Current jobs related to Performance Quality Auditor III - Miami Lakes - Elevance Health

  • Night Auditor

    3 months ago

    Mammoth Lakes, United States Quality Inn Mammoth Lakes Full time

    Reports To:      Front Office ManagerRequirements:  Minimum of a high school diploma. Higher level of education preferred. 3 years hotel front office experience with a minimum of 1 year as a Night Auditor. Must be able to work night shifts. General Responsibilities:  Ensure proper completion of all front office and night audit duties. Direct and...

  • Quality & Compliance Auditor

    1 month ago

    Land O' Lakes, United States Gulfside Healthcare Services, Inc. Full time

    Job DescriptionJob DescriptionReporting to the Quality & Patient Safety Manager, the Quality & Compliance Auditor is responsible for ongoing analysis and review of regulatory compliance in patient records.EDUCATION AND QUALIFICATIONS:A Bachelor’s degree in a healthcare or data management related field or relevant experience preferred.Home Health experience...

  • Quality & Compliance Auditor

    2 weeks ago

    Land O' Lakes, United States Gulfside Healthcare Services, Inc. Full time

    Job DescriptionJob DescriptionReporting to the Quality & Patient Safety Manager, the Quality & Compliance Auditor is responsible for ongoing analysis and review of regulatory compliance in patient records.EDUCATION AND QUALIFICATIONS:A Bachelor’s degree in a healthcare or data management related field or relevant experience preferred.Home Health experience...

  • Sr Auditor

    2 days ago

    Miami, United States Itau Full time

    Duties & Responsibilities -Apply an understanding of internal audit standards, policies and procedures, and regulations, including the Federal Reserve, FINRA, SEC and Florida OFR. -Assist the Internal Audit Manager in ascertaining that all major risks are identified and analyzed and provide input to the development of the annual audit plan and ongoing risk...

  • Senior Auditor

    3 months ago

    Miami, United States Spartan Placements LLC Full time

    Job Overview We are looking for a Senior Auditor for our organization to lead the auditing process. As a Senior Auditor, you should possess a strong knowledge of auditing principles and procedures with excellent analytical and organizational skills. If your qualifications and expertise match the above-mentioned criteria, please do send in your application....

  • Lead Auditor

    4 days ago

    Miami, United States Spartan Placements LLC Full time

    Position Summary Spartan Placements LLC is seeking a Lead Auditor to oversee the auditing operations within our organization. As a Lead Auditor, you will need to demonstrate a comprehensive understanding of auditing standards and methodologies, complemented by exceptional analytical and organizational capabilities. If your qualifications align with the...

  • Auditor

    1 day ago

    Miami, United States Itau Full time

    Duties & Responsibilities •Attend and participate in Internal Audit Plan preparations. •Study an apply an understanding of internal audit standards, policies and procedures, and regulations, including the Federal Reserve, FINRA, SEC and Florida OFR •Plan, organize and conduct the internal audit analyst function, including the preparation, execution and...

  • Internal Auditor

    4 weeks ago

    Miami, United States Lennar Homes Full time

    It's fun to work in a company where people truly BELIEVE in what they are doing!We're committed to bringing passion and customer focus to the business.As one of the Lennar Internal Auditors, you will play an essential role in ensuring Lennar’s core principles of quality, value, and integrity continue to be evident in all areas of the business. You will...

  • Internal Auditor

    4 weeks ago

    Miami, United States Creative Financial Staffing Full time

    Entry - Level Internal Auditor Why take an Internal Auditor role with this company? Opportunity to move up in the department and out to other departments, promotions based on performance not tenure Been in business for 60+ years Fortune 500 company! Great opportunity for someone looking for growth Flexibility and work-life balance Company pays for CPA &...

  • Internal Auditor

    1 week ago

    Miami, United States Creative Financial Staffing Full time

    Entry - Level Internal Auditor Why Take an Internal Auditor Role with this Company? Opportunity to move up in the department and out to other departments, promotions based on performance not tenure Been in business for 60+ years Fortune 500 company! Great opportunity for someone looking for growth Flexibility and work-life balance Company pays for CPA &...

  • Internal Auditor

    4 weeks ago

    Miami, United States Lennar Mortgage Full time

    Its fun to work in a company where people truly BELIEVE in what they are doing! Were committed to bringing passion and customer focus to the business. As one of the Lennar Internal Auditors, you will play an essential role in ensuring Lennar’s core principles of quality, value, and integrity continue to be evident in all areas of the business. You will...

  • Internal Auditor

    2 months ago

    Miami, United States Lennar Homes Full time

    It's fun to work in a company where people truly BELIEVE in what they are doing! We're committed to bringing passion and customer focus to the business. As one of the Lennar Internal Auditors, you will play an essential role in ensuring Lennar’s core principles of quality, value, and integrity continue to be evident in all areas of the business. You...

  • Internal Auditor

    2 months ago

    Miami, United States Lennar Homes Full time

    It's fun to work in a company where people truly BELIEVE in what they are doing! We're committed to bringing passion and customer focus to the business. As one of the Lennar Internal Auditors, you will play an essential role in ensuring Lennars core principles of quality, value, and integrity continue to be evident in all areas of the business. You will join...

  • Internal Auditor

    2 weeks ago

    Miami, United States Lennar Full time

    It's fun to work in a company where people truly BELIEVE in what they are doing! A high number of candidates may make applications for this position, so make sure to send your CV and application through as soon as possible. We're committed to bringing passion and customer focus to the business. As one of the Lennar Internal Auditors, you will play an...

  • Internal Auditor

    2 months ago

    Miami, United States Lennar Homes Full time

    It's fun to work in a company where people truly BELIEVE in what they are doing!We're committed to bringing passion and customer focus to the business.As one of the Lennar Internal Auditors, you will play an essential role in ensuring Lennar’s core principles of quality, value, and integrity continue to be evident in all areas of the business. You will...

  • Internal Auditor

    2 months ago

    Miami, United States Lennar Homes Full time

    It's fun to work in a company where people truly BELIEVE in what they are doing!We're committed to bringing passion and customer focus to the business.As one of the Lennar Internal Auditors, you will play an essential role in ensuring Lennar’s core principles of quality, value, and integrity continue to be evident in all areas of the business. You will...

  • Internal Auditor

    3 months ago

    Miami, United States Tandym Group Full time

    A real estate company in Florida is actively seeking an experienced Internal Auditor to join their growing team in Miami. In this role, the Internal Auditor will be responsible for conducting financial and operational audits according to the Internal Audit plan. Responsibilities The Internal Auditor: Analyzes operational and management processes, and...

  • Premium Auditor

    1 month ago

    Miami, United States Davies Risk Services Full time

    Job DescriptionJob DescriptionGig Workers Wanted!  Are you tired of working for someone else?  Have you thought about building a business for yourself?  If you answered yes to either question – Welcome!  We are excited to introduce Davies Risk Services to you!  Our Premium Auditors come from various backgrounds.  If you are inquisitive, driven &...

  • Premium Auditor

    1 month ago

    Miami, United States Afirm Full time

    Gig Workers Wanted! Are you tired of working for someone else? Have you thought about building a business for yourself? If you answered yes to either question - Welcome! We are excited to introduce Davies Risk Services to you! Our Premium Auditors come from various backgrounds. If you are inquisitive, driven & self-directed, love numbers and spreadsheets,...

  • Premium Auditor

    2 weeks ago

    Miami, United States Davies Risk Services Full time

    Job DescriptionJob DescriptionGig Workers Wanted!  Are you tired of working for someone else?  Have you thought about building a business for yourself?  If you answered yes to either question – Welcome!  We are excited to introduce Davies Risk Services to you!  Our Premium Auditors come from various backgrounds.  If you are inquisitive, driven &...

Performance Quality Auditor III

2 months ago

Miami Lakes, United States Elevance Health Full time

Title: Performance Quality Auditor III Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. The Performance Quality Auditor III will be responsible for evaluating the quality of services and interactions provided by organizations within the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. How you will make an impact: Evaluates the quality and accuracy of transactions and/or communications with providers, groups, and/or policyholders. Identifies, documents, and reports any transaction errors or communications issues in a timely manner to ensure prompt resolution. Tracks and trends audit results, providing feedback to management. Identifies and reports on systemic issues which create ongoing quality concerns. Generates monthly reports of audit findings, supports clients with issues identified and develops reports to assist management with information requested. Produces other ad hoc reports as requested by internal and external clients. Provides training, mentoring and support to quality staff. Associates at this level function as subject matter experts, conducting routine to complex audits, generally related to multiple functions on multiple systems platform for multiple lines of business. Works proactively and independently including facilitation of calibration sessions with clients and/or teams. Minimum Requirements High school diploma or equivalent (GED). Minimum 5 years experience or any combination of education and experience which would provide an equivalent background. Preferred Qualifications Working knowledge of insurance industry and medical terminology, and in-depth knowledge of relevant systems and proven understanding of processing principles, techniques and guidelines strongly preferred. Ability to acquire and perform progressively more complex skills and tasks in a production environment strongly preferred. Able to speak English and Spanish highly preferred. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. For candidates working in person or remotely in the below locations, the salary* range for this specific position is $29.20 to $45.70 Locations: California, New York; In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, nondiscriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.