Claims - Audit & Compliance- Claims Auditor
Cardinal Health
Cardinal Health is seeking a Durable Medical Equipment Supplies Claims Auditor based in Hartford, Connecticut. This role is essential for ensuring compliance in claims processes. The ideal candidate will be analytical and detail-oriented, engaging in auditing activities that support compliance with healthcare regulations and guidelines.
You will collaborate with cross-functional teams and perform detailed analysis to identify compliance risks. Candidates with 3-5 years of experience in DMEPOS auditing and strong communication skills are encouraged to apply.
#J-18808-Ljbffr Cardinal Health
- ...advisor, the Senior Internal Auditor builds effective relationships... ...effectiveness of governance, compliance, risk management, and... ...primary and reinsurance) and claims, as well as those focused on... ...development of technical and analytical skills . Interprets the associated...ClaimsWork at office
$33 - $37.68 per hour
Summary The Durable Medical Equipment Supplies Claims Auditor plays a key role in supporting Cardinal Health’s Ethics and Compliance program by helping ensure claims-related... ...-functional teams. The ideal candidate is analytical, detail-oriented, collaborative, and comfortable...ClaimsHourly payTemporary workWork experience placementLocal areaImmediate startFlexible hours- ...Responsibilities Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or Director.... ...audits Hands‑on auditing of E/M services and professional claims Experience validating charges against medical records Strong...ClaimsMonday to FridayShift work
- ...requirements : Travel 50%-75% (will be visiting dealerships for compliance reviews) Location : North East - Philadelphia area Corestaff... ...and at PCNA, relating to timely warranty handling, procedures, claim submission, authorizations, parts usage, and disclosure. Review...ClaimsLong term contractFor contractorsWork experience placementWork at office
$71.1k - $97.8k
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...join our highly dynamic Risk Adjustment analytics team. This senior‑level role will provide... ..., actuarial, finance, market plans, and compliance stakeholders to support health plan and... ...pipelines and reporting frameworks using claims, encounters, pharmacy, and clinical data...ClaimsHourly payFull timeTemporary workLocal area$68k - $85k
...evaluate, inspect, audit, and determine the effectiveness of compliance and store operational tasks. This individual will visit store... ...~ Must be able to multi-task/problem solve and possess strong analytical and time management skills. ~ Possess strong interpersonal skills...Work at officeFlexible hours$90k - $120k
Senior Social Compliance Auditor - Northwest Region United States Job Description We are hiring for Social Compliance & Human Rights auditors... ...is required. Bilingual fluency strongly preferred. Strong analytical, communication, and writing skills. Proficiency in...Full timeWork at officeShift work- ...Navy and strengthening national security. A Nuclear Auditor is a driver of quality and regulatory compliance for nuclear manufacturing, construction, and... ...communication skills Strong critical thinking and analytical skills, with the ability to identify trends, assess...Local areaAfternoon shift
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$23.16 - $35.88 per hour
A healthcare organization is seeking a Claims Analyst to review and process Stop Loss claims, managing client relationships and ensuring compliance with organizational standards. Candidates should have at least 5 years of relevant experience in health insurance claims,...ClaimsHourly pay- Travelers is seeking a Sr. Manager to join the WC Loss Analytics and Reserving team in its actuarial and analytics function. This analytical... ...role drives reserve modernization projects, collaborates with Claims, Product, and Actuarial Pricing, and may lead 1-2 team members...Claims
$130k - $180k
...candidate to join a dynamic Reserving & Loss Analytics team. This leadership role will assist... ...to the Company's executive leadership, auditors, and regulators. This individual will be... ...with underwriting, pricing, claims and finance to develop a common view of...ClaimsTemporary workFlexible hours- The Travelers Companies, Inc. is seeking a Data and Analytics Architect in Hartford, Connecticut, to support transformative business projects. This role involves designing cutting-edge data architectures and implementing cloud-based solutions for enhancing analytics delivery...Claims
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The Hartford Financial Services Group, Inc. is seeking a Senior Consultant for Performance Analytics with a focus on analyzing trends in Auto Bodily Injury claims. This role involves collaboration with multiple departments to drive informed decision-making through data...ClaimsRemote job$106.52k
...6 Position Summary: A Senior Internal Auditor within the Connecticut State College and... ...assessing financial controls and regulatory compliance, they are responsible for leading audit... ...agreed-upon timelines. Advanced Data Analytics: Utilizes sophisticated audit software...Full timeLive inWork at officeImmediate start$86.4k - $129.6k
...Team Leader Claims - CH08AE We’re determined to make a difference and are proud to be... ...determination, disposition, and settlement, in compliance with corporate claim settlement policies... ...terms is strongly preferred Possess analytical and critical thinking skills...ClaimsTemporary workCurrently hiringWork at officeRemote work3 days per week$152k - $228k
...other actuarial teams (Segment / Reserving / Modeling) as well as other supporting organizations like Product, Finance, Claims, and Performance Analytics to drive towards an enterprise view of GL.### **Responsibilities:**As a key leader on the GL LOB team, manage an...ClaimsTemporary work$108.8k - $163.2k
...Liability business, working closely with Underwriting, Finance, Claims, and IT departments. Overview of the Position As a key member... ...Actuarial Pricing and reserving techniques. Strong technical/analytical skills; proficiency in Excel required, experience with R/SQL preferred...ClaimsWork at office3 days per week- A comprehensive healthcare network in Hartford, Connecticut is seeking an auditor to conduct compliance audits and collaborate with business owners on corrective actions. Candidates should possess a bachelor's degree and a minimum of two years of health care compliance...
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