Contract Auditor - HEALTHCARE Contract Auditor - Healthcare Connolly Consulting is a healthcare industry leader specializing in financial auditing, consulting and payment error identification services to commercial and government insurers across the country. We are a growing and profitable international recovery audit firm that serves clients in healthcare, retail, and commercial industries. Responsibilities will include but i ...[more]
Relevant Work Experience:
5+ to 7 Years
Career Level:
Experienced (Non-Manager)
Education Level:
Bachelor's Degree
Job Type:
Employee
Job Status:
Full Time
Connolly
Frisco, TX
Jul 3
Medical Claims Auditor Job Description: Ajilon is a global leader in specialized staffing and recruitment. We are currently recruiting for high level Medical Claims Auditors, for temp to perm opportunities. Will be responsible for the timely and accurate review of healthcare claims for clients. Must be able to efficiently audit claims according to contractual agreements, and National Correct Coding Initiative guidelines ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Temporary / Contract / Project
Salary:
From 17.00 to 19.00 per hour
Ajilon Professional Staffing
Jacksonville, FL 32258
Jul 3
Senior Medical Case Management Specialist Our client is one of Montana's largest workers' compensation carriers. They strive to promote safe workplaces, prevent injuries, and effectively manage claims and lower rates by providing exceptional customer service and industry leadership in everything they do. With a high level of medical expertise and under minimal supervision, you'll serve as medical case management expert, auditor, mentor, a ...[more]
Relevant Work Experience:
5+ to 7 Years
Education Level:
Master's Degree
Job Type:
Employee
Job Status:
Full Time
Capstone Search Group
Helena, MT
Jul 3
Property Class Claims Manager Our client, an international general insurance and reinsurance group, is looking to recruit a Property Class Claims Manager to join their team in London. Reporting to the Technical Claims Manager, you will provide the in-house property claims team leadership and a technical focal point for the adjustment of a range of both standard and complex claims within the relevant portfolio. You will be resp ...[more]
Career Level:
Manager (Manager/Supervisor of Staff)
Job Type:
Employee
Job Status:
Full Time
Salary:
From 60,000.00 to 70,000.00 GBP per year
Hays Personnel
London, London
Jul 2
Managed Care Audtior (1050642-0209-0084-0) The Managed Care auditor position will recover lost revenue for hospitals and eliminate 'Silent PPO' activity and related underpayments.The individual will screen non-zero and zero-balance accounts to identify and recover improper (or underpaid) managed care network/payer discounts. He will also assist hospitals in initiating contract negotiations and closing 'Silent PPO' loopholes in their manage ...[more]
Career Level:
Experienced (Non-Manager)
Education Level:
Bachelor's Degree
Job Type:
Employee
Job Status:
Full Time
MedAssets Inc
Saddle River, NJ 07458
Jul 2
External Auditor Due to an increase in workload an external auditor is required for a minimum of two months, over the summer period. Working on complex claims for government grants our client is looking for a suitable candidate with experience of auditing local government bodies. You may also be required to review financial system and financial standing of audited bodies and as such should have experience on revie ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Temporary / Contract / Project
Job Status:
Full Time
Salary:
From 25.00 to 30.00 GBP per hour
Badenoch & Clark
Poole, SW
Jul 2
Manager - Quality Systems Manage, develop and administer Quality Management Systems at Rocky Hill leading to customer satisfaction, technically competent customer documents, and continual improvement of our management systems in order to meet or exceed customer expectations and business objectives. Support the development, implementation and maintenance of processes and procedures to meet Henkel customer requirements and t ...[more]
Job Type:
Employee, Temporary / Contract / Project
Job Status:
Full Time
Henkel
Hartford, CT 06067
Jun 30
Medicare Claims Analyst/Auditor - STABLE Health Care Company! Medicare Claims Analyst/Auditor - (short term project; Health Care Company) Positions available in: San Dimas, CA (1) ATTENTION CLAIMS ANALYSTS REACH YOUR POTENTIAL WITH ARCADIAN! Are you an administrative professional with the DRIVE and Enthusiasm to take your career to the next level? Do you have OUTSTANDING skills? Do you CRAVE structure? Does your attention to detail SET YOU APART from your co ...[more]
Relevant Work Experience:
5+ to 7 Years
Career Level:
Experienced (Non-Manager)
Education Level:
Certification
Job Type:
Employee, Temporary / Contract / Project
Job Status:
Full Time
Arcadian Management Services
San Dimas, CA 91773
Jun 30
SAN FRANCISCO CAREER EXPO - THURS. JULY 30TH (11AM - 2PM) GOLDEN FUTURE CAREER FAIR PRESENTS…. SAN FRANCISCO'S WHITE COLLA R & BLUE COLLAR JOB FAIR ! Don't miss this chance to meet face-to-face with the area’s top employers who are hiring for positions from all types of industries. YOU may be exactly what they are looking for; YOU may have the experience, skills, and talent that they want; YOU may find your next job at this event! Visit us at for m ...[more]
Job Type:
Employee, Temporary / Contract / Project
Job Status:
Full Time, Part Time
Golden Future Expos
Millbrae, CA 94030
Jun 30
Associate Field Auditor Using analytical skills and audit tools, identify network pharmacy audit risks and develop/execute audit plans and scope of procedures determined necessary to address those risks. Assist with or perform on-site network pharmacy audits in order to correct risks identified and protect client assets, and present findings to key internal and external stakeholders. Essential Functions Include: - Perfor ...[more]
Education Level:
Bachelor's Degree
Job Type:
Employee
Job Status:
Full Time
Express Scripts
Boston, PA 15135
Jun 30
Area Quantity Surveyor Job Description To monitor, control and report current and forecast expenditures against approved Budgets to enable Project Management to ensure that the final project costs are within the approved Budget. Infrastructure construction activities for Network Rail as part of the London North West IMT term contract. Projects include Plain Line track renewals and minor Switch and Crossing works. The pr ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Employee
Job Status:
Full Time
Salary:
From 38,000.00 to 55,000.00 GBP per year
Office Angels
Birmingham, MID
Jun 29
Manager Business Integrity - Pharmacy POSITION SUMMARY: ESI Canada is looking for a dynamic and self-motivated Manager, Business Integrity - Pharmacy. The successful incumbent will be responsible for managing the audit teams and will be dedicated to delivering the highest quality of audit services. This candidate will demonstrate a proven ability to lead the team while contributing to the departmental objectives to meet and exceed cli ...[more]
Relevant Work Experience:
5+ to 7 Years
Career Level:
Manager (Manager/Supervisor of Staff)
Education Level:
Some College Coursework Completed
Job Status:
Full Time
ESI Canada
Mississauga, ON L5R3G5
Jun 29
Exciting new opportunities in the healthcare field! Manpower is looking for candidates with a strong background in healthcare. We currently are accepting resumes for the following position in the medical field: · Front Office Coordinator · Medical Biller (Hospital Experience Only) · Medical Collector (Hospital Experience Only) · Medical Coder · Medical Insurance Verifier · Medical Claims Processor · Medical Auditor · Admitting Clerk (specific to ER ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Temporary / Contract / Project
Job Status:
Full Time
Salary:
From 9.00 to 20.00 USD per year
Manpower
Torrance, CA 90248
Jun 27
Medical Claim Auditor Consulting practice seeks individual with medical claims adjudication and customer service experience to audit medical claims paid by insurance carriers and third party administrators. Candidate must have 3-5 years experience processing medical group claims. Prefer 1-2 years internal audit experience and external third party audit experience is a plus. This contract auditor position offers outstan ...[more]
Relevant Work Experience:
2+ to 5 Years
Career Level:
Experienced (Non-Manager)
Education Level:
High School or equivalent
Job Type:
Temporary / Contract / Project
Company Confidential
Dallas, TX 75235
Jun 26
Claims Internal Auditor Responsibilities: The Claims Internal Auditor is responsible for the internal auditing of IEHP's claims payment system and processes and the research and recovery of claims overpayments. Responsible for the Audit of internal systems and controls to ensure the claims system is set up correctly and claims are processed in accordance with contractual and regulatory requirements. Report audit results, ...[more]
Relevant Work Experience:
2+ to 5 Years
Career Level:
Experienced (Non-Manager)
Education Level:
High School or equivalent
Job Type:
Employee
Job Status:
Full Time
Salary:
From 38,250.00 to 54,000.00 USD per year
Inland Empire Health Plan
San Bernardino, CA 92408
Jun 26
Medical Claims Auditor Our Client, Medical facility located in Woodland Hills, has an immediate need for a Claims Auditor. This individual will be responsible for adjudication of all claims and must have EZ Caps experience. Major Job duties include: - Understanding of health and managed care concepts - Auditing healthcare claims - Adjudication of claims - Data entry - Diagnostic and procedural coding - Pricing schedules ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Temporary / Contract / Project
Job Status:
Full Time
Salary:
From 19.00 to 22.00 USD per hour
Aerotek
Woodland Hills, CA 91302
Jun 26
Field Safety Auditor Company Smith Equipment Rental and Services Position Field Safety Auditor Location Clinton, Arkansas Company Founded in 1988, Smith Equipment has earned the reputation through the years for delivering the service their customers expect with experience they can trust. With strong Operator Qualification (OQ) and safety programs in place, Smith Equipment has an impeccable track record in the oil and g ...[more]
Relevant Work Experience:
5+ to 7 Years
Career Level:
Experienced (Non-Manager)
Education Level:
High School or equivalent
Job Type:
Employee
Job Status:
Full Time
Valor Equity Partners
Clinton, AR 72031
Jun 25
Associate Auditor / 1006 Position Description: JOB SUMMARY: The Associate Auditor is an entry level, developmental job within the Auditor job family and is responsible for performing audits and support duties to assist audit staff. JOB RESPONSIBILITIES: 1. Observe and apply Viant policies, practices, and processes for auditing high cost and medical claims, including contract research, drug research, and pricing calculatio ...[more]
Career Level:
Entry Level
Job Type:
Employee
Job Status:
Full Time
Viant
Norwell, MA 02061
Jun 24
Premium Audit Reviewer Premium Audit Reviewer MEADOWBROOK INSURANCE GROUP, Inc. (NYSE:MIG) is a publicly traded company that employs 950 associates in 24 offices throughout the United States, Bermuda and Barbados. Meadowbrook operates insurance agencies, a risk management company that provides services to self-insured groups, funds and pools, and operates 4 domestic and 2 foreign insurance companies. We are currently lo ...[more]
Relevant Work Experience:
1+ to 2 Years
Career Level:
Experienced (Non-Manager)
Education Level:
Bachelor's Degree
Job Type:
Employee
Job Status:
Full Time
Meadowbrook Incorporated
Overland Park, KS 66210
Jun 24
Insurance Property Casualty Claims Adjusters and Professionals DESCRIPTION At Free State Staffing, we CARE about you and your career! Our team has over 50 combined years of Insurance Industry experience right here in the state of Florida. We know this business and the professionals who lead it. Let us use this knowledge to find the perfect job for you. There is work available now both permanent and temporary in all levels of all lines of insurance. Send Nancy ...[more]
Relevant Work Experience:
1+ to 2 Years
Career Level:
Experienced (Non-Manager)
Education Level:
High School or equivalent
Job Type:
Employee, Temporary / Contract / Project
Job Status:
Full Time, Part Time
Job Shift:
First Shift
Salary:
From 9.00 to 40.00 USD per hour
Free State Staffing
Orlando, FL 32801
Jun 23
Supervisor - Quality Assurance The Opportunity The Supervisor will manage all audit functions, individuals, and teams performed in the Shared Services Group. The Company PRG Schultz is a professional services firm with a long history of adding value by working with retailers or other complex companies and their suppliers to identify and correct errors in the execution of vendor programs. We work with 68% of the top 100 retailer ...[more]
Job Type:
Employee
Job Status:
Full Time
PRG Schultz International Inc
West Valley City, UT 84120
Jun 23
Staff Auditor - Quality Assurance The Opportunity The Staff Auditor will perform auditing of specific claims. The Company PRG Schultz is a professional services firm with a long history of adding value by working with retailers or other complex companies and their suppliers to identify and correct errors in the execution of vendor programs. We work with 68% of the top 100 retailers, with average relationship tenure of over 10 year ...[more]
Job Type:
Employee
Job Status:
Full Time
PRG Schultz International Inc
West Valley City, UT 84120
Jun 23
Loan Auditor Essential Responsibilities · Conduct fraud and repurchase loan audits on distressed mortgage loans. Loan audits will include leveraging information from our proprietary database, from Investor databases and from various online/offline sources. · Perform audits on all fraud or misrepresentation identified in origination QC audits, EPD audits, Investor Repurchase Demands, and Investor mandated audit ...[more]
Relevant Work Experience:
5+ to 7 Years
Career Level:
Experienced (Non-Manager)
Job Type:
Employee, Temporary / Contract / Project
Job Status:
Full Time
Fortace LLC
Telecommute
Jun 22
Managed Care Auditor (213284-043) Job Purpose: The Managed Care auditor position will recover lost revenue for hospitals and eliminate 'Silent PPO' activity and related underpayments. The individual will screen non-zero and zero-balance accounts to identify and recover improper (or underpaid) managed care network/payer discounts. He will also assist hospitals in initiating contract negotiations and closing 'Silent PPO' loopholes i ...[more]
Relevant Work Experience:
2+ to 5 Years
Career Level:
Experienced (Non-Manager)
Education Level:
Bachelor's Degree
Job Type:
Employee
Job Status:
Full Time
MedAssets Inc
Saddle River, NJ 07458
Jun 22
Third Party Claims Auditor - French ess Third Party Claims Auditor - French Speaking Location: Dublin [Dublin Type: Permanent Salary: €30000 - 45000 Benefits: Leading French International lnsurer based in Dublin City Centre requires a French speaking Claims Auditor to control and monitor their Third Party Administrators and Partners Claims processes. Job Description Reporting to the Assistant Operations Manager, the main functions of th ...[more]
