employees have… more
    Evolent (05/14/25)
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  • Senior Regulatory Guidance and Assurance Analyst

    Highmark Health (Augusta, ME)
    …of the following) + Certified Public Accountant (CPA) + Certified Information Systems Auditor (CISA) + Juris Doctor (JD) + PharmD + Registered Nurse (RN) **SKILLS** ... effective team building across a cross-campus and diverse team of management and staff + Strong written and verbal communication skills for diverse audiences (senior… more
    Highmark Health (05/13/25)
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  • Supervisor, Performance Monitoring

    Cardinal Health (Augusta, ME)
    …+ Coordinates and supervises the daily activities of QA operations or business staff + Administers and exercises policies and procedures + Ensures employees operate ... client call calibration sessions on a regular basis as well as internal auditor calibrations. + Responsible for Quality Recognition program. + Provide trend reports… more
    Cardinal Health (05/09/25)
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