Medicaid Provider Compliance Lead & Audit Excellence
CVS Health
CVS Health in Hartford, CT is seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across the organization. You will lead strategic initiatives that ensure accurate, timely audit results and strengthen regulatory relationships. The ideal candidate will possess strong analytical and communication skills, cross-functional collaboration abilities, and experience managing complex projects while upholding high standards of quality and compliance. #J-18808-Ljbffr CVS Health
- ...work and build a career, KPMG provides audit, tax and advisory services... ...environment, rewards innovative excellence and supports our communities... ...Ecosystem & AI Activation Lead to join our Market... ...information regarding the firm's compliance with federal, state, and local...SuggestedH1bLocal area
- ...place to work and build a career, KPMG provides audit, tax and advisory services for... ...inclusive environment, rewards innovative excellence and supports our communities. With qualities... ...information regarding the firm's compliance with federal, state, and local recruitment...SuggestedH1bWork at officeLocal area
$126.3k - $173.7k
...our caring community The Lead Product Manager, Compliance Operations, owns the... ...operational experience of providers, payers, third-party applications... ..., assessments, and audit-readiness activities. Define... ...people with Medicare and Medicaid, families, individuals, military...SuggestedFull timeTemporary workWork at officeRemote workWork from homeHome office- .... You will assess coding accuracy and documentation, ensuring compliance with state, federal, and company policies across medical, behavioral... .... The role requires CPC certification, 3+ years of behavioral health coding/auditing, and travel ability. #J-18808-Ljbffr CVS HealthSuggested
- ...across medical, behavioral health, and related services. The role requires CPC certification, 3+ years in behavioral health coding or audits, knowledge of CPT/HCPCS/ICD-10, and the ability to communicate findings to investigators and leadership. #J-18808-Ljbffr CVS...Suggested
$152.63k - $254.38k
...advocacy. This includes leading strategic engagement... ...congress, publication, and provide them to the brand team... ...& Operational Excellence Partner effectively with medical, legal, compliance, regulatory, and marketing... ...for Medicare and Medicaid Services (CMS) website...Full timeLocal areaRemote workShift workNight shift- ...help top clients shift to the New using leading-edge technologies on the most ground-breaking... .... As Accenture’s Chemicals Center of Excellence leader, you will play an important role... ...target, sales pipeline,Lead sales calls providing category expertise with clientsCoach and...Work experience placementLive inWork at officeLocal areaShift work
$100k - $231.54k
...community at a time. Position Summary The Lead Director, Workforce Performance &... ...financial outcomes, and organizational results. Provide leadership teams with actionable insights... ..., incentive compensation, operational excellence, productivity management, workforce...Hourly payFull timeTemporary workWork experience placementLocal area- ...Humana, Inc. is seeking a Lead Product Manager, Compliance Operations to own the operational lifecycle of... ...continuous improvements to support providers, payers, and third-party applications. The role emphasizes operational excellence, incident management, and scalable onboarding...
$126.3k - $173.7k
...strategic and forward-thinking Lead Product Manager to shape and... ...for our members and providers. This role offers full ownership... ...for people with Medicare and Medicaid, families, individuals, military... ...take affirmative action, in compliance with Section 503 of the Rehabilitation...Bi-weekly payFull timeTemporary workWork at officeRemote workWork from homeHome office$104k - $143k
...Experience Readiness Lead is responsible for overseeing... ...skills. Excellent written, verbal, facilitation... ...effectively, the self-provided internet service of... ...people with Medicare and Medicaid, families, individuals... ...action, in compliance with Section 503 of the...Full timeTemporary workWork at officeRemote workWork from homeHome office- ...CVS Health is seeking a Senior Manager of Cybersecurity Compliance to lead regulatory compliance initiatives for the Enterprise Information Security team. You will guide audits, develop controls, and educate stakeholders on risk and regulatory frameworks across the enterprise...
$16.01 - $20.01 per hour
...Zone Lead FT Pay: $16.01 - $20.01 Job Summary: The Zone... ...standards designed to drive sales. Provides expertise in visual standards... ...ethical conduct, safety, and compliance. The ZL's responsibilities... ...clearly and concisely with excellent verbal, written, and...Flexible hoursShift workNight shift$70 - $90 per hour
...Emergency Medicine Advanced Provider Lead Hartford, CT Seeking Emergency Medicine Advanced Provider Leads Become a valued member of your emergency medicine team As a lead advanced provider, you play a critical role in our mission to improve lives in emergency...Hourly paySummer workLocal areaFlexible hours$146k - $213k
...Lead Solution ArchitectAs a Lead Solution Architect on our North... ...alignment and compliance with Chubb technology platform... ...operations in 54 countries, Chubb provides commercial and personal property... ...financial strength, underwriting excellence, superior claims handling expertise...Local area$105.79k - $141.05k
...connectivity, join us today. The Role The Sr. Lead, GTM Growth Platforms is a critical role... ..., and revenue objectives. Support and provide feedback around customer targeting,... ...at all levels within an organization. Excellent collaboration and effective listening...Full timeTemporary workRemote work$105.79k - $141.05k
...hiring a Consumption Pricing Monetization Lead with deep expertise in consumption-based... ...transact with hyperscalers and cloud providers. You will be integral in building a repeatable... ...from zero, not just strategy decks Excellent cross-functional partnering skills (...Full timeContract workTemporary workRemote workFlexible hours- ...functionality.Function as a team leader, providing direction to members of the development... ...constraints.Participate in engineering audits, design reviews and troubleshooting within... ...and support deployment activitiesHas excellent communication, sharp analytical abilities...
$24 per hour
...Our rapidly growing client list includes leading consumer brands like HelloFresh, Zara,... ...safety standards while achieving operational excellence. Your leadership will be crucial in... ...Execute with a focus on customer service, providing high levels of support and assistance to...Hourly payFull timeFlexible hoursShift workNight shift- ...solutions based on industry leading practices. You have a proven... ...organization.The WorkControls Testing & Audit Readiness: Lead and... ...and advise on the security and compliance posture of multi-platform... ...required by local law, Accenture provides a reasonable range of...Work experience placementLive inWork at officeLocal area
- The Lead Associate, Compliance Specialist will: Engage in sensitive communications with internal and external stakeholders including donors and... ...corrective measures have been completed before drafting and providing closure reports for internal stakeholders and donors....
$132.23k - $176.31k
...join us today. The Role The Senior Lead Marketing Data Platform Architect is responsible... ...data platform architecture. This role provides technical leadership for the design and... ..., governed technology solutions. ~ Excellent communication and stakeholder management...Full timeTemporary work- ...Audit Specialist Work where every moment matters... ...Analyze provider documentation for appropriate... ...as; HHS/OIG, Medicare, Medicaid, NGS, etc., professional... ...third-party billing and compliance regulations necessary.... ...Experience with Word, Excel and PowerPoint required...Work experience placementWork at officeRemote work
- ...-centricity, employee excellence and corporate culture.... ...CapSpecialty is seeking a Lead Underwriting... ...the Operations team, providing subject matter expertise... ...quality, timeliness, and compliance with established service... ...endorsements, renewals, audits, and related...Temporary workCasual workWork at officeFlexible hours
$35 - $45 per hour
...accessible and actionable, we provide critical data solutions for... ...Bonus: 2,500 As an Inpatient Auditing Specialist, you will be instrumental... ...related to coding quality, compliance assessments, external payer... ...Spinal experience a plus, excellent query writing skills. Ability...Hourly payFull timeRemote workRelocation packageFlexible hours$102.2k - $114.2k
...Underwriting Audit Supervisor Philadelphia Insurance Companies... ...Companies is expanding our Compliance team with nationwide consideration... ...standards. The role provides management with actionable insights... ...operational efficiencies. Lead special projects designed to...Work at officeRemote work$77k
Audit Associate (2027) - Wethersfield, CT Job Category : Audit Requisition Number : AUDIT... ...value to our clients. Our mission is to provide exceptional service while fostering long... ...and be part of a firm that values both excellence and community, PKF O’Connor Davies is...Full timeWork at officeLocal areaVisa sponsorshipWork visaFlexible hours$103.71k - $138.28k
...Product Marketing Manager to lead go-to-market strategy for Lumen... ...buyers and reflecting the compliance, procurement, and mission requirements... ...mindset and a drive for excellence. Compensation This... ...Opportunities We are committed to providing equal employment...Full timeTemporary workLocal areaRemote work$125.24k - $187.86k
...expertise to deliver transparent, auditable insights in milliseconds... ...The Strategic Client Programs Lead serves as the central post-... ...Reporting and Operational Excellence Develop and maintain program... ...and executive materials. Provide an accurate, current view of...Full timeRemote workVisa sponsorship$20.6 - $25.75 per hour
...administrative duties and the excitement of leading a team. The schedule varies and does... ..., credit memos, voids and deliveries Providing support and customer service to sales/... ...in a friendly and courteous manner ~ Excellent mathematical and organizational skills...Hourly payWork at officeFlexible hoursShift workNight shift
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