Remote Nurse Audit Senior - OR Fraud & Compliance
The Elevance Health Companies, Inc.
- Remote job
The Elevance Health Companies, Inc. is hiring a Nurse Audit Senior for the Operating Room in Indianapolis. The position focuses on identifying and analyzing fraudulent activities by reviewing client claims. Applicants must have a Bachelor of Science in Nursing with a registered nurse license and at least 4 years of clinical experience. Key responsibilities include conducting medical reviews, developing audit tools, and collaborating with operations for compliance improvement. This role allows for a virtual work schedule with necessary onsite visits. #J-18808-Ljbffr The Elevance Health Companies, Inc.
- Elevance Health is seeking a Nurse Audit Senior specializing in Operating Room audits. This role primarily investigates potential fraud through medical reviews, correlating findings with appropriate actions. Candidates should have a minimum of an AS in nursing and 4 years...Remote jobSeniorFraud
- Elevance Health is seeking a Nurse Audit Senior - Operating Room to investigate fraud and over-utilization in healthcare. The role involves prepayment claims review... ...least 4 years of clinical experience. Understanding OR roles is preferred. Virtual work is enabled with...Remote jobSeniorFraud
- Elevance Health is seeking a Nurse Audit Senior to work virtually, focusing on fraud investigation through medical reviews. The ideal candidate will have clinical nursing experience and an RN license in the relevant state. This role offers flexibility with full-time virtual...Remote jobFraudFull time
- ...To support compliance initiatives, the full-time Senior Compliance Analyst will conduct billing and reimbursement audits, identify compliance risks, and collaborate... ...to regulations in a remote work environment. Key... ...documentation review Certified Fraud Examiner (CFE) or...Remote workSeniorFraudFull time
$135k - $145k
...adults and frail seniors. We specialize in... ...enrollment documentation audit-ready, and serve... ..., Finance, and Compliance to align enrollment... ...and review nursing recommendations for... ...on local markets; remote roles are aligned... ...Beware of Scams and Fraud Please beware of scams...Remote workSeniorFraudTemporary workPart timeWork at officeLocal areaMonday to FridayFlexible hours$160k
...Overview Senior Insurance Risk Management Associate, Remote New York City Area, Remote (East Coast... ...providing all aspects of compliance or risk management for commercial... ..., underwriting, audits, new coverage... ...Troubleshoot all settlements, fraud, subrogation, liens and...Remote workSeniorFraudContract work$30.26 - $42.37 per hour
...Senior Inpatient Coder - Remote Monday - Friday 6AM-6PM ET (40 hours/week) Under... ...research, statistics and compliance to federal and state... ...Communicates with the Auditing team to discuss audit findings... ...email or text. If you suspect fraud, please contact us at careers...Remote workSeniorFraudFull timeWork experience placementMonday to Friday- ...Senior Risk and Control Project Manager Location: Irving... ...Understanding Line of Defense Audit Concepts Minimum 5... ...effectively with virtual and remote teams, and able to work... ...including inadvertent error or fraud. Ensures ongoing compliance with regulatory...Remote workSeniorFraudContract work
$157k - $182k
...Senior Security Operations Analyst Remote, US About Extend: Extend is revolutionizing... ...alongside Extend's best-in-class fraud detection. By integrating... ...guides, and applicable compliance standards across all... ...identifying gaps, supporting audits and evidence collection,...Remote workSeniorFraudFlexible hours- ...Senior Financial Analyst | CPA Required About the... ...sheet oversight and compliance. In this role, you will... ...Hybrid Schedule: Remote Mon, Tue, Fri and Onsite... ...with greatest risk of fraud and error Conduct balance... ...progressive accounting/audit experience within a...Remote workSeniorFraudPermanent employmentFlexible hours
$138k - $190k
..., plans, leads and executes audit and advisory procedures, internal... ...with management and senior level stakeholders on matters... ...duplicated effort, extravagance, fraud, or non-compliance with laws, regulations, and... ...by the Manager ~ Remote work is required to be performed...Remote workSeniorFraudWork experience placementLocal areaFlexible hours2 days per week- ...related to corruption, fraud, or accounting misstatements... ...& Forensic Accounting Senior Managing Director role... ...to analyze accounting, auditing, and independence rules... ...risk assessments, compliance reviews, forensic accounting... ...to audience #LI-Remote #LI-NT1 Ankura is...Remote workSeniorFraudFlexible hours
$50k
...the Role We're hiring a Senior Manager, Fraud & Payments Risk to lead... ...program guideline alignment, audits, and ongoing collaboration... ...to Have Familiarity with compliance signals that feed fraud decisions... ...off and flexible hours Remote-first work environment with...Remote workSeniorFraudWork from homeHome officeFlexible hours- ...Elevance Health is seeking a Nurse Audit Senior focused on investigating potential fraud through medical reviews. Candidates must possess a minimum of 4 years of... ...qualifications include knowledge of auditing principles and OR roles, along with strong communication and...FraudFull time
$128.7k - $153.4k
...integrity efforts to combat fraud, waste, and abuse within Medicare... ...facilitating case tracking, audits, investigations, and workload... ...to prevent fraud and ensure compliance through efficient lead... ...that makes every day better ~ Remote First, Remote Only Culture...Remote workSeniorFraudTemporary workFor contractorsWork from homeFlexible hours$71.1k - $97.8k
...of our caring community The Senior Fraud and Waste Professional conducts... .... Conduct on-site audits of provider records ensuring... ...impact WORK STYLE: Work at home, remote. While this is a remote position... ...take affirmative action, in compliance with Section 503 of the Rehabilitation...Remote workSeniorFraudBi-weekly payWeekly payFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday$169.23k - $270.77k
...or Akron, OH. *** The Senior Director of Customer Payroll... ...end‑to‑end execution, compliance, and scalability of... ...accrual validation, and audit readiness. Lead... ...funding risk management, fraud mitigation, and vendor... ...year Ability to work remote Comprehensive medical...Remote workSeniorFraudWork at officeLocal area$155k - $170k
...currently in search of an Internal Audit, Senior Director to join our Audit... ...internal controls, and donor compliance functions across our diverse... ...City, OK, however qualified remote candidates residing in the... ....) preferred. Background in fraud risk management or investigations...Remote workSeniorFraudWork at officeLocal area- ...Ankura Health Care Disputes, Compliance and Investigations Practice... ...assessments, and perform compliance audits. We assist in-house and... ...subjects' protection, and financial fraud related to research. Our... ...Qualifications: Registered Nurse with active license, unrestricted...Remote workSeniorFraudWork at office
$200.7k - $250.9k
...Senior Model Risk Manager - AI/ML San Francisco, CA, New York, NY, Portland, OR, or Remote within Canada or United States Mercury is building... ...wide bet on AI/ML. Across fraud detection, financial crime... ...scientists, engineers, compliance leads, and product teams,...Remote workSeniorFraud- ...Registered Nurse: Review and Evaluation... ...integrity through compliance management. Here, you... ...setting to review and audit claims, support program... ...populations Remote work – enjoy the convenience... ...Board of Nursing; or possess a non-... ...identify potential fraud, waste, or abuse....Remote workFraudFull timeTemporary workWork at officeWork from home
- ...Senior Compliance Analyst The Institutional Compliance department at MD Anderson Cancer... ...promote operational integrity through audits, investigations, education, and continuous... ...business as an analyst, auditor, or fraud investigator OR • 4 years of required experience with...Remote workSeniorFraudFor contractorsWork experience placementLocal area
$55.9k - $123.5k
...looking for a dynamic individual to join its Fraud Investigations team! This position is... ...fraud investigative experience OR 5 years law enforcement experience (local... ...status, or any other legally protected characteristics. #J-18808-Ljbffr Compliance Audit SecuritySeniorFraudFor subcontractorWork at officeLocal areaWork from homeRelocationFlexible hours3 days per week- ...Are you a registered nurse ready to take your... ...integrity through compliance management. Here, you... ...to review and audit claims, supportprogram... ...vulnerable populations Remote work - enjoy the... ...Board of Nursing; or possess a non-... ...identify potential fraud, waste, or abuse related...Remote workFraudFull timeTemporary workWork at office
- ...Manager to lead the product strategy for Traffic Cop, focusing on ad fraud prevention. This role requires over 5 years in Product... .... The position offers competitive salary based on living costs, remote work flexibility, and opportunities for career growth. Join a culture...Remote workSeniorFraud
- ...Senior Accountant Real Estate Development... ...days in-office/2 days remote) Position Overview... ...of development and/or operating real... ...timely and accurate audit completion. Project... ...Statements & Compliance: Prepare and... ...request. Recruitment Fraud Notice Please be aware...Remote workSeniorFraudFull timeWork at officeShift work
- ..., having led the global audit and accounting software... ...LinkedIn profiles! The Senior Audit Solutions... ...professionally. This role is remote and open to candidates who... ...internal audit), OR ~ Experience designing... ...Security and Fraud: Caseware takes the...Remote workSeniorFraudWork at officeFlexible hours
- ...acquisition and treasury management solutions, fraud prevention and profitability solutions,... ...range of payment methods, simplifies PCI compliance and deposits money in your bank account... ...of experience with integrated payments; OR HS diploma/GED AND 4 years of related...Remote workSeniorFraudBase plus commissionPermanent employmentFull timeTemporary workFlexible hours
$96.21k - $134.11k
...role at a glance Location: Remote Department/Specialty: Data... ...quality standards and compliance frameworks. Design and document... ...years of cumulative experience OR Associate' degree/Bachelor's... ...Your Rights (Spanish) poster. Fraud prevention notice...Remote workSeniorFraudFull timeLocal areaDay shift- SENIOR ACCOUNTANT Location: Dallas, TX Department... ...in-office/2 days remote) Position Overview... ...completeness and compliance with applicable accounting... ...transparency and audit readiness. Asset... ...assets, and/or partnership‑level accounting... .... Recruitment Fraud Notice Please be...Remote workSeniorFraudFull timeWork at office
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