Fraud & Compliance Auditor - Program Integrity
Serco
Serco is seeking a Compliance/Fraud Specialist in Nashville, TN to support federal programs that assist millions with government health insurance. This role involves conducting internal compliance reviews, fraud management, and working with cross-functional teams to assess compliance with policies and guidelines. The ideal candidate has a Bachelor's degree and at least 3 years of relevant experience. Key benefits include medical and dental insurance, 401(k) matching, and robust vacation leave. #J-18808-Ljbffr Serco
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Fraud & Compliance Auditor - Program Integrity in Nashville, TN vacancy
$46.99k - $122.4k
...Position Summary The Program Integrity Auditor reviews records for medical, behavioral, transportation... ...to state regulators for suspected fraud, waste, or abuse (FWA). The auditor ensures... ...and documentation rules. Maintain compliance with company policies and procedures....FraudHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursStryker
Nashville, TN3 days ago- NACBA is seeking a Program Integrity Auditor to oversee the review of medical records for compliance with coding and documentation standards. This full-time role involves auditing operations across various healthcare segments, including Medicaid. Qualified candidates should...SuggestedFull time
$90k - $100k
...in a structured, full-time development program to transition into accredited thirdparty... ...organizational processes and management systems for compliance with applicable ISO requirements... ...steps toward independent thirdparty auditor status Your Qualifications Bachelor's degree...SuggestedPermanent employmentFull timeContract workFreelanceLocal areaTUV SUD AMERICA, INC.
Nashville, TN1 day ago- ...TANF Opportunity Pilot Program Auditor The TANF Opportunity Act (TOA) establishes the Tennessee Opportunity Pilot Program, which will... ...contractors’ activities that include financial activities, compliance with the terms and conditions of the contract agreement, and...SuggestedContract workFor contractorsWork at officeLocal area
Software Technology Inc
Nashville, TN4 days ago $88k - $121k
...Baxter As the State Government Programs Policy Analyst for Bardy... ...operational, financial, and compliance impacts of payer policy changes... ...regulations. Understanding of database integrity standards; familiarity with... ...information. Recruitment Fraud Notice Baxter has discovered...FraudTemporary workLocal areaWork visaFlexible hoursBaxter Healthcare Corporation
Nashville, TN2 days ago$107.9k - $172.64k
...Description The Provider Education Program Manager is responsible for designing... ...change; and partners with Payment Integrity, Provider Relations, Compliance, and Special Investigations Unit (SIU... ...whose behavior suggests potential fraud, waste, or abuse. Prepare referral...FraudWork at officeLocal areaRemote workFlexible hoursShift work2 days per week- Elevance Health is seeking a Clinical Provider Auditor I responsible for identifying potential risks associated with fraud and abuse. This position allows for virtual work but candidates must be within commuting distance of an office location. The ideal candidate will have...FraudRemote jobWork at office
- ...performance management program, you can earn... ...financial procedures, and compliance with regulatory standards... ...Sarbanes-Oxley Act (SOX). Auditors conduct thorough... ...organization's financial integrity and operational efficiency... ..., financial and fraud Communicates effectively...Fraud
Delek US
Brentwood, TN4 days ago $60k - $70k
...Exempt) The Accessibility Auditor supports QuaverEd’s... ...platforms, and media to ensure compliance with established standards. This... ...sound judgment, discretion, and integrity. Organized, detail-oriented... ...to $9,000 per year, a 401(k) program with no participation fees. QuaverEd...Full timeWork at office3 days per weekQuaverEd Inc.
Nashville, TN8 days ago- ...settlement, and managing all aspects of merchant relationships, integrations, and onboarding processes. The role also involves... ...economics, establishing and operationalizing risk, fraud, and compliance programs, and negotiating with various payment vendors to secure...Fraud
Confidential
Nashville, TN5 days ago - ...drive audiences to action. The integrated full-service solutions... ...focus on financial, operational, compliance, IT, and strategic risks. The Senior Staff Auditor leads and executes operational... ...are a handful of the types of programs and benefits our full-time people...Full timeWork at officeLocal area2 days per week3 days per week
Freeman
Nashville, TN3 days ago - ...Tennessee to prevent financial loss due to theft and fraud while supporting safety and compliance programs. This role involves utilizing various tools to... ...when necessary. The ideal candidate will demonstrate integrity, respond to operational concerns, and help maintain...Fraud
$20.84 per hour
...Auditor Summary: Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal... ...assigned portions of audit programs, determines compliance with... ...controls for prevention of fraud. Prepares reports of...FraudFull timeFor contractorsWork experience placementWork at officeLocal areaPalmetto GBA
Nashville, TN3 days ago$71.1k - $97.8k
...community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the... ...coding disputes outcomes for timeliness, compliance and quality. Will be an experienced... ...caregiver leave ~ Employee charity matching program ~ Network Resource Groups (NRGs) ~...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayFlexible hoursHumana, Inc.
Nashville, TN3 days ago- .... Guard financial health and integrity by managing campaign budgets... ...external audits to ensure absolute compliance and optimal use of allocated... ...Rights (Spanish) poster. Fraud prevention notice Prospective... ...Electronic Employment Verification Program. Please click here for more...FraudFull timeTemporary workLocal area
Ascension
Nashville, TN1 day ago - ...The Tennessee Comptroller of the Treasury is hiring a Legislative Auditor for TennCare in Nashville, Tennessee. This role involves ensuring accountability and transparency in Tennessee's Medicaid program by conducting examinations and reviews of provider data. We seek individuals...
Tennessee
Nashville, TN1 day ago $30 per hour
...Auditor PMOUNTJP00001171 ~ Hourly pay: $30/hr ~ Worksite: Leading digital streaming... ...Dental, Vision, Life, Retirement Savings Program, PSL ~40 hours/week, 9 Month... ...Auditor to support travel and expense compliance operations by reviewing employee expense...Hourly payShift workAvispa Technology
Nashville, TN9 hours ago- ...What Are We Seeking? Compliance Associate Job Summary:... ...compliance, BSA/AML and fraud detection and... ...accordingly Become an integral member of the team, acting... ...Work with regulators and auditors, as needed Participate... ...and any other training programs as required Reviewing...Fraud
6AM City
Nashville, TN1 day ago - ...Job Title: Compliance Manager Department: Quality and Compliance Reports... ...organization’s Compliance Program to ensure adherence to applicable... ...role supports organizational integrity, risk mitigation, and ethical... ...prevention and detection of fraud, waste, and abuse....FraudTemporary workWork at office
MHC Mental Health Cooperative, Inc.
Nashville, TN2 days ago - Legislative Auditor: TennCare Location: Nashville, Tennessee Join us in our mission to... ...transparency within TennCare, Tennessee’s Medicaid program. This position performs examinations and... ...providers to ensure accuracy, compliance, and the appropriate use of state and federal...For contractorsSeasonal workWork at officeLocal areaFlexible hoursNight shiftAfternoon shift
$165k - $220k
...of over 400 products is fully integrated and built to serve our... ...regulatory strategy, reporting, compliance, labeling, and regulatory intelligence... ...drug and combination product programs from early development... ...read Bausch + Lomb's Job Offer Fraud Statement ( . Our Benefit...FraudTemporary workWork visaBausch + Lomb
Nashville, TN1 day ago- Delek US Holding Inc is seeking an Internal Auditor in Brentwood, Tennessee. This role... ...effectiveness of internal controls and compliance with regulatory standards such as SOX. Ideal... ...valuable insights to enhance financial integrity and operational efficiency. Join a company...
- ...-being: Employee Assistance Program , counseling and peer support... ...Guard financial health and integrity by managing campaign budgets... ...external audits to ensure absolute compliance and optimal use of allocated... ...Rights (Spanish) poster. Fraud prevention notice...FraudFull timeLocal area
Ascension
Nashville, TN4 days ago - ...Description & Qualifications Serco is seeking a Compliance/Fraud Specialist to join our fast‑paced... ...Services team, which supports federal programs assisting millions of people seeking... ...Compliance/Fraud Specialist supports program integrity, compliance monitoring, and fraud risk...FraudContract workLocal areaFlexible hours
Serco
Nashville, TN1 day ago - ...tasks often require collaboration with SOX, Compliance, Legal, Finance, and other teams.... ...dashboards Lead or support investigations and fraud risk assessments; partner with Legal,... ...that we do, on-screen and off. From the programming and movies we create to employee...FraudFull timeWorldwide
Paramount Global Services
Nashville, TN4 days ago $100k - $125k
...the organization's financial integrity and day-to-day financial management... ...state grant management and compliance, budgeting and forecasting,... ...portfolio of federal grant programs — including HRSA cooperative... ...organizational assets and prevent fraud, waste, and abuse. Manage...FraudWork at officeLocal areaTennessee Primary Care Association
Nashville, TN1 day ago- ## Senior Compliance DirectorApplylocations: Brentwood, TNtime type:... ...Compassus values of Compassion, Integrity, Excellence, Teamwork, and... ...of the enterprise compliance program. Must be able to work a flexible... ...those focused on fraud, waste and abuse) and compliance...FraudFor contractorsFor subcontractorFlexible hours
- ...inspection report, German: EMPB, of the initial sample Registers the release on the customer portal if applicable Ensures compliance with the integrated management systems, legal and regulatory requirements Checks that products, processes, equipment, tooling and...
- ...committed up to $300 million in programs to support our incredible... ...Agreements Analyze payor policies and compliance with HCA managed care... ...agreements and arrangements for fraud and abuse and anti-trust... ...requirements under the Corporate Integrity Agreement Participate in...FraudTemporary workWork experience placementLocal areaFlexible hours
$92.5k - $120k
...over operational and regulatory compliance risks, supporting them in the... ...with forensic reviews (fraud/waste/abuse) What you can expect... ...including uncompromising integrity, collaboration, trust, and mutual... ..., high-quality benefits program ( which includes annual bonus...FraudWork experience placementWork at officeLocal areaRemote workCherry Bekaert
Nashville, TN3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Fraud & Compliance Auditor - Program Integrity. Be the first to apply!
Related searches
- lease auditor Nashville, TN
- sales auditor Nashville, TN
- medical records auditor Nashville, TN
- field auditor Nashville, TN
- information system auditor Nashville, TN
- energy auditor Nashville, TN
- security auditor Nashville, TN
- inventory auditor Nashville, TN
- safety auditor Nashville, TN
- data auditor Nashville, TN