Remote Medicaid Audit & Compliance Specialist
Integrity Management Services, Inc.
- Remote job
Integrity Management Services, Inc. is seeking a Medicaid Auditor to support audits of managed care plans and providers, identifying fraud, waste and abuse and reporting findings. You will apply data analysis, review medical records, and coordinate with federal/state agencies to ensure compliance with program requirements. Join a women-owned, small business with a strong commitment to professional development and flexible work. #J-18808-Ljbffr Integrity Management Services, Inc.
$74k - $118k
.... Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Senior Compliance Analyst (Medicare/Medicaid) - Remote Job Description The Senior Compliance Analyst leads compliance initiatives within assigned areas and supports...Remote workFull timeWork experience placementLocal areaVisa sponsorshipWork visa- Sungrow Power Supply Co. Ltd in Houston, Texas is looking for a Vendor Compliance & Escalation Specialist to perform remote and on-site audits. This role involves ensuring that vendors comply with business standards and resolving non-compliance issues. The ideal candidate...Remote work
- Philadelphia Insurance Companies, a Tokio Marine Group member, is expanding its Compliance team with Nationwide consideration for an Underwriting Audit Specialist. The role conducts property and casualty policy audits to ensure compliance with state regulations and company...Remote job
$63.98k - $95.97k
## Compliance Audit SpecialistApplyremote type: Remote - Full Timelocations: Florida, USAtime type: Full timeposted on: Posted Todayjob requisition id: M104647**Job Description Summary**General Job Family Description - Compliance Audit Conducts internal audits to assess...Remote workWork at office- Neumo is hiring a Tax Auditor to conduct remote tax and regulatory reviews for clients, focusing on franchise fee audits, cannabis audits, and various state taxes. The... ...needed. Neumo emphasizes professional, client-focused service and compliance. #J-18808-Ljbffr NeumoRemote jobFull time
- ...Excellence About the Role: Our Compliance and Quality Assurance team is growing and... ...to add a new team member. As an Audit Specialist, you will be responsible for conducting... ...being offered as an in-office role and remote work is not currently being offered....Remote workWork at office
- ...% travel. Some travel is required on weekends. Position location is Remote within the Midwest/Western US. JOB SUMMARY: The position of Lowers & Associates – Audit and Compliance Specialist works under the direct supervision of the Director of Compliance & Audit...Remote workContract workTemporary workWork at officeLocal areaLong distanceFlexible hoursWeekend workAfternoon shift
- DaMar Staffing seeks a detail-oriented Internal Audit Analyst to support the loan operations, post-closing, and compliance functions in a fully remote capacity. The role focuses on audits, risk assessments, and improving internal controls across the lending lifecycle....Remote job
- 100% Remote Please Apply Only If You Have 3 Years Experience Completing Medicare and Medicaid Payer Credentialing Applications AIS Healthcare... ...Enrollment & Credentialing Specialist to join our growing team.... ...payer applications Support compliance with regulatory,...Remote workContract workWork from home
- Centene Corporation seeks a Regulatory Compliance Analyst to research Medicaid regulations, manage deliverables,... ...state Medicaid regulator. This fully remote role requires 5+ years of regulatory... .... The role involves coordinating audits, researching regulations, reviewing...Remote job
- ...seeking an RN Care Management Coordinator - Compliance Specialist to ensure compliance with relevant regulations and standards. This remote position requires a minimum of five years... ...The role involves conducting compliance audits and supporting NCQA-related operations....Remote job
$70.1k - $126.2k
...Purpose: Participate in the auditing, monitoring, and oversight of... ...' corporate ethics and compliance program, and ongoing oversight... ...have the flexibility to work remote from home anywhere in the Continental... .... May also include state Medicaid annual work plans, OIG/CMS...Remote workFull timePart timeFor subcontractorWork at officeWork from homeFlexible hours- ...\n This position is 100% remote. All Duke University remote workers... ...\n Implement and maintain Compliance programs in accordance with the... ...education and internal audits. \n Work Performed\n Educate... ...attention to Center for Medicare and Medicaid guidelines as they pertain to...Remote workWork at officeRelocation package
- ...experience working on the Centers for Medicare & Medicaid Services Risk Adjustment Data Validation... ...under the contract. This role ensures compliance with CMS RADV guidelines, coding... ...record documentation. This is a part-time, remote position with flexible scheduling, ideal...Remote workContract workPart timeWork at officeFlexible hours
$55k - $75k
...government and commercial clients in compliance and program integrity efforts... ..., technology solutions, audit, investigation, and medical... ...feel! In this role, the Medicaid Auditor will be responsible for... ...screening checks. For remote work, required to have wired...Remote workFull timeContract workTemporary workFor contractorsWork at officeLocal areaFlexible hours- ...responsible for supporting regulatory compliance, audit readiness, licensing, reporting, and quality... ..., Monday – Friday. You will work fully remotely, or at one of our sites at your option.... ...timeliness, network adequacy and other Medicaid reporting requirements, Familiarity...Remote workFull timeLocal areaMonday to Friday
- ...Management Organization is seeking a compliance professional to implement and... ...reduce financial risk through audits, education, and strong internal controls. Remote role available nationwide; responsibilities... ...include evaluating Medicare/Medicaid guidance, collaborating with...Remote job
$69.4k - $99.2k
...skills and capabilities. Summary The Medicaid Fraud, Waste & Abuse (FWA) Senior Analyst... ...feedback, investigative outcomes, and audit results into recommendations for analytic... ...hearing-related activities (Up to 25%) Fully remote opportunity with the option to work...Remote workFull timeWork at officeFlexible hours- Duke Health is seeking a compliance professional to implement and maintain programs across... ...cycle, focusing on education and audits. This fully remote role serves multiple states,... ...include training providers on Medicare/Medicaid rules, identifying risk areas, and performing...Remote jobRelocation package
- ...Revenue Management Organization seeks a compliance professional to implement and... ...through education and internal audits. The role emphasizes Medicare/Medicaid guidance, HIPAA compliance, and coding... ...controls. The position is 100% remote for U.S. residents, with a broad state...Remote job
- ...SUMMARY: The Audit Specialist is responsible for conducting audits of billing... ...records, and regulatory compliance activities. This role ensures adherence to Medicare, Medicaid, commercial insurance, and accreditation... ...with opportunities for remote work depending on department...Remote workFor contractorsWork at office
- ...Technologies is seeking an entry-level Long-Term Care Auditor I to support identification and recovery of Medicaid improper payments in long-term care. This remote role requires strong organization, attention to detail, and the ability to manage a caseload across multiple...Remote jobFlexible hours
$95k - $105k
AbleLight is seeking a Medicaid Pre-Billing Auditor to evaluate Medicaid billing, coding, authorizations... .... The role will focus on pre-billing audits, identifying risks and implementing corrective actions to reduce regulatory risk. Remote position open to candidates in CO, CA, MN...Remote job- AbleLight is seeking a Medicaid Pre-Billing Auditor to independently evaluate... ...ensure accuracy and regulatory compliance. The role focuses on pre-billing audits and risk reduction, with limited... ...claims as needed. The position is remote with preferred candidates in Colorado...Remote job
- Peraton is seeking a Medicaid Fraud Auditor for its SafeGuard Services (SGS) team to conduct audits of Medicaid programs, ensure compliance with federal/state requirements, and recover overpayments... ...auditing are essential. This remote role offers telework from any state...Remote job
- ...Health and Human Services Commission (HHSC) is seeking a Financial Examiner IV to perform highly complex financial examinations of Medicaid and non-Medicaid cost reports. You will verify accuracy of cost data and assist in establishing reimbursement methodologies under...Remote job
$30 - $32 per hour
...Immediate need for a talented Compliance Specialist . This is a 06 months... ...potential and is located in U.S(Remote). Please review the job description... ...compliance assessments and audits to ensure accuracy,... ...healthcare regulations (Medicare/Medicaid preferred) Experience...Remote workContract workWork at officeLocal areaImmediate start- ...Services, Inc. in the United States seeks a Medicaid Auditor to perform and report on... ...identifying potential fraud, waste, and abuse. Audits can be programmatic or financial,... ...leadership and government partners, and ensuring compliance with applicable laws, policies, and...Remote job
$95k - $105k
...serve to thrive. The Medicaid Pre-Billing Auditor independently... ...will be pre-billing audits. The role identifies... .... This position is remote, but we are looking... ...accuracy and regulatory compliance. One of the following:... ...; or Certified Coding Specialist-Physician-based (CCS-P...Remote workFlexible hours- Marana Unified District is seeking a Medicaid Specialist to manage Medicaid compliance, billing readiness, and program oversight across the district. This role... ...agencies to optimize reimbursement and maintain audit readiness. Responsibilities include managing AHCCCS accounts...
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