California Licensed Health Plans Auditor
VirtualVocationsMurfreesboro, Tennessee, United Statesjob_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Specialty Health Plans Auditor III, Claims.
Key Responsibilities
Lead planning, execution, reporting, and corrective action monitoring for claims processing compliance across specialized health programs
Conduct annual claims audits and ensure compliance with regulatory and contractual requirements
Act as a Subject Matter Expert, mentoring staff and shaping best practices for continuous improvement
Qualifications
Bachelor's Degree in Accounting, Finance, or a related field, or equivalent education and / or experience
Minimum 5 years of experience in claims audits or claims processing related to managed care product lines
Demonstrated background in managed care, healthcare, or health insurance
Proven experience in healthcare claims audit and financial compliance
Proficiency in Microsoft Office (Excel, PowerPoint, and SharePoint)
serp_jobs.job_alerts.create_a_job
Health Plans Auditor • Murfreesboro, Tennessee, United States
Job_description.internal_linking.related_jobs
Non-Clinical - Health and Information Management.Whether you have your eye set on a specific hospital or found a place you'd love to call home, we can help.
As the nation's largest healthcare staffi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Project Manager, Associate to support the Hospitality team in coordinating and implementing Hospitality Management Solutions for customers.
Key Responsibilities Assist i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Pompa Program Sales Health Advisor.Are you ready to join a highly motivated and rapidly growing team that is passionate about helping people with their health? Look no further than Pompa Program! H...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Elliott Davis pairs forward-thinking tax, assurance and consulting services with industry-leading workplace culture.Our nine offices located in the fastest growing cities in the US are built on a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Manager Case Management, Behavioral Health (Triage) to oversee clinical triage and linkage to care for at-risk members.
Key Responsibilities : Oversees BH staff performin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
Department of Safety & Homeland Security.Salary : The minimum starting salary for this position is $4,562 / month.The position provides a hybrid schedule which currently requires in-office attendance ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Our Commercial Products team is seeking a Health Management Consultant to provide consulting services to help envision, design, develop, implement and support health and wellness programs and capab...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Ardent Health is a leading provider of healthcare in growing mid-sized urban communities across the U.With a focus on people and investments in innovative services and technologies, Ardent is passi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Job Description Location : Nashville, TN (Hybrid), Duration : 12+ Months Contract.Responsibilities : TNCHAP Engagement : Serve as the primary liaison between the Ryan White Part B Program and TNCHAPs, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Healthcare Compliance Auditor - Enterprise Risk.Key Responsibilities Assist in reviewing coding, billing, and claims processing policies to develop compliance monitors ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours Elliott Davis pairs forward-thinking tax, assurance and consulting services with industry-leading workplace culture.Our nine offices located in the fastest growing cities in the US are built on a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Remote Medical Benefits Representative.Key Responsibilities Perform inbound and outbound calls assisting patients with prescription benefits Verify insurance, billing,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
Insurance Verification Specialist.New healthcare administration or business degree graduates are welcome to apply.Neuhaus Foot and Ankle is Middle Tennessees largest comprehensive podiatry group.Ne...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Public Health Program Director 1.Hybrid Role, Candidate must be local to TN.The Public Health Program Director 1 will manage the day-to-day activities of the Neonatal Abstinence Syndrome (NAS) Surv...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Location : Nashville, TN (Hybrid), Duration : 8+ Months Contract.Improving the Health of Tennesseans by Making the Healthy Choice the Easy Choice PHPD1 : Engagement Specialist The proposal will suppor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Ready to Take Your Sales Career to the Next Level?.Join Best Insurance Group, a leader in the insurance industry, where your sales skills can truly shine, and success has no limits!.We're looking f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
We know these are some of the things people look for in a job.If you're the kind of person who believes that honoring and empowering our nation's veterans is more than just a cause - that it's a ca...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Insurance Verification Specialist.Monday-Friday, Full-Time (40 hours).Choose your shift : 7 : 00 - 3 : 30 or 8 : 00 - 4 : 30.
Key Responsibilities - Insurance Verification Specialist : .Conduct detailed insura...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Under general supervision, is responsible for regulatory boards administrative work of average difficulty; and performs related work as required.
An employee in this class handles moderately complex...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Public Health Program Director 1.This is the job post for the Public Health Program Director 1 position.The content focuses on the main job description and details without any extra metadata, navig...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
Permanent Auditor Non-Clinical - Health and Information Management
Aya HealthcareNashville, TN, USserp_jobs.job_card.permanent
- serp_jobs.job_card.promoted
Texas Licensed Project Manager
VirtualVocationsNashville, Tennessee, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Health Advisor
Pompa ProgramNashville, TN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Audit Senior Manager - Healthcare
Elliott DavisHermitage, TN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
PA Licensed Behavioral Health Manager
VirtualVocationsMurfreesboro, Tennessee, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
CDL AUDITOR 3 - 72046
State of TennesseeNashville, TN, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Health Management Consultant - Nashville
BlueCross BlueShield of TennesseeNashville, TN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Auditor
Ardent CorporateBrentwood, TN, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Public Health Program Director / Nashville, TN (Hybrid), 12+ Months Contract
StaffingNashville, TN, USserp_jobs.job_card.temporary
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Healthcare Compliance Auditor
VirtualVocationsNashville, Tennessee, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Audit Manager - Healthcare
Elliott DavisHermitage, TN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Medical Benefits Rep
VirtualVocationsNashville, Tennessee, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Insurance Verification Specialist
Neuhaus Foot and AnkleNashville, TN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Public Health Program Director 1
StaffingNashville, TN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Public Health Program Director 1 / Nashville, TN (Hybrid), 8+ Months Contract
StaffingNashville, TN, USserp_jobs.job_card.temporary
Licensed Health and Life Agent
Healthy Insurance for Healthy PeopleNashville, TN, USserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Physical Health & Wellness Screening Specialist
Wounded Warrior ProjectNashville, TN, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Insurance Verification Specialist
Creative Financial StaffingBrentwood, TN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Public Health Administrator
nLeagueNashville, TN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Public Health Program Director 1
ACL DigitalNashville, TN, USserp_jobs.job_card.full_time