It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges.Join us and put your expertise to work in ways you never imagined possible.We know you’ve honed your career in a fast-moving medical environment.While Gainwell operates with a sense of u...
A company is looking for a Senior Consultant - IT Compliance - SOC.Key Responsibilities:Perform audit testing for SOC 1/SSAE 18, SOC 2, SOC 3, and HIPAA engagementsLead client meetings and maintain client relationshipsReview work deliverables drafted by Staff Consultants for quality and assuranceReq...
HSAG's auditors are provided formal training in an assortment of healthcare-related topics, including health policy, clinical concepts, overview of analytic methods, data sources, and management techniques. Activities include independently developing work plans, report templates, and timelines; inde...
A company is looking for a Long Term Care Auditor I. ...
The Claims Auditor is responsible for the daily auditing of health or life claims, across all business lines, which have been paid or are to be paid and are over the initial examiner's limit. The Claims Auditor is expected to be an expert in life and/or health claims and must stay up to date on all ...
Major National Insurance Carrier is looking for a strong commercial liability claims professional.The ideal candidate will have at least 5 to 7 claims years experience, and have knowledge of Auto and General liability.The duties of this job will include reviewing claims, and performing audits as wel...
Applicants must have at least 2 years of experience in a premium auditor role***. The Premium Insurance Field Auditor conducts insurance policy audits for Worker’s Compensation, Auto and General Liability policies. The Premium Insurance Field Auditor conducts insurance policy audits for Worker’s Com...
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, andinnovate.Webelieve that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.At Och...
Paro leverages proprietary AI technology to match our highly vetted experts with companies on an on-demand, hourly basis to solve their problems and drive growth.We have curated a network of prestigious firms who are embracing the gig economy.Paro empowers top industry experts to reimagine work, esc...
Kemper is seeking a talented Lead Auditor with a strong background in Information Technology General Controls (ITGC), Sarbanes Oxley (SOX), information security and/or cybersecurity to join our Assurance & Advisory Services (A&A) team. As a Lead Auditor, you will be a key contributor to the IT SOX p...
The Compliance Auditor reports to the Compliance Audit Coordinator. Under indirect supervision, the Compliance Auditor monitors compliance issues for the System and communicates results to the department/market. ...
HSAG's auditors are provided formal training in an assortment of healthcare-related topics, including health policy, clinical concepts, overview of analytic methods, data sources, and management techniques. Activities include independently developing and finalizing work plans and timelines; independ...
Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM).Monitors key clinical staff for compliance with NCQA, CMS, State and Federal requireme...
SUMMARY: The Food Safety Auditor will conduct GFSI certification audits, FAMI-QS Certification audits, and unaccredited food safety and quality audits within the food manufacturing, animal feed manufacturing, food packaging manufacturing, and food distribution sectors. ...
Audits department's work that spans the broad spectrum of healthcare performance measurement projects at HSAG.Driven by intellectual curiosity and a passion for healthcare quality, this position performs-under supervision-healthcare auditing, data validation, and performance measurement projects thr...
The Onsite Pharmacy Auditor travels to pharmacy locations and performs pharmacy audits and is responsible for the selection and auditing of claims, educating Prime’s network pharmacies and driving contract compliance, and supporting downstream claim corrections to eliminate potential waste. ...
Responsibilities: As a member of our medical audit team, the .Focus Facility Surgical Procedures).You will leverage your coding knowledge, and medical claims experience to identify client records with billing coding issues as well as investigative and auditing opportunities.You will help identify an...
Premium Auditor / Auditor Assistant positions. Property & Casualty (P&C) or Life & Health insurance carrier or MGU in an auditor role. ...
Senior Quality Assurance Auditor (GCP Auditor). Support auditor training and mentoring of new / less experienced auditors by performing co-audits, assist in developing training materials/tools, delivering training, and sharing knowledge and experience. We are seeking a Senior Quality Assurance Audit...
As the Senior Auditor, you will participate in the development, planning, and execution of the annual Audit Plan. WEX is looking for an auditor who has a demonstrated record of accomplishment in leading operational and integrated audits. ...
Master Premium Insurance Auditor - Remote. Applicants must have at least 2 years of experience in a premium auditor role***. The Premium Insurance Field Auditor conducts insurance policy audits for Worker’s Compensation, Auto and General Liability policies. The Premium Insurance Field Auditor conduc...
Audits department's work that spans the broad spectrum of healthcare performance measurement projects at HSAG.Driven by intellectual curiosity and a passion for healthcare quality, this position performs-under supervision-healthcare auditing, data validation, and performance measurement projects thr...
Premium Auditor / Auditor Assistant positions. Property & Casualty (P&C) or Life & Health insurance carrier or MGU in an auditor role. ...
HSAG's auditors are provided formal training in an assortment of healthcare-related topics, including health policy, clinical concepts, overview of analytic methods, data sources, and management techniques. Activities include independently developing and finalizing work plans and timelines; independ...