Senior Provider Auditor — Payment Integrity
Elevance Health
Elevance Health is hiring a Provider Auditor Senior to lead on-site reviews of medical charts, notes, itemized bills, and provider contracts to ensure claims are paid per contract and policy. The role involves selecting providers for review, scheduling, analyzing data, and presenting findings to management. The Senior Auditor will verify dollar amounts in the claims system, document findings, and pursue overpayments. #J-18808-Ljbffr Elevance Health
- ...Provider Auditor Senior This role requires associates to be in-office 1 - 2 days per week, fostering... ...-health approach to making care more integrated, personalized, and affordable. We put... ...findings of the review and requests payments for any overpayments. Identifies...SeniorContract workTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week
- Elevance Health is seeking a Provider Auditor Senior - Payment Integrity Complex and Clinical Audit to conduct on-site reviews of medical charts, notes, and contracts to ensure correct claim payments. This role supports a hybrid work model requiring in-office presence 1...SeniorWork at office2 days per week1 day per week
$86.36k - $101.6k
...all from Day One.Job DescriptionThe Corporate Audit Services Senior Auditor is primarily responsible for completing audit engagement assignments... ...30 worked, up to 80 hours per calendar year unless otherwise provided by lawReview our full benefits available by employment status...SeniorWork at officeLocal area3 days per week$64.83k - $85.09k
...Senior Analyst, Payment Integrity Disputes Remote Hi, we're Oscar. We're hiring a Senior Analyst, Payment Integrity Disputes to join our Disputes... ...Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope....SeniorFull timeContract workWork at officeRemote work$67.9k - $199.14k
...one community at a time. Position Summary The Senior Manager - Business Consulting, within the Payment Integrity Center of Excellence (PICOE) team, will help formulate... ...G&A (reducing appeals, claim rework, and provider settlements), maximizing revenue, centralizing vendor...SeniorHourly payFull timeTemporary workWork experience placementLocal area- ...platform with end‑to‑end payments capabilities and... ...Title: Internal Audit Senior (Financial and Business... ...Description Summary The Senior Auditor is responsible for... ..., and IIA Standards. Provide guidance and mentoring... ...(EEO) Statement Integrated into our shared values...SeniorWorldwideFlexible hours
- Oscar Health Insurance is seeking a Senior Analyst for Payment Integrity Disputes to join the Disputes team. This remote role focuses on supporting payment integrity disputes and driving process improvements within the Oscar claims environment. You will scope, investigate...SeniorRemote job
$82.53k - $123.8k
...and to our company’s core values: safety, integrity, citizenship, sustainability, and... ...understand their businesses and roles to provide meaningful feedback and recommendations... ...years experience as an internal, external auditor, or specific industry accounting/finance...SeniorFull timeTemporary workWork at office- ...Senior Sox Auditor A detail-oriented compliance professional with a strong background in SOX... ...across teams to ensure financial reporting integrity. Hiring immediately for a full-time... ...Documenting control deficiencies and providing actionable insights. Collaborating...SeniorFull timeWork at officeImmediate start
- ...Senior IT Auditor As a Senior IT Auditor, you will be responsible for evaluating and assessing... ...-functional teams, identify risks, and provide recommendations to improve IT processes... ...IT controls related to security, data integrity, confidentiality, and access management...Senior
$85k - $90k
...Senior Auditor At the American Cancer Society, we're working to end cancer as we know it,... ...leading diverse operational and financial integrated audits, reviews, and special projects.... ..., specialty, and education. ACS provides staff a generous paid time off policy;...SeniorRemote jobWork at office- Northside Hospital is seeking a Medical Records Auditor to review documentation and ensure accurate CPT, ICD-10, HCPCS coding and modifier assignments for patient claims. The Auditor will follow policy for audit schedules and deliver professional reports to physicians and...Senior
- ...every day.Being a Great Place to Work and providing a culture of caring is core to how we... ...Enables team(s)/applications with Continuous Integration/Continuous Development (CI/CD)... ...Point of Sale systems.Deep experience with Payment Gateway systems.Excellent problem-solving...SeniorFull timeWork at officeFlexible hoursDay shift
- ...business process reviews); growth (M&A due diligence and business integration); and operational excellence.Assists in the evaluation of... ...audit reports detailing the results of the audit with a focus on providing insightful and value-added recommendations to all stakeholders...SeniorNight shift
$30 - $32 per hour
This range is provided by Insight Global. Your actual pay will be based on your skills and... ...operational, financial, and compliance integrity. Responsibilities include developing and... ...is 30-32/hr. based off qualifications Seniority level Not Applicable Employment type Full...SeniorHourly payFull time- ...We are seeking dynamic and driven Audit Senior Associates or Audit Supervisors with 1‑5... ...auditing, and related issues and developments Provide supervision, training, and support to... ...Continuing Education Culture based on integrity, respect, accountability, and excellence...SeniorWork at officeFlexible hours
- ...Senior Internal Auditor The Senior Internal Auditor is responsible for ensuring the integrity of our internal control environment, enhancing business processes, and managing risk... ...articulate the root cause of issues, and provide actionable, practical recommendations....Senior
$90k - $115k
...due to steady client growth. This opportunity offers strong exposure to middle-market clients across a variety of industries while providing a collaborative environment with clear advancement potential.The firm values work-life balance, professional development, and...SeniorLocal area- Career Opportunities: IT Internal Audit Senior Manager (527167) CRH is a leading global... ...technology are managed across the Group and provides a strong platform for progression into... ..., construction, manufacturing) Act with integrity and objectivity, exercising professional...SeniorWork at officeLocal areaWorldwide
- ## Senior Internal AuditorApplylocations: Atlanta, GAtime type: Full... ...you are a qualified Internal Auditor with experience in a... ...enterprise risk management.* Provide consultative support on assigned... ...organization.* Working knowledge of integrated accounting systems. JDE, SAP,...SeniorWorldwide
$260.1k
...about working at Coinbase. As a Senior Staff Software Engineer on thePlatform Payments team, you'll define the... ...the core Payments platform (rails integrations, routing, and funds-flow services... ...compliance, and unit economics. Provide deep technical mentorship to senior...SeniorLocal area$111.61k - $131.3k
...Senior Audit Project Manager At U.S. Bank, we're on a journey... ...excel atall from Day One. The Payment Services division at U.S.... ...businesses, and institutions. It also provides merchant authorization and... ...Review work performed by auditors to ensure accuracy, relevance...SeniorTemporary workWork experience placementLocal area3 days per week- ...identify, veteran status, disability, or any other characteristics protected by federal, state, or local laws. Wipfli is committed to providing reasonable accommodations for people with disabilities. If you require a reasonable accommodation to complete an application,...SeniorWork at officeLocal area
$137.28k
...recognized investment management firm that is looking to hire a Senior Internal Auditor to join their expanding U.S. audit function. This is a... ...Partner with global audit teams and business leadership to provide assurance and add value. Ideal Candidate Profile: 5+ years...SeniorFull timeRelocation package- ...StatesCompany: AECOMPosted: 2026-09-01Lead Senior EHS Compliance AuditorAt AECOM, we're... ...improving your commute, keeping the lights on, providing access to clean water, or transforming... ..., Health, and Safety (EHS) Compliance Auditor, EHS Compliance Program Manager. The...SeniorWork at officeLocal areaWorldwideRelocation
$115.6k - $160k
...Center (ROC) Tech and Operations Integration (OI) team is dedicated to the... ...Tech and OI is looking for a Senior Program Manager to own... ...effectively with senior management, providing regular status updates and... ...package will include sign-on payments and restricted stock units (...SeniorTemporary workFlexible hours- ...US Delivery Senior Consultant, Configuration And Integration Solutions Our Deloitte Enterprise Performance team... ...collaborate with leading solution providers and leverage your experience in strategy... ..., including invoice processing, payments, GL transfers, PO matching, POET...SeniorWork at officeLocal areaRelocationNight shift
$196.73k - $258.21k
...Senior Director, Escalated Provider Issue Resolution Atlanta, Georgia. This is a remote position, open to candidates who reside in Atlanta,... ...partner across Claims, Network, Utilization Management, Payment Integrity, Contact Center, Account Management, Technology, Analytics...SeniorWork at officeRemote work$80k - $150k
...Overview CGS Federal (Contact Government Services) is seeking a Senior Auditor who will assist district legal staff by conducting medical... ...complex personal and business financial records to identify payments and kickbacks, trace money flows, identify assets, sources and...SeniorFull timeFlexible hours- ...Auditor Position The responsibilities of this position include auditing functions of the bank, assessing the adequacy of controls... ...by appropriately challenging risks, scope, and approaches, and providing thoughtful recommendations. Identify and communicate potential...Senior
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