Medicaid Provider Compliance & Audit Excellence Lead
CVS Health
CVS Health is seeking a dynamic leader to drive Medicaid provider compliance, audits, and regulatory integrity across the organization. You will lead strategic initiatives to ensure accurate audit results, strengthen regulatory relationships, and implement proactive risk mitigation while partnering cross-functionally to optimize processes. The ideal candidate will have strong analytical skills, excellent communication, and the ability to lead multiple projects in a fast-paced healthcare #J-18808-Ljbffr CVS Health
$21 - $26 per hour
...trusted authority and leading partner for state departments... ..., streamlined compliance solutions. We’re growing... ...with any surplus lines audits, verifying transactions... ...tasks, and voicemails Provide technical assistance to... ...Intermediate skills in Excel or other spreadsheet...SuggestedFull timeRemote work- ...of complex cross-border tax matters and provides the opportunity to work alongside experienced... ...Review international tax compliance and information reporting requirements.... ...optimise tax positions. Assist with tax audits and global tax planning projects. Mentor...Suggested
$79.7k - $105.48k
...Full time 20189391 What Ethics & Compliance contributes to Cardinal Health Ethics... ...unit leaders and employees and proactively provides guidance and trainings on policies. Job... ...for conducting coding, documentation audits to ensure adherence to regulatory requirements...SuggestedFull timeTemporary workLocal areaImmediate startRemote workFlexible hours$71.1k - $97.8k
...reimbursement, handle provider disputes in a... ...• MS-DRG coding/auditing experience • Experience... ..., PowerPoint, and Excel • Strong... ...(NYSE: HUM) is a leading U.S. healthcare company... ...with Medicare and Medicaid, families, individuals... ...action, in compliance with Section 503 of...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...Repair, Delivery, and Compliance teams to maximize equipment... ...physical inventory audits and reconcile... ...and replacement costs. Provide management with regular... ...applicable Medicare, Medicaid, payer, accreditation,... ...inventory processes. Strong Excel and data-analysis skills...SuggestedTemporary work
$92.48k - $160.29k
...Underwriting Risk Management and Audit team, providing independent and objective... ..., non-medical, financial, compliance, retention, and reinsurance... ...and problem-solving skills.Excellent written, verbal,... ...Financial Corporation is a leading international financial services...Full timeTemporary workLocal areaRemote workFlexible hours- ...will manage accounts receivable and accounts payable, ensuring compliance with company policies and applicable laws. The position... ...experience and 1+ year of A/R and A/P experience, with the ability to provide revenue updates to senior management. We offer comprehensive...Remote jobWork from home
$28.74 - $36.72 per hour
...credential (CPA/EA/Practicing Attorney) and excellent communication skills, we need you to... ...Prosperity Around the World” by providing expert guidance, tax preparation, and explanations... ...including, but not limited to, compliance trainings, proficiency-based up-skilling...Remote work$22.3 - $28.49 per hour
...individual with tax preparation experience and excellent communication skills, we need you to... ...Prosperity Around the World” by providing expert guidance, tax preparation, and explanations... ...including, but not limited to, compliance trainings, proficiency-based up-...Remote work- ...Description 1. Claim Adjudication and Compliance Manage claims specialists,... ...through the claims process, providing assistance with coverage,... ...carrier insurance company audits. 2. Loss Control Prepare quarterly... ...Microsoft Office software. Excellent verbal, written and...Remote jobFull timeWork at office
$90k
...Frisco, TX is seeking an Assistant Claims Manager (Product Liability) to oversee technical and operational functions, ensure compliance, and lead a small team. The role requires eight years in claims management with at least one year of supervisory experience, plus...Remote job$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- ...comfortable managing and tracking program plans andproject updates to provide weekly/monthly data-driven status updates across alllevels of... ...stakeholder challenges across natural hazards assessments,risk audits of existing facilities, and new technology development and...Hourly payWork at office
- ...food safety and quality requirements in Lead’s or technician’s absences. Develops Leads... ...Proficient computer skills; e-mail, Word, Excel; LX and PKMS helpful. # HACCP, SQF PCQI... ...for Success Reser’s is the leading provider of fresh refrigerated deli salads, side dishes...Full time
- ...influence the future of a new business offering within Advisors Excel.AE Insurance Solutions is a new team within Advisors... ...consumers on behalf of advisors, our team helps manage leads, identify opportunities, provide guidance, and deliver solutions that support both client...
$90k - $112k
...operational functions including compliance with company standards... ...internal controls, audit requirements and... ...discussions. Provides support, guidance, leadership... ...Skills & Knowledge Excellent oral and written communication... ...is the world’s leading risk and claims administration...Work at officeLocal areaFlexible hours- ..., you will perform internal audits and provide necessary follow-up education to ensure accuracy and compliance. You will also monitor evolving... ...planning to maintain excellence in compliant coding and regulatory... ...and accuracy standards. Lead the onboarding process for new...Temporary workWork experience placementRemote work
$75k - $92k
...includes the State’s Medicaid program, KanCare).... ...-9. KDHE does not provide sponsorships for... .... Also lead the team in providing... ...areas based on prior audit reports, legislative... ...Officer to ensure compliance with KDHE delegated... ...related field. Word, Excel, PowerPoint,...Full timeContract workTemporary workPart timeWork at officeMonday to FridayFlexible hours$24.11 - $28.6 per hour
...supports internal and external audits. Work Location This position... ...financial accuracy. Ensure compliance with company policies and... ...unclaimed property to the state. Provide support to internal and... ...Microsoft Office Suite, particularly Excel. Excellent attention to...Hourly payWork at officeImmediate startRemote workRelocation$28.74 - $36.72 per hour
...credential (CPA/EA/Practicing Attorney) and excellent communication skills, we need you to... ...Prosperity Around the World" by providing expert guidance, tax preparation, and explanations... ...including, but not limited to, compliance trainings, proficiency-based up-skilling...Remote work- ...all across the world which can lead to a unique, exciting and... ...group leaders and engineers and provides technical direction to... ...software applications such as Excel, Word and PowerPoint for executing... ...veteran status. For OFCCP compliance, the taxable entity associated...Contract workWork at office
$79.3k
...Responsible for all aspects of the tax compliance function and tax accounting function, including... ...Identify both issues and opportunities providing a resolution/recommendation to Tax... ...Form 990 Health system experience Auditing experience or accounting experience Statutory...For contractorsWork at officeLocal area$62.73k - $81.55k
...include the following: assisting in the preparation of budget estimates and justifications; interpreting OMB directives and circulars; providing information and advice to program managers; reviewing bureau and office budget submissions for reasonableness, accuracy, and...Work at officeRemote work- ...to private, corporate, foundational, and governmental funders. You will maintain relationships with funding contacts and ensure compliance with grant requirements. The role includes post-award services, data gathering for reports, and collaboration with finance and program...
$148.76k - $160k
...leader. Our nimble, decentralized culture can provide you with a wealth of opportunities to... ...of MS Office-applications like Word, Excel, and PowerPointExperience of digital design... ...next move an expert one and join us as we lead the industry into the future.Applicants must...Full timeContract workTemporary workFor contractorsLocal areaRemote workWorldwideVisa sponsorshipWork visaFlexible hours$70k - $96k
...thrive. You’ll combine technical excellence with leadership... ...the commodity crop sector, providing specialized tax expertise to... ...Pinion? Pinion is the nation’s leading food and ag consulting and accounting... ...Strong background in tax compliance across multiple entity types...Flexible hours- Responsible for ensuring compliance with sales, use, VAT, and excise... ...statements in accordance with GAAP. Provide accounting services and... ...vendors. Coordinate indirect tax audits and prepare audit schedules... ...business math skills Excellent knowledge of Microsoft Office...For contractorsFor subcontractorWork at office
- ...effectively. Navigating the sales cycle, from initial contact to closing the deal. Staying up-to-date with current policies to provide accurate information to customers. Passion of service: A genuine desire to help others achieve financial stability. Strong...Full time
- ...Our goal is to make the process easier by providing knowledgeable tax preparation,... ...someone who is dependable, comfortable leading people, and able to keep things organized... ...other commitments. The position can be an excellent fit for someone seeking a second job, seasonal...Extra incomeSecond jobSeasonal workWork at officeLocal areaFlexible hoursWeekend workAfternoon shift
$177.53k - $197.25k
...Pricing Manager (Auto)! Your Role: As a Senior Commercial Actuarial Pricing Manager (Auto), you will lead and develop Actuarial Analysts and Consultants, providing coaching, training, and direction across a variety of pricing and analytical projects. You will oversee...Hourly payFull timeH1bRemote workWork from homeFlexible hours
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