Claims auditor [h1.location_city]
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Claims auditor • yonkers ny
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A company is looking for a Pharmacy Claims Auditor - Remote.Key Responsibilities Conduct in-depth analysis of large datasets and audit findings to identify high-risk pharmacy claims and billing i...[show_more][last_updated.last_updated_variable_days]
Location : White Plains NY (Hybrid role).Project Overview : This role will conduct internal audit activities within the business and IT domains to help execute IA's Annual Audit plan and related acti...[show_more][last_updated.last_updated_30]
Are you an experienced Construction Auditor?.Are you interested in a diverse experience offering career opportunities and growth?.
We at Jefferson Wells are hiring Construction Auditors for our NYC ...[show_more][last_updated.last_updated_variable_days]
Auditor Quality Assurance (Pharmaceuticals).Paramus, NJ (100% On-Site) - 5 month contract.Bachelors Degree (Life Sciences or related field).
Pharmaceuticals / Life Sciences.Quality Assurance / Audit...[show_more][last_updated.last_updated_30]
Balance revenue and settle accounts nightly, maintain files, and reset the system for the next day of operations while performing Guest Service Agent tasks and duties.
Front Office Supervisor / Accoun...[show_more][last_updated.last_updated_30]
By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected.
We invite you to grow your c...[show_more][last_updated.last_updated_30]
Auditor will report to the Director the GCP / PVG Quality Assurance.This position will be focused on ensuring GXP compliance with regulatory authorities, driving and implementing the Companys complia...[show_more][last_updated.last_updated_30]
Auditor Job Duties : Ensures compliance with established internal control pr...[show_more][last_updated.last_updated_30]
Night Auditor Job Duties : Welcome guests in a warm and friendly manner overnight.Ascertains ...[show_more][last_updated.last_updated_30]
The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity, and customer service criteria are met while adhering to company policies and proce...[show_more][last_updated.last_updated_30]
Employment Type (Portal Display).The position is responsible for leading the daily planning and execution of the Company's global internal audit activities in compliance with Company policies, the ...[show_more][last_updated.last_updated_30]
We have an immediate need for a Construction Claims Analyst based in Pearl River NY or Albany NY.Come join our team! We are looking to build services and capabilities through the growth of our key ...[show_more][last_updated.last_updated_variable_days]
Location : White Plains, NY (3 days Onsite) Duration : 12 months.At Cogent Infotech, we believe in creating opportunities that empower individuals and transform organizations.With over 21 years of ex...[show_more][last_updated.last_updated_30]
Standard Assignment Window : September to February with possible extension.Fully Remote Training : Training is fully virtual with cameras expected to be on.
Start time is 8 AM Eastern Time.Training pe...[show_more][last_updated.last_updated_30]
Inventory Services For Healthcare Delivery Industry.Our customer provides inventory services to the healthcare delivery industry.
They audit inventories of medical, surgical, and pharmaceutical prod...[show_more][last_updated.last_updated_30]
This position is a fully remote position working 8 : 00 to 5 : 00.The Auditor II is responsible for conducting a full range of Medicare financial compliance investigations.
Conducts internal and externa...[show_more][last_updated.last_updated_30]
Provides support for claims audit activities including identification of incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and claims processing errors.Audits the adjud...[show_more][last_updated.last_updated_1_day]
Conducts independent audits, assessments, and advisory engagements to assist the organization in accomplishing its objectives by incorporating a systemic and disciplined approach to evaluate and im...[show_more][last_updated.last_updated_30]
The RPT QA Auditor is responsible for planning, conducting, and reporting on internal and external audits to ensure compliance with cGMP, regulatory requirements, and company quality standards.This...[show_more][last_updated.last_updated_variable_days]
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New York Power AuthorityWhite Plains, NY, US[job_card.full_time]
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Pharmacy Claims Auditor
VirtualVocationsYonkers, New York, United States[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for a Pharmacy Claims Auditor - Remote.
Key Responsibilities
Conduct in-depth analysis of large datasets and audit findings to identify high-risk pharmacy claims and billing irregularities
Research and select appropriate audit samples, prioritizing claims based on risk indicators
Evaluate pharmacy claims against contractual terms and educate pharmacies on compliance best practices
Required Qualifications
Bachelor's degree in Health Science or related area, or equivalent combination of education and experience; High school diploma or GED required
2 years of experience in pharmacy or Pharmacy Benefit Management, including 1 year in operations, audit, or quality assurance
National Pharmacy Technician Certification through PTCB or ExCPT (CPhT)
Must be eligible to work in the United States without sponsorship