Healthcare Compliance & Audit Specialist
NACBA
CVS Health is seeking a Program Integrity Auditor to review provider records for medical, behavioral, transportation and other services. You will determine correct coding and documentation, support audits across Medicaid lines, and recommend follow-up actions including education and recoupment as needed. The role requires 3–5 years of claims review experience, CPT/HCPCS/ICD-10 coding expertise, and an active CPC/CCS/CPMA credential. Strong analytical skills and regulatory knowledge are essential. #J-18808-Ljbffr NACBA
- ...suspected FWA. The Auditor will work with Medicaid-related lines of business, perform audits, and provide education on regulatory requirements, coding, and documentation while maintaining compliance with policies. 40-hour weeks, full-time position. #J-18808-Ljbffr NACBASuggestedFull time
- ...identifying potential fraud, waste, or abuse and advising on follow-up actions with state regulators when needed. Responsibilities include auditing across Medicaid lines of business, coordinating reports, and educating providers on regulatory requirements. #J-18808-Ljbffr...Suggested
$90k - $100k
CenterLight Health System is seeking a Compliance Auditor in New York, NY. The role involves... ...to all relevant regulations through audits, conducting risk assessments, and developing... ...a minimum of three years' experience in healthcare audits. The position provides a salary...Suggested- A healthcare management firm is seeking an RN Care Management Coordinator - Compliance Specialist to ensure compliance with relevant regulations and standards. This remote position... ...The role involves conducting compliance audits and supporting NCQA-related operations....SuggestedRemote job
- ...multicultural Certified Public Accounting firm is seeking an Auditor in New York City. This role requires 5+ years of experience in US Auditing along with a Bachelor's degree in accounting; CPA certification is preferred. The selected candidate will conduct audits, analyze...Suggested
$117.73k - $138.5k
...to successfully manage a portfolio of Commercial and Corporate Banking credit relationships. Assignments will focus on For-Profit Healthcare companies including (but not limited to) pharmaceutical, medical device, health insurance, distributors, for-profit hospitals,...Full timeWork experience placementLocal area3 days per week$30 - $32 per hour
....00/hr Immediate need for a talented Compliance Specialist . This is a 06 months contract opportunity... ...and applicable federal and state healthcare regulations Serve as a subject matter... ...Conduct periodic compliance assessments and audits to ensure accuracy, completeness, and...Contract workWork at officeLocal areaImmediate startRemote work- A leading healthcare consultancy is seeking a remote Compliance Specialist for a 6-month contract. The role involves ensuring compliance with healthcare regulations, analyzing regulatory issues, and facilitating compliance-related projects. Candidates should have 4-5 years...Remote jobContract workFlexible hours
- ...addictions, is seeking a Health Care Compliance Specialist to join the Compliance Department. The... ...following: Responsible for conducting audits of medical records to determine whether... ...years of experience working in the healthcare industry and compliance: mental health...Work at office
- ...dedication toward innovating a better healthcare delivery system. Essen has expanded from... ...program. Job Summary The Healthcare Compliance Specialist supports Essen Healthcare’s commitment... ...payer regulations. This role conducts audits, monitors operational processes, identifies...Work at office
$50k
Position Title: Healthcare Compliance Specialist Location: Hybrid Position End Date: 7/31/26 Salary: $50,000 plus benefits Overview The CDC Foundation is seeking a Healthcare Compliance Specialist to support the New Jersey Department of Health’s Vaccine Preventable...For contractorsLocal areaRelocation- The CDC Foundation is seeking a Healthcare Compliance Specialist to support the New Jersey Department of Health. This role involves ensuring proper vaccine storage and handling across over 750 providers. The ideal candidate should have a pharmacy technician certification...Local area
$100k - $125k
...reputation as a leader in multifamily and healthcare finance, with $13 billion in loan... ...will report to the Director of Internal Audit. Our Internal Audit Department enhances... ...procedures for financial, operational and compliance audits Flowchart business processes and...Work at officeFlexible hours$100k - $125k
...company that specializes in multifamily and healthcare finance. We are looking for a Senior... ...Auditor to report to the Director of Internal Audit. This role is a hybrid work opportunity.... ...for financial, operational, and compliance audits. Flowchart business processes and...Work at office- The Senior Internal Auditor will join a large healthcare organization in Hudson County, NJ, reporting to the VP of Internal Audit. The role emphasizes executing the annual audit plan, strengthening internal controls, and driving operational improvements. Candidates should...Flexible hours
$86.9k - $121.88k
Sr. Healthcare Compliance Specialist, TA Location: Somerset, NJ, US, 08873 At Terumo Aortic, our mission is to transform the treatment of aortic disease... ...and coordination of selected Compliance Committees. Audits: Assist in the preparation of documentation for Internal...Contract workTemporary workLocal areaImmediate startWorldwideFlexible hours$35 - $45 per hour
...data collaboration platform trusted for healthcare. Guided by our mission to make the... ...We're Looking For: As a Professional Auditing Specialist, you will be instrumental in addressing... ...educational needs related to coding quality, compliance assessments, external payer reviews,...Hourly payFull timeInterim roleReliefRemote workFlexible hours$135k - $210k
...Group is made up of a brilliant team of tax specialists that work to ensure tax reporting... ...International and Private Client services.As a Healthcare Tax Manager based out of any of our... ...coordinating with our healthcare group’s audit and consulting teamsContributing to the...Full timeWork at officeLocal area$131.3k - $243.9k
...continuously advance science and ensure everyone has access to the healthcare they need today and for generations to come. Creating a world... ...dynamics.Onsite presence on our campus is expected in compliance with Roche/Genentech policy.Relocation benefits are not available...Full timeLocal areaWorldwideRelocation package$200k
Healthcare Investment Banking Director (New York, NY) Telecommuting Permissible (multiple positions). Lead day-to-day transaction execution, client presentations, offering memoranda, internal committee memoranda, management and board presentations, pitch drafting as well...Work experience placementBank staffRemote work$265k - $325k
...among the leading financial services firms based on the number of completed transactions globally. As a Managing Director in the Healthcare Investment Banking group, you’ll provide clients with advice on all aspects of M&A and capital markets alternatives through...Work experience placementSummer holidayWork at officeFlexible hours$90k - $130k
...including construction, architecture and engineering, not-for-profit, healthcare, manufacturing and distribution, financial services, real... ...efficient billing processes Maintaining appropriate compliance with all Firm policies and procedures Developing referral sources...Summer workWork at officeLocal areaRemote workFlexible hours- Datavant is seeking a ProFee Auditing Specialist to perform coding audits and provide coder education. This role is fully remote and allows for a flexible schedule while contributing to healthcare data collaboration. Ideal candidates will have over 5 years of coding experience...Remote jobFlexible hours
- ...Description Job Description Prestigious organization is creating a new role in their Midtown office. Person will handle tax compliance and research for all tax matters. Will coordinate with their outside CPA and Internal accounting personnel. Further details...Work at office
- As a leading financial services and healthcare technology company based on revenue, SS&C is headquartered in Windsor, Connecticut, and... ...include, but are not limited to, trade capture and post-trade compliance; management of valuations, corporate actions, and security master...Ongoing contractFull timeTemporary workRemote work
- Verse Medical seeks a Compliance Operations Associate to keep our program running smoothly... ...duties, tracking licenses, certifications, audits, and deadlines while serving as the on-... ...engaging with external regulators in a fast-paced healthcare #J-18808-Ljbffr Socket.dev
- ...Relationship Managers in managing a portfolio of Commercial and Corporate Banking credit relationships. Focus includes For-Profit Healthcare clients such as pharmaceutical, medical device and health insurers. The role emphasizes underwriting, portfolio management, and...
$21.5 - $27 per hour
Credentialing Specialist HealthCare Support is actively seeking a Credentialing Specialist to fill an opening in Bronx, New York.Daily Responsibilities for Credentialing Specialist:Coordinate provider credentialing process to increase efficiency and ensure that credentialing...Work at officeLocal areaImmediate startMonday to Friday- BetMGM LLC is seeking a Sr. Business Protection Specialist to join their Business Protection team within Customer Operations. This role is... ...operations comply with regulatory requirements by performing audits, mapping processes, and monitoring regulatory changes. The ideal...
$245k
...characteristic. Job Description and Salary ArentFox Schiff is seeking a mid-level associate to join the 4th or 5th year class of the healthcare group in its New York or Washington, DC office. Qualified candidates will have at least 4 years of experience in a broad range of...Work at officeFlexible hoursShift work
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