Senior Medicaid Program Integrity & Claims Auditor
$120k - $140kBerryDunn
BerryDunn is hiring a Senior Consultant focused on Medicaid program integrity and claims audits. The ideal candidate will provide assistance on risk assessments and compliance, conduct audits, and develop corrective action plans. This position allows for remote, hybrid, or on-site work. Preferred qualifications include consulting experience and relevant certifications. The salary range is $120,000 - $140,000, and benefits support employee well-being and growth. #J-18808-Ljbffr BerryDunn
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Senior Medicaid Program Integrity & Claims Auditor in New York, NY vacancy
$120k - $140k
BerryDunn is seeking a Senior Consultant with expertise in Medicaid program integrity and claims audits. The role involves assisting clients in detecting fraud and conducting audits while ensuring compliance with federal regulations. Remote, hybrid, or office work is available...SeniorClaimsWork at officeRemote work$46.99k - $122.4k
...community at a time. Position Summary The Program Integrity Auditor is responsible for the review of... ..., recoupment of funds or rebilling of claims, and referral to state regulators for... ...that currently administers benefits to Medicaid members across multiple lines of business...ClaimsHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$46.99k - $122.4k
Hispanic Alliance for Career Enhancement in Georgia is hiring a Program Integrity Auditor responsible for auditing healthcare records. This role requires 3-5 years of experience in claims data review and medical coding standards (CPT, HCPCS, ICD-10). Candidates should hold...Claims$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is seeking a Program Integrity Auditor based in New Jersey. This role involves auditing medical records... .... The ideal candidate will have 3-5 years of experience in claims data interpretation and hold certifications such as CPC or...ClaimsFull time- A health insurance company is seeking a Senior Specialist, Coding Auditor to join their Payment Integrity team. This remote position involves supporting issue resolution, ensuring claims repayment quality, and assisting in root cause analysis. Candidates should have 1+...SeniorClaimsRemote job
$120k - $140k
Overview BerryDunn is seeking a Senior Consultant with subject matter expertise in Medicaid program integrity and claims audits to assist clients with prevention and detection... ...equivalent Certified Professional Medical Auditor (CPMA) or equivalent. Certified Internal Auditor...ClaimsRemote work$100k - $120k
...opportunity for a Sr. Auditor to join our North America... ..., risks, and senior stakeholders This role... ...within Underwriting, Claims, and Operations, including... ...compensation and benefit programs to eligible employees.... ...stand for? Ethics and integrity are the foundation of...SeniorClaimsFull timeWork at officeFlexible hours$65.41k - $85.85k
...Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar... .... About the role The Senior Specialist works in the Special... ...and recoup inappropriately paid claims. The Specialist Investigation... ...in Oscar's unlimited vacation program and annual performance bonuses...SeniorClaimsFull timeWork experience placementRemote workWork from homeHome officeOscar Health
New York, NY12 days ago- Second Nature is seeking a Sr. Manager of Insurance Program to lead insurance operations for the organization. This role involves managing teams, overseeing claims processes, and ensuring operational excellence. The ideal candidate has over 5 years of experience in insurance...SeniorClaimsRemote job
- A healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced...ClaimsRemote job
$100k - $125k
...as a top affordable housing, seniors housing, and small balance loan... ...of our culture of caring, integrity and excellence and is a driving... ...for a Senior Internal Auditor who will report to the Director... ...you are contacted by someone claiming to represent Greystone and suspect...SeniorClaimsWork at officeFlexible hoursGreystone
New York, NY20 hours ago- Independence Blue Cross is seeking an Auditor, Payment Integrity to conduct pharmacy claim audits ensuring accurate provider payments while detecting fraud and improving audit processes. This fully remote role requires a Certified Pharmacy Technician with at least four...ClaimsRemote jobWork at office
- ...Port Authority of NY & NJ The Senior Cloud Architect & Program Manager is a senior technical... ...leadership on Azure migrations, hybrid cloud integrations, and DevOps enablement. Program &... ...accommodation (1) if they claim a disability is affecting the interview...SeniorClaimsRemote work1 day per week
The Port Authority of NY & NJ
Jersey City, NJ8 days ago $67.9k - $182.55k
Position Overview The Senior Manager, Medical and Payment Policy... ...The role partners closely with claims operations to apply policy... ...relations - to ensure seamless integration of claims coding changes and... ...commission or short‑term incentive program in addition to the base pay...SeniorClaimsHourly payFull timeTemporary workLocal area$150k - $160k
...and auditable environmental claims to address the growing global... ...Summary Xpansivis seeking a Senior Project Manager to leadhigh impact... .... Maintain and manage integrated project schedules, milestones... ...services, energy, or environmental programs. What can you expect...SeniorClaimsLocal areaWorldwide$81.6k - $102k
...government audits, including:* NY Office of Medicaid Inspector General (OMIG)* Office of... ...Government Services (NGS)* Medicaid Integrity Program Contractor (MIC)* Recovery Audit Contractor... ..., which are presented to senior management of applicable department, the...SeniorFor contractorsWork at officeLocal areaShift work$211.55k - $317.33k
Color Employer, LLC is seeking a Senior Medical Director to provide clinical leadership and oversee the development of payment integrity strategies. This role involves collaborating with executive leadership, clinical teams, and external stakeholders, ensuring that Lyric...SeniorClaimsFull time$135k - $165k
A claims technology company is seeking a Senior Software Engineer to join their Implementation team. This remote position involves hands-on development of integration services connecting Snapsheet’s claims products to various third-party vendors. Ideal candidates should...SeniorClaimsRemote jobFlexible hours$160k - $185k
...healthcare work for all of us. Maven's award-winning digital programs provide clinical, emotional, and financial support all in one... ...'s platform. You will sit at the intersection of complex data integrations, sensitive member data, and the engagement tools and campaigns...SeniorClaimsPermanent employmentFull timeContract workH1bWork at officeImmediate startRemote workWork visaFlexible hours3 days per week$140k - $180k
...are JUST GETTING STARTED. Job Title: Senior Technical Program Manager - Insurance Systems Location:... ...architecture and data flows to anticipate integration challenges and guide resolution.... ...decisions. Collaborate with underwriting, claims, and support teams to ensure...SeniorClaimsTemporary workRemote workFlexible hours$68.8k - $94k
LE10 Public Consulting Group LLC (Education) is seeking a TPA Claiming Lead responsible for directing claims management within the School... ...has 6+ years of claiming experience and strong knowledge of Medicaid policies. Compensation ranges from $68,800 to $94,000, with benefits...SeniorClaimsRemote job- ...is a rare opportunity for a senior technology leader to help run... ...assumptions, validate delivery claims, and step in when quality,... ...of funds to protect delivery integrity and public investment Coordinate... ...resolution, and overall program success The Leader We’re Looking...SeniorClaimsFull timeRemote workMonday to Friday
$120k - $135k
Judi Health is seeking a Senior Manager for Government Programs Operations in New York to lead the implementation and oversight of regulatory requirements... ...commitments. A strong candidate will have experience in claims operations and the ability to manage operational...SeniorClaimsRemote job$145k - $200k
Mathematica Inc. is looking for a Senior or Principal Researcher with extensive experience in Medicaid and CHIP programs. The role demands a deep understanding of health policy and proven leadership in project development. The successful candidate will oversee multidisciplinary...Senior- ...Job Description Job Description Senior Auditor Employment Type: Full Time, Mid-level Department: Financial Services CGS is seeking... ...will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages,...SeniorClaimsFull timeFlexible hours
Contact Government Services, LLC
New York, NY4 days ago $120k - $135k
...Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure... ...Range: $120,000 USD - $135,000 USD Position Summary The Senior Manager, Government Programs Operations is responsible for the overall implementation,...SeniorClaimsLocal areaRemote work- ...Senior Program Integrity Specialist Applicants must be permanent in the Fraud Investigator Civil Service Title. As one of the Mayor's critical initiatives to ensure a government-issued photo identification card that also provides access to City services, IDNYC benefits...SeniorPermanent employmentFlexible hoursAfternoon shift
New York City | Jobs
Brooklyn, NY1 day ago $51.8k - $75k
RSC Insurance Brokerage, Inc. is seeking a detail-oriented Audit Specialist to conduct thorough audits of claims files, ensuring compliance and accuracy. The ideal candidate will have 4-6 years of claims or audit experience, a bachelor's degree preferred, and strong analytical...SeniorClaims- ...The position of Senior Electronic Data Interchange... ...Centers for Medicare and Medicaid Services) and other... ...procedures, SQL Server Integration Services (SSIS) jobs for... ...logic. Build ETL for claims extract, Enrollment... ...must have strong SQL programming skills, EDI Analytical...SeniorClaims
MetroPlusHealth
New York, NY3 hours ago - ...Medical Billing Auditor Our client is seeking a detail-oriented... ...risk mitigation and revenue integrity efforts. Responsibilities:... ...comprehensive audits of submitted claims, billing records, medical... .../state regulations, Medicare/Medicaid requirements, private payer policies...ClaimsLocal area
Blackbird Recruiting
Brooklyn, NY1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Medicaid Program Integrity & Claims Auditor. Be the first to apply!
Related searches