Senior Provider Reimbursement Audit Lead (Remote)
Centene Management Company LLC
- Remote job
Centene Management Company LLC in Missouri seeks an experienced Audit Lead to direct end-to-end audit programs for Medicare, Duals, and Marketplace. You will plan, execute, and report audits, drive corrective actions, and communicate trends to executives across multiple functional areas. You will manage resources, budgets, and cross-functional teams while pursuing process improvements that boost quality, compliance, and operational effectiveness. #J-18808-Ljbffr Centene Management Company LLC
- The Cigna Group is seeking a Provider Contracting Advisor (Director, Network Management) for a remote position, preferably residing in Mississippi. The role focuses... ...relationships, and negotiating value-based reimbursements with healthcare providers. Qualified candidates...Remote jobReimbursementSenior
$91.7k - $163.7k
...ll guide the development and support of Provider Networks as well as unit cost... ...leader.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you... ...in compliance with company templates, reimbursement structure standards and other key process...Remote workReimbursementSeniorMinimum wageFull timeContract workWork experience placementLocal area- ...Job Description Job Description PROVIDER AUDIT AND REIMBURSEMENT LEAD AUDITOR (CMS) - REMOTE ARC Group has an immediate opportunity for a Provider Audit and Reimbursement Lead Auditor (CMS)! This position is 100% remote working eastern time zone business hours....Remote workReimbursementPermanent employmentWork experience placementInterim roleWork at officeImmediate start
$72k - $108k
...REDW is the place to do it! Senior Audit Associate What You'll Do... ...Supervises staff and provides guidance and feedback Tracks... ...holidays Monthly wellness reimbursement Growth & Development... ...Ongoing development resources Remote Support ~$150 annual WFH...Remote workReimbursementSeniorWork experience placementWork from homeFlexible hours$142k - $200k
...seeking an experienced Audit & Accounting Senior Manager to serve our... ...-driven nonprofit providers to complex, multi-... ...Responsibilities:Lead and oversee complex... ...page to connect! #LI-Remote#LI-KK1 Additional Details... ..., cell phone reimbursement, and travel rewards....Remote workReimbursementSeniorTemporary workWork at officeLocal areaFlexible hours$249.6k - $312k
...TeamDoorDash’s Internal Audit team provides independent assurance... ...the RoleWe are seeking a Senior Director, IT Internal Audit to lead the strategy, execution... ...Jobs Located in NYC or Remote Jobs Associated With... ...healthcare, wellness expense reimbursement, paid parental leave...Remote workReimbursementSeniorHourly payWork at officeLocal areaFlexible hours$69.4k - $99.2k
...development. SummaryAs a Senior or Advisor Business Analyst - Provider+ at Gainwell, you can... ...closely with the Domain Lead, Technical Analysts, and... ...expect in this roleFully remote options from most US locations... ..., hotel accommodations, reimbursement for travel expenses, and...Remote workReimbursementSeniorFull timeFlexible hours$123k - $155k
...control systems and organizational performance. Provides timely information about scope changes and... ...Flexible PTO + 10 holidays Monthly wellness reimbursement Growth & Development Learning platform + credential support Remote Support Tech provided Culture Strong focus on...Remote workReimbursementSeniorImmediate startFlexible hours- ...to creating category-leading enterprise software that... ...across Healthcare Provider organizations — health... ...— and we are hiring a senior industry leader to help... ...and provider regulatory/reimbursement dynamics (e.g., CMS, value... ..., office-based, and remote workers will vary from...Remote workReimbursementSeniorWork at officeImmediate start
$122k - $147k
Overview The Senior Manager, Audit Manager Training leads the design, delivery, and continuous... ...Better. Leadership Provides People Obsessed leadership... .... Knowledge of medical reimbursement/payment policies, audit... ...candidate is selected. #LI-Remote#LI-JJ1#senior #LI-DNP #J-...Remote workReimbursementSeniorWork at officeImmediate start$196.73k - $258.21k
...'re Oscar. We're hiring a Senior Director, Escalated Provider Issue Resolution to join our... ...issue resolution, lead a multi-disciplinary team,... ...Work Location: This is a remote position, open to candidates... ...data, network operations, reimbursement, utilization management, payment...Remote workReimbursementSeniorFull timeWork at office$91.7k - $163.7k
...ll guide the development and support of Provider Networks as well as unit cost... ...you will have the flexibility to work remotely* as you take on some tough challenges.Primary... ...in compliance with company templates, reimbursement structure standards and other key process...Remote workReimbursementSeniorMinimum wageFull timeContract workWork experience placementLocal area$87.7k - $157.8k
...flexibility. Position Purpose: Lead a team responsible for... ..., and Marketplace audit activities, including... ...including claims, provider set up and maintenance... ...purchase plans tuition reimbursement paid time off plus... ...approach to work with remote, hybrid, field or office...Remote workReimbursementFull timePart timeWork at officeFlexible hours$20 - $36 per hour
...Senior Provider Services Representative Optum is a global organization... ..., and creating provider reimbursement arrangements. Demonstrates thoroughness... ...the flexibility of a hybrid-remote* role as you take on some... ...preparation for the annual audit Performs additional...Remote workReimbursementSeniorHourly payFull timeContract workTemporary workWork experience placementWork at officeLocal areaMonday to Friday- ...Description Job Description PROVIDER AUDIT AND REIMBURSEMENT MANAGER (CMS) - REMOTE ARC Group has an immediate opportunity... ...conferring, when necessary, with Senior Manager or Director on audit... ...supervisory/project management lead or other leadership experience....Remote workReimbursementPermanent employmentWork experience placementInterim roleWork at officeImmediate start
- Manager, Post-Pay Audit Job Summary:... ...Audit Manager to lead a team of auditors... ..., and other payer reimbursement requirements. This... ...deliverables. Provide hands-on leadership... ...discrepancies to senior leadership as needed... ..., preferably with remote or offshore team...Remote workReimbursementSenior
- ...Solutions LLC is seeking a Senior Manager, Clinical & Coding to lead and oversee clinical and coding audit programs across government and... ...payers in a fully remote capacity. You will manage end... ...regulatory compliance, and optimize reimbursement for multiple clients. The role...Remote jobReimbursementSenior
- ...Job Description Job Description Senior Audit Manager (Fully Remote) Location: Remote (USA) Job Type... .... What You’ll Do: Lead and manage multiple audit engagements... ...Development Support – Ongoing CPE, licensing reimbursement, and leadership training. Growth...Remote workReimbursementSeniorFull timeImmediate startFlexible hours
- TEKsystems seeks a Senior Premium Auditor to perform complex premium audits and provide expert guidance to clients across Workers’ Compensation and General Liability policies. The role emphasizes virtual audits with occasional on-site visits, maintaining underwriting integrity...Remote jobSenior
$132.4k - $198.6k
...directly advising insureds. This Remote position is an ideal fit for... ...insureds directly. \n • Lead the work: Be the lead attorney... ...and paid time off; fitness reimbursement; reimbursed work-related travel... ...ADR proceedings. \n • Provide timely, practical legal advice...Remote workReimbursementSeniorTemporary workWork at officeLocal areaWork from home- ...About the Team The Internal Audit Division at SWIB reports... ...and protecting SWIB's value by providing risk-based independent and objective... ...opportunities Tuition reimbursement Challenging work in a... ...authorization. Pursuant to our Hybrid Remote Work Policy, all staff have...Remote workReimbursementSeniorWork at officeRelocation
$90k - $100k
Senior Internal Auditor - SOX & Finance -$90-... .... In this Internal Audit role, the candidate will lead engagements around... ...client, this client provides an excellent work/life... ...acclimated of some remote work (up to 2 days... ...including commute reimbursement once the pandemic...Remote workReimbursementSenior2 days per week- ...over 35 years, we have provided comprehensive... ...experienced and vision-driven Senior Tax Manager (with a pathway... ...feedback, and leading internal technical CPE... ...working schedules, hybrid/remote options, and a firm... ...Growth: Firm-sponsored CPE reimbursement, dedicated in-house...Remote workReimbursementSeniorTemporary workSeasonal workWork at officeLocal areaFlexible hours
$59.94k - $98.58k
...* Position is eligible for Remote / Work from Home opportunity * Department: Provider Audit Job Grade: E12 Notice of... ...noridiansolutions.com) Job Title Senior Provider Auditor Job... ...field audits to ensure proper reimbursement for health care providers for...Remote workReimbursementSeniorFull timeFor contractorsWork experience placementCasual workWork at officeWork from homeFlexible hours- ...looking for experienced Mid to Senior Snowflake Data Engineers to... ...work independently in a fully remote environment Experience with... ...to hire.NRC is committed to providing our consultants with a better... ...comprehensive Consultant Education Reimbursement program for most roles, and...Remote workReimbursementSeniorContract work
$100k - $180k
...Description: Tax Manager or Senior – CPA/EA At Hunt... ..., and supportive, providing excellent... ...issues. Assist or lead in team development... ...financial statement audits, reviews, and... ...both in office and remote. Five weeks paid time... ..., including reimbursement of related expenses...Remote workReimbursementSeniorCasual workWork at officeLocal areaFlexible hours- MaloneBailey, LLP is seeking an Audit Senior in Houston, Texas to lead and participate in audit engagements. This role involves examining accounting... .... The position is full-time and partially remote, providing a dynamic team environment focused on superior client...Remote workSeniorFull time
- ...potential. Responsibilities include investigating claims on commercial and residential buildings, performing site inspections, and writing estimates in Xactimate, plus mentoring teammates. Remote/field role with mileage reimbursement and equipment provided. #J-18808-Ljbffr...Remote workReimbursementSenior
$18.7 - $22 per hour
...services company is seeking a Senior Representative for Customer Service... ...Operations. The role involves providing outsourced services related to medical billing and reimbursement, acting as a liaison to... ...medical insurance knowledge. This remote position offers a pay range of...Remote workReimbursementSeniorHourly pay- ...Managing a complex, high-volume caseload of insurance appeals remotely, the full-time Senior Associate Attorney will develop legal strategies to maximize reimbursement outcomes for healthcare providers while serving as a subject matter expert and guiding colleagues in...Remote workReimbursementSeniorFull time
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