Auditor Claims

Are you seeking to join a company with a remarkable work environment?Withum is an innovative, tech-oriented advisory and accounting firm that guides clients to achieve a Leading PositionSM in the modern business scene. With a focus on empowering clients through cutting-edge tools and solutions for their financial and business management needs, Withum stands...

POSITION OVERVIEW AND RESPONSIBILITIES The Claims Auditor is accountable for the creation and upkeep of a comprehensive auditing framework for claims across various business sectors, aimed at enhancing claims processing protocols and assessing the quality of service provided to clients. This role involves pinpointing training requirements for processors and...

Univerisity Health is looking for an Integrity Auditor (Coding, Billing, and Compliance Monitoring) - On-site/Full Time/Day Shift Duties: Works to utilize the department's resources for analytical auditing and monitoring activities related to University Health's compliance program. Help to develop an annual audit plan under the supervision of the Chief...

Univerisity Health is looking for an Integrity Auditor (Coding, Billing, and Compliance Monitoring) - On-site/Full Time/Day ShiftDuties:Works to utilize the department’s resources for analytical auditing and monitoring activities related to University Health’s compliance program.Help to develop an annual audit plan under the supervision of the Chief...

Position Title: Senior Claims Examiner Department: Operations - Claims Overview of the Role: We are in search of a dedicated Senior Claims Examiner to enhance our operations in the healthcare sector. This position will report directly to the Claims Manager and is crucial for our growth in the industry. Key Responsibilities:Stay updated on all ICD-9, CPT, and...

Job Overview Are you passionate about safeguarding healthcare resources and utilizing your analytical expertise? The Division of Medi-Cal Fraud and Elder Abuse Investigation is seeking skilled investigative auditors who possess a strong background in investigation and data analysis to help recover misappropriated funds and protect vulnerable populations. Key...

Job Summary HHSA CONTRACT AUDITOR  (Health & Human Services Agency) Interviews and job offers for selected candidates will take place beginning the week of June 17, 2024.  As an HHSA Contract Auditor, you will plan, organize, direct and perform a wide variety of professional auditing duties and advisory services related to Health & Human Services...

POSITION SUMMARY/RESPONSIBILITIES Responsible for extracting, reviewing and forwarding Electronic Visit Verification (EVV) reports and information to ensure compliance with State-mandated regulations for CFHP and providers of Long Term Services and Supports (LTSS) to the STAR Kids population. Reconciles reports and transactions to identify areas of...

About Argo Group:Argo Group stands at the forefront of specialty insurance, fostering a dynamic culture rooted in respect, equality, wellness, and opportunity. As an innovative entity, we possess the agility of a smaller organization while having the capacity to effect significant change within our industry.Our Workplace Culture:We are committed to creating...

Job DescriptionJob DescriptionBenefits AnalystFLSA Status: ExemptDepartment: BenefitsReports to: Benefits ManagerPosition Summary: Assists with the day-to-day administration of the firm’s benefits for all employees. Performs a variety of administrative duties in support of the Benefits Manager. Maintains positive contact with attorneys and support staff...

Job OverviewPosition Title: Benefits AnalystFLSA Status: ExemptDepartment: BenefitsReports to: Benefits ManagerPosition Summary: The Benefits Analyst plays a crucial role in the daily management of employee benefits within the organization. This position involves a variety of administrative responsibilities to support the Benefits Manager while ensuring...

Real Estate Asset ManagerWest Central SATXThe Real Estate Asset Manager is tasked with formulating and implementing property-level strategies aimed at enhancing and safeguarding asset value, aligning with ownership goals, and addressing critical asset management concerns for a collection of affordable rental housing projects, which encompass both...

Real Estate Asset ManagerWest Central SATXThe Real Estate Asset Manager is tasked with crafting and implementing property-specific strategies aimed at enhancing and safeguarding asset value, fulfilling ownership goals, and addressing key asset management challenges for a portfolio of affordable rental housing projects, encompassing both single-family and...

Job Description_ About the Audits Division_The Audits Division is responsible for conducting thorough and timely audits pursuant to the Commission's Charter authority and mandate under City law. The purpose of the Commission's audits is to determine whether auditees have materially complied with applicable requirements of State and local laws, including...

General Summary: Utilization Management Nurse focuses on the Gonzaba Medical Group UM Review Process. Supervisory Responsibilities: This position has no supervisory responsibilities. General Requirements: All duties performed will be done accurately and in a timely manner. Carries out GMG UM Program activities and UM Operations. Exercise tact and courtesy...

General Summary: Utilization Management Nurse focuses on the Gonzaba Medical Group UM Review Process. Supervisory Responsibilities: This position has no supervisory responsibilities. General Requirements: All duties performed will be done accurately and in a timely manner. Carries out GMG UM Program activities and UM Operations. Exercise tact and courtesy...

Job Overview Are you passionate about combating fraud in the healthcare sector? Do you possess strong analytical and quantitative abilities? The Division of Medi-Cal Fraud and Elder Abuse Investigation is seeking skilled investigative auditors who are dedicated to uncovering fraudulent activities and safeguarding vulnerable populations. Key Responsibilities...

Position Overview:The Senior A&E Risk Underwriter will excel in assessing, interpreting, and establishing the suitable terms and conditions for the diverse offerings within the A&E Division. This role will encompass A&E, Contractors, Project placements, and Excess placements across all lines. A significant aspect of this position will involve cultivating and...

Job DescriptionJob DescriptionDescriptionFirm:Meaden & Moore is a leading CPA and business consulting firm that is a seven-time winner of The Plain Dealer’s Top Workplaces, a six-time winner of Ohio Magazine’s Best Places to Work and awarded Inside Public Accounting's Top 50 Best of Best Firms. All of these prestigious awards speak to how our firm is...

Job DescriptionJob DescriptionDescriptionFirm:Meaden & Moore is a leading CPA and business consulting firm that is a eight-time winner of The Plain Dealer’s Top Workplaces, a six-time winner of Ohio Magazine’s Best Places to Work and awarded Inside Public Accounting's Top 50 Best of Best Firms. All of these prestigious awards speak to how our firm is...