Senior Forensic Auditor - Financial & Healthcare Claims
CGS Federal (Contact Government Services)
A government services firm in Miami is seeking a Senior Auditor to conduct forensic investigations and medical claims data analysis. Ideal candidates have a minimum of 5 years’ experience in financial analysis or healthcare fraud analysis. Responsibilities include analyzing complex financial records, creating models for litigation, and communicating findings to legal staff. The role offers a full-time contract with benefits such as health insurance, life insurance, and a 401k plan, promoting professional growth and supporting employees. #J-18808-Ljbffr CGS Federal (Contact Government Services)
- ...Senior Auditor Employment Type: Full Time, Mid-level CGS is seeking a... ...legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling,... ...party transactions. Analyze healthcare claims and other data. Create...FinancialSeniorClaimsFull timeRemote workFlexible hours
- CGS is seeking a Senior Auditor to support government investigations through forensic financial analysis, claims data review, and complex economic modeling. The role involves working with district legal staff on prosecutions, settlements, and recovery in high-volume matters...FinancialSeniorClaims
- Dormont Manufacturing Co is seeking a Senior Auditor in Miami, Florida to analyze complex financial data, including medical claims and forensic investigations. This full-time position requires a minimum of 5 years in financial accounting and litigation consulting. Candidates...FinancialSeniorClaimsFull time
$76.73k - $109.62k
...people to join our team. The Senior Health Economics Analyst is... ...the Medicare Advantage and healthcare industry. This senior-level analyst... ...enrollment, revenue, and claims (utilization and unit cost)... ...strategies and processes to improve financial results. Partners with...FinancialSeniorClaimsHourly payFull time- ...Senior ActuaryIt's rewarding to be on a team of people that truly... ...for patients and are seeking healthcare enthusiasts to join us.Job SummaryAs... ...of medical and pharmacy claims data for the Medicare and... ...initiatives that will impact financial resultsCalculate RAF score projections...FinancialSeniorClaimsWork at officeFlexible hoursWeekend work
- Senior Business Analyst, Jackson Memorial Hospital, Finance, Days... ...regarded multidisciplinary team of healthcare professionals. Job Summary... ...and address operational, financial and technological risks. Produces... ...disease populations via claims, pharmacy, and other administrative...FinancialSeniorClaimsFull timeContract workWork at officeMonday to FridayShift work
$62.8k - $85k
Frontline PIP Senior Claims Adjuster - National General 18 hours ago Be among the first 25 applicants... ...traces its roots to 1939, has a financial strength rating of A- (excellent) from... ..., Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro...FinancialSeniorClaimsFull timeWork at officeRemote workVisa sponsorshipWork visaFlexible hours$76.8k - $126.72k
Group Underwriter Senior Location: This role requires associates... ...with sales, administration and claims to assess the rating and... ...underwriting, risk analysis, financial analysis, and or mathematics... ...and communities - and making healthcare simpler. We are a Fortune 25...FinancialSeniorClaimsTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week- Overview Leverage data analytics and other financial analysis techniques, conduct forensic audits of revenue and procurement processes to prevent and detect... ...results of audits and special projects to Senior Management in a clear, concise, and effective manner...FinancialSenior
- ...the worldwide medical operation.* Drive financial accountability across the fleet through... ...Department in managing medical-related claims by providing expert insight and relevant... ...public health awareness and preventive healthcare initiatives for both guests and crew through...FinancialSeniorClaimsRemote workWorldwide
- ...We are seeking a Claims Auditor to join our team at Independent Living Systems (ILS). ILS, along with... ..., thereby safeguarding the organization's financial health and reputation. By collaborating with claims processors, healthcare providers, and compliance teams, the...FinancialClaimsWork at office
- ...findings and strategic recommendations to senior management Develops and negotiates... ...Collaborates with Bank Examiners and External Auditors during examinations Designs and revises... ...internal auditing, external auditing of financial institutions, or regulatory examination...FinancialSenior
$119k - $299.93k
...independent and objective assessments of financial statements, internal controls, and other... ..., and operational processes. As a Senior Manager you will lead large projects, innovate... ...(CPA) or Certified Information Systems Auditor (CISA)What Sets You Apart- Preferred field...FinancialSeniorFull timeH1b$1,999.05 per month
...Professional Regulations Working Title: TAX AUDITOR III - 79000284 Pay Plan: Career... ...computer applications as they relate to financial and tax analysis and auditing processes.... ...email where people can electronically file claims or ask questions. The email is...FinancialClaimsFull timeWork at officeImmediate start- ...phone and written inquiries, resolving claims, benefit and enrollment issues. Presents... ...lives and communities - and making healthcare simpler. We are a Fortune 25 company with... ..., life insurance, wellness programs and financial education resources, to name a few....FinancialSeniorClaimsFull timeTemporary workWork at officeLocal area2 days per week1 day per week
$50k - $100k
...Auditor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking a highly skilled Auditor to provide general auditing and accounting services... ...data such as bank records, financial records, healthcare claims, tax records, correspondence, policies, other...FinancialClaimsFull timeWork experience placementInterim roleWork at officeLocal areaFlexible hours- ...Description Job Description IT GRC Auditor Consultant ONSITE - CORAL GABLES, MIAMI... ...and consumer credit is seeking Senior IT GRC Auditor(s) to join their internal... ...Preferred: ~“Big 4” IT Audit experience in financial services, preferred ~ Certification as...FinancialSeniorWork at office
- ...environment that fosters success for both employers and candidates. Ascension Global Staffing & Executive Search is seeking a Senior Financial Systems Analyst with deep experience in Aderant Expert to support and enhance the firm's financial systems environment for our...FinancialSeniorWork at office
- ...Caribbean Group has an exciting career opportunity for a full time Senior Auditor reporting to the Senior Manager of Audit and Assurance. This... ...of each new system on the overall internal control over financial reporting attestation program (ICFR or SOX-404). Additionally...FinancialSeniorFull timeInterim role
- Raucy is seeking a high-performing Workers’ Compensation Senior Manager to lead regional programs for a major aviation client... ..., carriers, TPAs, and stakeholders to ensure disciplined claims management and financial stewardship. The role focuses on driving improvements in...FinancialSeniorClaims
- ...research and client interactions to advise senior management and leadership on strategy;... ...lines of business (e.g. Risk Engineering, Claims, Actuarial, Finance, Operations, Exposure... ...competencyUnderstanding of insurance performance metrics and financial statementsBachelor's Degree (preferably...FinancialSeniorClaimsLocal areaOverseas
- A healthcare company in Miami is seeking a Senior Claims Review and Adjusting professional. Responsibilities include managing claims processing, ensuring compliance with regulations, and analyzing claims data. The ideal candidate has a BA/BS degree, at least 5 years of...SeniorClaims
- As a Senior IT Audit Associate, you’ll play a key role in delivering high‑quality technology‑focused assurance and advisory services... ...for ERP systems and other key business applications. Support financial statement audits by evaluating the design and operating effectiveness...FinancialSeniorFull time
- ...Summary CGS is seeking a highly skilled Auditor to provide general auditing and... ...investigations involving potentially complex financial transactions and complex organizations... ...such as bank records, financial records, healthcare claims, tax records, correspondence, policies,...FinancialClaimsWork experience placementInterim roleWork at officeLocal areaFlexible hours
- ...Doctors HealthCare Plans, Inc. is seeking a Financial Analyst - Fraud, Waste and Abuse (FWA) to identify and investigate suspicious healthcare claims and prevent improper payments. The role emphasizes data analysis, SQL and PowerBI to support monitoring and improvements...FinancialClaims
- Provider Network Solutions, LLC seeks a Claims and Fee for Service Supervisor to manage the Claims Examiners and Revenue Cycle activities in line with CMS and state regulations. You will lead daily operations and ensure timely, accurate processing of capitated and fee-...SeniorClaims
- Dormont Manufacturing Co is looking for a highly skilled Auditor in Miami, Florida. This full-time position involves providing essential... ...support fraud investigations. The ideal candidate will analyze financial data, prepare reports, and assist in investigations involving...FinancialFull time
- ...Senior Treasury AnalystThe Senior Treasury Analyst will report directly to the Senior Treasury... ...monitoring, disputes, chargebacks, and claims.Complete and maintain bank KYC... ...exercise independent judgment in a controlled financial environment.Demonstrated initiative, continuous...FinancialSeniorClaims
- Senior Internal Auditor - AVP Business Apply an understanding of internal audit standards, policies and procedures, and regulations, including... ...auditor) preferred OR 5 + years of experience in either the Financial Services industry, Internal Controls, Risk Management, or...FinancialSeniorWork at officeLocal area
- ...Position Overview The Senior Accountant is a key member of... ...responsible for maintaining accurate financial records, supporting... ...liabilities, unearned premiums, and claims payable. Support statutory... ...requirements. Support external auditors and examiners by preparing...FinancialSeniorClaims
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