- Elevance Health (MD)
- ** Clinical Provider Auditor Senior ** **Supports Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor Senior ** is responsible… more
- Surgery Care Affiliates (Birmingham, AL)
- …will. Responsibilities Job Summary: As a member of the Regulatory Compliance Team, the Senior Clinical Auditor will conduct compliance focused clinical ... as support SCA Health' s compliance program . The Senior Clinical Auditor will work...departments/external sources + Work directly with the supervisor to provide timely communication of audit status + Work as… more
- Translational Research in Oncology (Atlanta, GA)
- If you are an experienced Senior Clinical Quality Assurance Auditor (internally referred to as Senior Clinical Quality Assurance Manager) who is ... to the world of today. TRIO is seeking a Senior Clinical Quality Assurance Auditor ...observations, and corrective actions taken. + Training and Education: Provide training and guidance to internal staff and external… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Clinical Auditor /Analyst position in the CCBH Fraud, Waste & Abuse department. This is a full time position ... consisting of working from home and in office. The Clinical FWA Auditor /Analyst is the entry level...directly to a Manager, FWA, with oversight by the Senior Director and utilizes a variety of FWA investigative… more
- Penn State Health (Hershey, PA)
- …1 day in office per month with potential for additional days in office. As a Senior Internal Auditor at PSH, you will be actively engaged in utilizing your ... professionalism and confidence. In addition to audit work, the Senior Internal Auditor will work closely with...to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in… more
- Bristol Myers Squibb (Princeton, NJ)
- …goals, both at work and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Auditor in GIA will work in a team environment to plan ... wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their...and key third-party outsourcing arrangements. Throughout the audits, the Senior Auditor will have the opportunity to… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to reach new heights in your career and be what you want to be. We provide : + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & ... Reporting to the Director, Compliance Audit and Analysis, the Sr. Compliance Auditor will develop and execute audit, monitoring, and education for both facility… more
- The County of Los Angeles (Los Angeles, CA)
- …(2) years' experience at the level of the County of Los Angeles class of Senior Contract Program Auditor **. PHYSICAL CLASS: Physical Class II - Light: This class ... and monitoring contracts of public and private agencies which provide health care services for Los Angeles County. Essential...agencies with public contracts. **Experience at the level of Senior Contract Program Auditor in the County… more
- Johns Hopkins University (Baltimore, MD)
- We are seeking a **_Sr. Compliance Auditor Trainer_** who will provide on-going training and support to physicians, non-physician providers, professional fee ... School of Medicine's Quality Assurance Compliance Program. Prepares reports for the Senior Director, Director, and clinical departments regarding the status or… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …and other department staff on the outcomes of the audit results and assists provider services with educational efforts . Provide feedback and process improvement ... hospital departments and committees based on analysis and trending of hospital or provider audits . Provide written explanations to patients who are questioning… more