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- ...balance adjudication/reporting for healthcare services provided to Medicare, Medicaid and Commercial Primary/Secondary beneficiaries.... ...May assist in preparing documentation for appeals, third party audits, legal inquiries, litigation, and court appearances. Assists in...SuggestedDay shift
Masonicare
Wallingford, CT3 days ago - ..., strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical... ...and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with...SuggestedWork at officeLocal areaRemote work
Marwood Group
New York, NY5 days ago $129.3k - $177.8k
...Finance with Self Service Analytics Strengthen Compliance & Audit Readiness Accelerate Finance Close, Budgeting and Forecasting... ...are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana Inc
Washington DC13 hours ago$135k - $170k
...Audit Manager - Assurance & Advisory - Government & Nonprofits Audit Manager - Assurance & Advisory - Government & Nonprofits... ...Strategic Advisor to Senior Vice President - Government Programs (Medicare/Medicaid Strategy) Portland, OR $140,000.00-$194,000.00 3 weeks...SuggestedFull timeLocal areaWork from homeFlexible hoursJobot
Portland, OR11 hours ago- ...Responsibilities Provide strong leadership on audit engagements, effectively supervising staff to provide quality deliverables... ...audit engagements Demonstrated high level of expertise with Medicare and Medicaid regulations Strong analytical and problem...SuggestedFull time
Myers and Stauffer
Baltimore, MD3 days ago - ...Responsibilities Lead and conduct cost report/DSH audits and perform final audit reviews of Medicaid cost reports and DSH... ...relating to Medicaid reimbursement and maintain compliance with Medicare and Medicaid regulations. Coordinate staffing on projects to...Suggested
Myers and Stauffer
Tallahassee, FL2 days ago - ...related calculations and estimates and ensures UTMB compliance with Medicare and Medicaid regulations. Scope: Institutional... ...components including, but not limited to, cost report preparation, audits, re-openings, appeals, IME, DGME, DSH, UC, Organ Acquisition, Bad...SuggestedFor contractorsLocal area
UTMB Health
Galveston, TX28 days ago $28 - $32 per hour
...accounting for the city; including budget & grant management and generation, accounts payable, all federal and state reporting and audit preparation. This position must give excellent customer service, prepare agendas and minutes for city council meetings and stand in...SuggestedFull timeCity of Tekoa
Tekoa, WA9 days ago- ...groups, acquisitions, and TIN transition projects Prioritize Medicare enrollment across all applicable workflows Create and... ...Ensure all credentialing files are complete, organized, and audit-ready Recredentialing & Ongoing Monitoring Complete Medicare...SuggestedFull timeInterim roleLocal areaRemote workRelocation
Integrated Dermatology
Boca Raton, FL2 days ago - ...performance feedback. Collaborate with internal departments to ensure alignment on tax matters and financial reporting. Assist in tax audits and handle queries from tax authorities. Stay up-to-date on the latest tax law changes and industry developments. Build and...SuggestedWork at officeLocal area
SG Inc CPA
Plano, TX24 days ago $78.4k - $107.8k
...support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing... ...Bachelor's degree Minimum of 3 yrs health insurance claims or Medicare experience Minimum 3 years of experience with fraud, waste,...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeColumbus Staffing
Pierre, SD1 day ago- ...includes expertise of Insurance Billing with CPT/Diagnostic codes; Medicare and Medicaid, OPWDD, OCFS, and SED. The overall responsibility... ...needed »Assist in preparation of the year-end financial audit »Assist with the completion of required reporting for all...Suggested
$115k - $165k
...delivery Process Improvement: Recommend and implement process improvements in financial planning systems and reporting Review and audit employee grants to ensure accuracy with the people team, and up-to-date dashboards for forecasting and planning Finance...SuggestedFull timeTemporary workFor contractorsWork at officeLocal areaWorldwideFlexible hoursStellar Development Foundation
San Francisco, CA13 hours ago$87k - $106.6k
...quarterly forecasts.The analyst will play a key role in reviewing Medicare Advantage financial results, with a focus on understanding the... ...prior period development, analyzing emerging trends, preparing audit documentation, and supporting ad hoc requests from Market...SuggestedLocal areaRemote work$72.2k - $115.5k
...Job Summary: The Actuarial Analyst II (Medicare) is responsible for providing timely, accurate, and actionable data, analysis and... ...data compilation to support bids Experience with desk review audit responses Experience developing and using pricing models related...SuggestedRemote jobFull timeWork at office$158.69k
...responsible for the strategic direction, oversight, and management of all district financial services. This includes budgeting, accounting, auditing, procurement, tax collection, financial reporting, financial systems management, and compliance with federal, state, and local...Full timeContract workLocal areaSpring ISD
Houston, TX13 hours ago- ...LDTI GAAP and economic bases) and internal control standards . Lead model governance, including facilitating signoffs with ERM and audit while ensuring robust model governance, documentation, and validation frameworks. Model implementation and execution:...Full time
MassMutual
Springfield, MA4 days ago $250k
...monthly, quarterly, and annual financial statements. - Ensure compliance with accounting standards and manage the annual financial audit process. - Manage our ERP system. - Oversee the annual financial audit process. 2. Taxes: - Ensure tax compliance with...Full timeWork at officeLocal areaRemote workVisa sponsorshipFlexible hoursComun Banking
San Francisco, CA13 hours ago$86.4k - $184.8k
...by joining our team as a Compliance Auditor, MAPD, focused on Medicare Advantage (Part C) and Prescription Drug (Part D) programs. In... ...role, you will conduct Risk Adjustment Data Validation (RADV) audits, compliance risk-based audits, support external audit coordination...- ...About Belle Belle delivers high-touch in-home care to Medicare members using a novel Community Health Worker (CHW)-led model, supported... ...Manager to align RCM operations with financial reporting. Audit payer reimbursements, AR, and remittances to ensure accurate...Full timePart timeLocal area
$168k - $250k
...Seniorities ~ MidSenior level Employment type ~ Fulltime Job function ~ Finance, Project Management, and Accounting/Auditing Industries ~ Financial Services, Technology, Information and Media, and Internet Marketplace Platforms Location:...Full time3 Bridge Networks
San Francisco, CA13 hours ago$53.58k - $88.83k
A leading healthcare company seeks an Audit & Reimbursement II to work virtually while supporting Medicare contracts. This role focuses on auditing and financial analysis tasks, providing training in reporting, and promoting a well-balanced lifestyle. Candidates must have...Remote job$225k
...financial strength, operating with $82M in revenue, endowment/reserves of $75M+, assets of $250M+, and literally decades of clean audits. With less than 10% of revenue coming from government funding, our rock-solid financial strength is ensured for years to come. Position...Full timeWork at officeJewish Family and Children's Services of San Francisco, the ...
San Francisco, CA13 hours ago$19.36 per hour
...Auditor The Auditor is responsible for assisting in the execution of financial, compliance, and operational audits, including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures...For contractorsWork experience placementWork at officeLocal area$68.57k - $104.84k
...understanding of ICD-10 coding, communication skills, and clinical knowledge. Ideal candidates will possess a CCS or CIC certification along with auditing experience. The compensation range is $68,566 to $104,841, along with a comprehensive benefits package. #J-18808-Ljbffr CERISRemote job$23.91 - $44.46 per hour
...and regulatory agency requests, including quality studies and audit findings. Codes and abstracts medical records as requested, in... ...0-CM conventions, AdventHealth coding policies, and applicable Medicare and payer guidelines; addresses denials and applies necessary modifiers...Full timeLocal areaShift work- ...is a plus but not required. Seniority level ~ Mid-Senior level Employment type ~ Full-time Job function ~ Accounting/Auditing, Finance, and Administrative Industries ~ Accounting, Software Development, and Financial Services #J-18808-LjbffrFull time
3 Bridge Networks
San Francisco, CA13 hours ago - ...performing balance sheet reconciliations, and ensuring compliance with internal controls. This role plays a key part in financial integrity, audit readiness, and continuous improvement as the organization scales and increases automation. Key Responsibilities General...Work at officeShift work
AlarMax Distributors
Pittsburgh, PA9 days ago $250k - $375k
...execution. Compliance Ensure compliance with financial regulations, including statutory financial reporting, tax filings, and audits, particularly as the company scales and engages with debt and equity investors. Oversee equity management, including stockoption...Full timeContract workHome officeFlexible hoursAstrolab
Hawthorne, CA13 hours ago- ...strategic financial modeling. Manage relationships with third parties to support tax reporting and analysis, banking services, and audits at the holding company level. Develop or support management relationships with external investment firms and investment bankers....Full timeTemporary workWork at office
SpiderRock Holdings LLC
Chicago, IL13 hours ago
