Medicaid Compliance & Audit Specialist
NACBA
CVS Health is seeking a Program Integrity Auditor to review records for medical, behavioral, transportation, and other healthcare providers. The auditor will determine correct coding and documentation, and may recommend follow-up actions, including education, recoupment, or refiling of claims. The role requires 3–5 years in claims data and medical record review, CPT/HCPCS/ICD-10 knowledge, and active CPC/CCS/CPMA certification. #J-18808-Ljbffr NACBA
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$110k - $210k
...Withum Plus You - that’s the Power in the Plus!Job Description:Withum’s Tax Services Group is made up of a brilliant team of tax specialists that work to ensure tax reporting obligations are met in an accurate and timely manner and minimize or defer the payment of taxes...SuggestedFull timeWork at officeLocal areaRemote work- ...Clearly outline the systems, processes, and data included in the audit. 2. Risk Assessment: Identify potential risks to network... ...such as unauthorized access, data breaches, system failures, and compliance violations. 3. Control Identification: Determine the existing...Suggested
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$103.04k - $148.1k
...services sector rules and regulations by undertaking research and supporting the drafting of appropriate policies designed to ensure compliance with those rules and regulations for the locally regulated entities. The role holder will be responsible for reporting to the...SuggestedFull timeWork experience placementLocal areaRemote workFlexible hours$46.99k - $122.4k
.... Activities include reviews/audits of provider records to ensure... ...currently administers benefits to Medicaid members across multiple lines... ...rules. Maintain compliance with company policies and procedures... ...Coder), CCS (Certified Coding Specialist), or CPMA (Certified Professional...Hourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$38.46 - $52.4 per hour
...will be responsible for the auditing of inpatient coders and auditing... ...guidelines. Monitor compliance of coding guidelines and ensure... ..., Centers for Medicare/Medicaid Services (CMS) ICD-PCS Official... ...physicians, Clinical Documentation Specialists (CDS) or other healthcare...Hourly payPermanent employmentFull timeWork at officeLocal areaImmediate startRemote workFlexible hoursDay shift$138.8k - $215.9k
...innovation, including development of methodologies, tools, and market-facing insights related to State Credits & Incentives Ensure compliance with applicable professional standards, firm policies, and regulatory requirements What you bring to the role: Bachelor's...Work experience placementWork at officeLocal areaRemote workRelocation$71.1k - $97.8k
...qualifications for 4 years) • MS-DRG coding/auditing experience • Experience reading and... ...of life for people with Medicare and Medicaid, families, individuals, military service... ...of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act...Bi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- As a Corporate Auditor within the Global Audit Department, you will have the opportunity to gain exposure to many of our operating business units, interact with leaders of the organization and positively impact change associated with the business' existing initiatives and...
$99k - $266k
...consulting for business analysis and profit sharing Managing tax compliance and structuring for financial services clients, addressing... ...proficiency in financial statement analysis and tax auditing Utilizing analytical thinking to monitor and analyze financial...Local area- CVS Health is seeking a Manager Corporate IT Audit to lead the SOC Reporting team and oversee SOC 1 and SOC 2 audits. You'll manage... ...planning to final report delivery, ensuring quality and regulatory compliance. You will collaborate with business teams, external auditors,...
$64k - $66k
Nehers is seeking an Energy Rating Specialist in Providence, Rhode Island, to support the Residential New Construction team. The role involves... ...construction plans and performing energy modeling to ensure compliance with energy efficiency standards. Ideal candidates should have...$130k - $150k
DescriptionKforce's client, a successful regional professional services company in Rhode Island, is in search of a Tax Manager.Responsibilities:* Prepare and review all types of tax returns (including trusts) of varying complexities* Prepare and review underlying tax workpapers...Work at officeLocal area$120k - $160k
Job Title: Tax Manager / Senior Tax ManagerLocation: Providence, RI (Hybrid / Remote Options)Salary: $120k-$160k+ (Senior Tax Manager: $135k-$175k)Requirements: Must have an active CPA & minimum 6+ years of Public Accounting & Tax Exp.Top Reasons to Work with UsAward-Winning...Temporary workWork at officeLocal areaImmediate startRemote workFlexible hours- EY is seeking a Real Estate Tax Senior Manager located in the United States to lead tax planning projects for a diverse client base. The role involves providing strategic tax advice and supervising a motivated team. Applicants should possess a bachelor’s degree and CPA ...Flexible hours
$132.7k - $303.2k
...comes with producing high-quality, valued work and advice. Your Key Responsibilities Serve as the Tax Functional Leader across compliance, advisory or annuity tax service delivery. Lead tax processes by directing and coordinating day‑to‑day interactions with the team...Work experience placementSummer holidayFlexible hours$147.4k - $336.8k
...technical and transaction skills, including partnership taxation, REITs taxation and qualification, partnership allocations, tax compliance, due diligence, acquisition/disposition planning, and structuring. Experience managing budgets, people and projects. Business development...Seasonal workFlexible hours$105k - $175k
...management including asset allocation, portfolio construction, security/manager selection, trade execution, risk management and compliance, investment reviews, and proactive client communication. Job expectations include helping teams to drive client retention and business...Full timeWork at officeFlexible hoursDay shift- ...based in Cranston, RI, seeks a hands-on Quality Assurance & Compliance Specialist to manage ISO 9001/AS9100 and CMMC Level 2 on the manufacturing... .... The specialist will implement security controls, gather audit artifacts, and maintain SSP/POAM documentation while...
- Providence Community Health Summary The Compliance and Risk Officer serves as the organization... ..., procedures, training, monitoring, and auditing activities to promote adherence to legal... ...Statute, False Claims Act, Medicare, Medicaid, and FTCA requirements. Oversee compliance...
- Quality Assurance & Compliance Specialist (CMMC Level 2 & AS9100) Full-time | Electronics Manufacturing | 100% On-site We are seeking a hands... ...Unclassified Information (CUI) and technical blueprints. Gather audit artifacts: Collect, organize, and maintain strict physical...Hourly payFull timeLocal area
$130k - $195k
...Senior Manager to join our dynamic and high-growth team. As a Tax Manager, you will play a critical role in ensuring the accuracy and compliance of tax processes and filings for our clients. This is a permanent position that offers excellent growth opportunities and a...Permanent employmentWork at officeLocal areaRemote work- ...in 19 offices and an international network of resources in 400 cities worldwide, the firm provides a complete range of accounting, auditing, tax and management advisory services. PKF O’Connor Davies ranks among the top 26 CPA firms on Accounting Today’s 2024 “Top 100...Full timeWork at officeLocal areaWorldwideVisa sponsorshipWork visa3 days per week
$74.96k - $164.8k
Real Estate Manager Location: IL Statewide, IL, USProvidence, RI, US, 02903 Requisition ID: 19446 Brightstar is an innovative, forward-thinking global leader in lottery that builds on our renowned expertise in delivering secure technology and producing reliable...For contractorsLocal areaRelocation- ...Research tax issues, communicate solution options, and collaborate with Partners on tax planning strategies Stay current on accounting, auditing, and tax regulation changes, including foreign reporting requirements Lead, mentor, coach, and evaluate staff while supporting...
$160k - $220k
...- $220,000 per year A Bit About Us A premier accounting firm now exceeding 600 members, we deliver comprehensive accounting, audit, and tax solutions alongside business advisory services encompassing risk management and forensic analysis. Yet, our mission extends...Full timeWork at officeLocal areaRemote workHome office- ...motivated staff. Responsiblilties for Tax Manager: Manage a team of associates Be a Team player Provide tax compliance and consulting to a diverse base of clients Meet regularly with business and community contacts to maintain a network within...Local area
- ...Audit Staff Providence, RI, United States Or refer someone Job Openings Audit Staff About the Job Audit Staff We are looking for an Audit Staff to join our Audit, Assurance, and Accounting Department in our Providence office. As an Audit Staff, you will be responsible...Summer workWork at officeRemote workFlexible hours
$137.5k - $225k
Job Description:At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day.Being...Full timeWork at officeDay shift
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