Find your dream job now!

Click on Location links to filter by Job Title & Location.
Click on Company links to filter by Company & Location.
For exact match, enclose search terms in "double quotes".

Keywords: Claims Compliance and Audit Specialist, Location: USA

Page: 3

Compliance Auditor, Intermediate (Hybrid Remote)

for improvement and compliance with state and federal laws and regulations. Conduct post-audit compliance training sessions...UPMC Corporate Finance is hiring a full-time Compliance Auditor, Intermediate. This position will be based out...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 11 Oct 2024

Compliance Auditor III

Healthcare Magazine named us in its “Top 100 Places to Work.” Overview: The Compliance Auditor III supports the Compliance... Program across the Ministry, partnering with Legal, Human Resources and other business units as necessary. The audit process...

Company: Mercy
Location: Rogers, AR
Posted Date: 10 Oct 2024

Sr. Compliance and Privacy Analyst

Analyst serves as a regulatory privacy and compliance specialist within the Office of Compliance and Privacy at SJRMC, to help... for compliance and privacy. Serve a resource and for all caregivers for compliance and privacy guidance. Analyze audit results...

Posted Date: 09 Oct 2024

Quality Review and Audit Analyst(Remote)

Category expertise to the role, evaluates complex medical conditions, determines compliance of medical documentation... and data audits with identification of gaps and/or inaccuracies in risk adjustment data and identification of compliance risks...

Company: The Cigna Group
Location: USA
Posted Date: 30 Oct 2024

Quality Review and Audit Analyst(Remote)

Category expertise to the role, evaluates complex medical conditions, determines compliance of medical documentation... and data audits with identification of gaps and/or inaccuracies in risk adjustment data and identification of compliance risks...

Company: Cigna
Location: USA
Posted Date: 27 Oct 2024

Individual & Family Plans (IFP) Quality Review & Audit Lead Analyst - Remote - Cigna Healthcare

Primary Functions: Works in conjunction with coding audit oversight & compliance, Global Data & Analytics, network... and Audit Lead Analyst will be instrumental in serving as a key subject matter expert in risk adjustment regulations and coding...

Company: Cigna
Location: Bloomfield, CT
Posted Date: 24 Oct 2024
Salary: $65600 - 109400 per year

Individual & Family Plans (IFP) Quality Review & Audit Lead Analyst - Remote - Cigna Healthcare

Primary Functions: Works in conjunction with coding audit oversight & compliance, Global Data & Analytics, network... and Audit Lead Analyst will be instrumental in serving as a key subject matter expert in risk adjustment regulations and coding...

Company: The Cigna Group
Location: USA
Posted Date: 23 Oct 2024
Salary: $65600 - 109400 per year

Individual & Family Plans (IFP) Quality Review & Audit Lead Analyst - Remote - Cigna Healthcare

Primary Functions: Works in conjunction with coding audit oversight & compliance, Global Data & Analytics, network... and Audit Lead Analyst will be instrumental in serving as a key subject matter expert in risk adjustment regulations and coding...

Company: Cigna
Location: USA
Posted Date: 23 Oct 2024
Salary: $65600 - 109400 per year

Accounts Receivable Specialist

between $15.75 - $18.15/hr based on experience The Accounts Receivable Specialist is responsible for following up directly with commercial.... Identifies and analyzes denials, payment variances, and no response claims and acts to resolve claims/accounts, including...

Location: Ohio
Posted Date: 30 Oct 2024
Salary: $15.75 - 18.15 per hour

Contract Management Specialist 1, G-18 or Contract Management Specialist Trainee 1, G-NS (Equated to G-13) (NY HELPS)

, and provide fiscal and administrative oversight of contracts. Audit and process contract claims and vouchers. Approve...Minimum Qualifications To be eligible for the Contract Management Specialist 1, G-18 or Contract Management Specialist...

Company: New York State
Location: Albany, NY
Posted Date: 30 Oct 2024
Salary: $49363 - 82656 per year

Specialist Expeditor

of new contracts. Runs weekly reports on open orders in compliance with internal audit policies. Other duties as assigned...Position Summary The Specialist Expeditor is responsible for ensuring aircraft parts are repaired by JetBlue repair...

Company: JetBlue Airways
Location: Orlando, FL
Posted Date: 29 Oct 2024

Specialist Expeditor

of new contracts. Runs weekly reports on open orders in compliance with internal audit policies. Other duties as assigned...Position Summary The Specialist Expeditor is responsible for ensuring aircraft parts are repaired by JetBlue repair...

Company: JetBlue Airways
Location: Orlando, FL
Posted Date: 29 Oct 2024

Special Programs Specialist, East Valley School District

Specialist, East Valley School District Reports to: Director of Special Programs Work Schedule: Monday through Friday 7:30am...: Under the direction and supervision of the Director of Special Programs or designee, this specialist position will provide...

Posted Date: 27 Oct 2024
Salary: $27.81 - 32.02 per hour

Certified Risk Adjustment Coding Specialist

Employment Type: Full time Shift: Description: CERTIFIED RISK ADJUSTMENT CODING SPECIALIST Location: Trinity... ICD/CPT codes to participant health information for data retrieval, analysis, and claims processing. Duties also include...

Company: Trinity Health
Location: Livonia, MI
Posted Date: 26 Oct 2024

Time & Expense Specialist

Actalent is hiring a Time & Expense Specialist for a permanent role supporting payroll and incoming requests... for our internal employees and technical consultants. The Time & Expense Specialist (TES) is responsible for ensuring our employees...

Company: Actalent
Location: Troy, MI
Posted Date: 26 Oct 2024
Salary: $44000 - 45000 per year

Senior Payroll Specialist

-1, 401K audit and ESOP Census yearly. Maintains and follows up with the Workers’ Compensation claims. Prepares.... Supervise and audit the work of Payroll Specialists to ensure accuracy and timeliness. Provide back-up to Payroll Specialists...

Company: Cathay Bank
Location: El Monte, CA
Posted Date: 26 Oct 2024
Salary: $31.97 - 32.31 per hour

Sr. Authorization Specialist

and payment of authorization claims, as appropriate. Audit authorization related data errors and/or completes retro...Purpose: Do you have experience with claims and authorizations? Are you looking to grow your career? UPMC is hiring...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 26 Oct 2024

Program Specialist - Hybrid in Optum Office Location

Specialist, you will work on an elite team and play a critical role in maintaining a positive working relationship with many... programs Contract compliance oversight Serve as a resource / subject matter expert for internal and external teams...

Posted Date: 25 Oct 2024

Accounts Receivable Specialist

response, and audit activities. Essential Job duties: Examines denied and other non-paid claims to determine reason... This position pays between $15.75 - $18.15/hr based on experience ­­­­ Accounts Receivable Specialist is responsible...

Location: Home, WA
Posted Date: 25 Oct 2024
Salary: $15.75 - 18.15 per hour

Revenue Capture Specialist

department staff as appropriate per managers' approval. Represents department(s) with any compliance audit...Overview: The Revenue Capture Specialist works within their assigned departments to insure revenue capture...

Posted Date: 25 Oct 2024