Remote RN Risk & Compliance Auditor - Power BI
Santa Barbara Cottage Hospital
- Remote job
CenterWell Senior Primary Care seeks a qualified Risk Management Professional 2 to lead quality audits within the UM program. The focus is on CMS/NCQA compliance, data analysis, and risk trends, leveraging Power BI for dashboards and Power Apps for workflows. The role requires deep clinical criteria expertise, regulatory knowledge, and the ability to translate findings into actionable improvements. Remote work and travel for training may be required. #J-18808-Ljbffr Santa Barbara Cottage Hospital
- ...assigned provider. Reports to the Manager, Medicare Risk Adjustment. The role requires CPC certification, 3+ years... ...education or auditing, and proficiency with Excel/Power BI for data-driven insights. Role is remote with up to 5% travel to provider offices in the US....Remote jobPower BI
$78.3k - $97.85k
...our team. **A fully remote work arrangement is... ...POSITION PURPOSE The Auditor II is responsible for performing... ...the credit union's risk management framework.... ...and regulatory compliance. The Auditor II also supports... ...tools (e.g., Excel, Power BI) to identify trends, anomalies...Remote workPower BIWork at officeRelocation packageFlexible hours- ...the Senior Audit Manager in risk assessment, audit planning, and... ...as occasional financial and compliance audit testing Identify and... ...ability to work autonomously in a remote/hybrid environment ~... ...analysis software is a plus (Power BI, Alteryx, Tableau, ACL, Cognos...Remote workPower BI
- ...and tailor education plans for providers. The role reports to the Manager, Medicare Risk Adjustment and will lead sessions, analyze trends, and present findings. You will use Excel/Power BI to visualize data, develop materials, and deliver on-site training across markets....Remote jobPower BI
$50 - $65 per hour
...Skills and Experience JIRA expertise Experience with Microsoft Power BI ERP transformations and cross-functional projects 3 different medical... ...-making processes Flexible work schedule with potential for remote work Inceed is an equal opportunity employer. Inceed prohibits...Remote workPower BIWeekly payFlexible hours$75.38k - $105k
...Senior Internal Auditor Employee Status: Regular Full... ...From Home Option: Fully Remote- Must Reside in NY, NJ,... ...executes, and reports on risk-based financial, operational, and compliance audits, and contributes... ...business intelligence (e.g., Power BI, SQL, data modeling,...Remote workPower BIFull timeWork at officeWork from home- ...Machinify Inc. is seeking a Medical Review Nurse for remote work in the US. You will be part of a dynamic team, performing audits on... ...ensuring adherence to guidelines, and collaborating with other auditors. An associate or bachelor's nursing degree and experience in auditing...Remote work
$80k - $115k
...measurement and improvement, using software such as Microsoft Excel and Power BI Work with cross-functional teams to understand current... ...position is based in Hawthorne, CA, and requires being onsite - remote or hybrid work will not be considered Compensation and Benefits...Remote workPower BIPermanent employmentContract workTemporary workInternshipWeekend work- ...specialty claims, the full-time Clinical Auditor RN will utilize coding and clinical chart... ...services delivered, while working in a remote environment. Key responsibilities Conducts... ...billing and coding issues, ensuring compliance with standards Recommends improvements...Remote workFull time
- The Global Auditor is responsible for evaluating and improving... ...the effectiveness of risk management, internal... .... This role ensures compliance with regulatory requirements... ...software (e.g., ACL, Power BI, SAP) Work Environment... ...environment Hybrid or remote work options depending...Remote workPower BILocal areaWorldwide
- ...motivated candidate to join our talented Team. Job Title: Risk Analyst Location(s): White plains, NY Project Overview... ...with data analysis and visualization tools (e.g., Excel, Power BI, Tableau). Education & Certifications Bachelor's Degree...Remote workPower BI
- ...Providence Health Plan Group is seeking a Revenue Cycle Auditor RN for a full-time, remote role. The successful candidate will provide patient-focused revenue cycle support, ensuring compliance and assisting in meeting financial objectives. Qualifications include an Associate...Remote workFull timeDay shift
- ...procurement processes to prevent and detect anomalies, assess risk, and ensure compliance with Company policies. Serve as a catalyst for AI-enabled... ...tools (e.g., ACL, IDEA, SQL, Python, R, Tableau, Power BI); experience with SOX IT audit testing and documentation,...Power BI
$80k - $90k
...information security, anti-harassment and other compliance and policy/procedures training applicable... ...the ability to work independently in remote setting with minimum supervision and... ...Required and Preferred Qualifications*** Active unrestricted RN license #J-18808-Ljbffr...Remote workFlexible hours- ...audit. Prior HEDIS experience is required, along with an active RN or LPN license. The selected nurses will initially work onsite 10... ...candidate's learning pace. Weekly onsite meetings are mandatory, with remote work on other days. Additional Information Life Science Recruiter...Remote workWork at officeWork from home
- Humana Inc is seeking a Risk Management Professional 2 to lead quality audits... ...Management program, ensuring CMS and NCQA compliance. The role emphasizes audit accuracy,... ..., and identifying risks using Power BI and Power Apps. An active RN is required; the candidate will translate...Remote jobPower BI
$64.38k - $96.58k
...that really matters, not only changing lives but saving them. Together. Job Summary Alignment Health is seeking a remote Risk Adjustment Compliance Auditor to support auditing and compliance activities related to risk adjustment data submitted to CMS. In this role, you...Remote workFull timeLocal areaMonday to FridayFlexible hours$98.9k - $148k
...Senior Health & Safety Auditor that will be responsible... ...audits to ensure compliance with internal policies,... ...improvement initiatives, risk reduction, and operational... ...similar Advanced Excel, Power BI, or similar tools to... ...Jacobs offices/projects and remote locations enabling them...Remote workPower BIFull timeWork at officeLocal area- ...Colorado or Connecticut, either remotely or in-person. Schedule This... ..., process walkthrough, risk assessment, fieldwork testing... ...IT controls, processes, and compliance posture. Prepare clear, concise... ...trusted advisor while maintaining auditor independence and objectivity....Remote workWork at officeMonday to Friday3 days per week
- ...Hedis Auditor Rn/Lpn Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional... ...depending on how quickly candidate catches up. There is weekly onsite meeting which candidate must attend and remote other days....Remote workContract workWork from home
- Humana Inc. seeks a Risk Management Professional 2 to lead quality... .... You will ensure CMS and NCQA compliance, analyze data, and identify risks and trends using Power BI and Power Apps. A deep background... ...guidance is required, with the RN credential essential for audit...Remote jobPower BI
- ...Clinical Auditor Registered Nurse We are seeking a detail-oriented... ...record reviews, billing compliance audits for the Indiana Health... ...and writing skills. This is a remote position with occasional travel... ...deadlines. Requirements RN license preferred; Indiana license...Remote workLocal area
$46.08 - $71.53 per hour
...Job Description Providence is calling for Revenue Cycle Auditor RN - Full time, Day, Remote The Revenue Cycle Auditor is responsible for providing patient focused, standardized, compliant revenue cycle support that will assist Providence St Joseph Health in meeting...Remote workMinimum wageFull timeLocal areaShift work- ...Opportunity It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Ideal candidate has... ...and billing auditing and monitoring program to address high risk compliance areas. Performs other duties as assigned. EDUCATION...Remote workHourly payFlexible hoursShift workDay shift
- ...Specialist collaborates closely with Finance, Risk, IT, and Compliance teams to deliver data-driven solutions... ...~Experience with SQL, Tableau, Power BI, or similar analytics tools ~... ...Business Analytics, Finance, or related discipline Benefits ~#LI-Remote...Remote workPower BIFull time
- Nebraska Blue Cross and Blue Shield is seeking a Risk Adjustment Health Data Analyst to join our Healthcare Analytics team. You will... ...analysis in healthcare settings, strong SQL, Excel, and experience with Azure Databricks, Power BI or Tableau. #J-18808-Ljbffr Nebraska BlueRemote jobPower BI
- Humana Inc. is seeking a Risk Management Professional 2 focused on leading quality audits within CenterWell Utilization Management. You will use Power BI and Power Apps to support audit processes, reporting, and performance monitoring. Ideal candidates have deep expertise...Remote jobPower BI
$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS... ...Demonstrate knowledge of and compliance with changes and updates to... ...severity of illness (SOI) and risk of mortality (ROM) ~2+... ...Ability to work independently in a remote environment and deliver...Remote workHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package- Cura, Inc. is seeking a Clinical DRG RN auditor with extensive experience in MS-DRG and APR-DRG coding methodologies. In this role, you will... ...clear rationales for your findings. Enjoy the flexibility of remote work from anywhere in the U.S. while contributing to improving...Remote job
$82.23k - $155.81k
Elevance Health is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to ensure clinical documentation accuracy for inpatient records. This role offers flexibility through virtual work. The ideal candidate will analyze claims, maintain auditing standards,...Remote job
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