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Position: Remote Benefits Representative Company: American Income Life (a proud member of Globe...
Optum is a global organization that...
To support impactful financial strategies in healthcare, the full-time Senior Actuarial Data Analyst will develop and maintain reports and analytics, ensuring accuracy and compliance while utilizing advanced tools like SQL and Tableau, with the...
Position: Remote Benefits Representative Company: American Income Life (a proud member of Globe...
Focused on Coding and Clinical Chart Validation for inpatient audits, the full-time Clinical Validation Auditor will analyze claims, utilize proprietary audit tools, and maintain productivity and accuracy standards in a remote work environment.Key...
Leading a high-performing team, the full-time salaried AVP Premium Audit will provide strategic leadership and operational oversight for the Premium Audit department, ensuring accuracy and compliance of insurance premium audits while collaborating...
Conducting detailed audits of high-complexity claims files, the full-time Health Claims Stop Loss Auditor will ensure compliance, accuracy, and adherence to company procedures and regulatory requirements in a remote setting.Key...
Working remotely in a full-time capacity, the Telecom Auditor III will manage multiple audit projects, including vendor billing discrepancies and performance evaluations, while conducting financial analyses and reporting findings to clients.Key...
To support the Quality & Risk Adjustment strategy, the full-time Clinical Documentation Integrity Auditor will perform medical record audits, validate coding accuracy, and initiate provider queries, all while working remotely.Key...
To support a growing pediatric practice, the remote Coding Compliance Auditor will ensure accurate and compliant coding by reviewing medical records, conducting audits, and collaborating with clinical and compliance teams in a high-growth...
To support billing operations, the remote Billing Clerk will monitor and process transactions, coordinate accurate premium processing, and prepare monthly bills for alternately billed groups.Key responsibilitiesMonitor, process, and document...
Completing audits for Property & Casualty insurance policies, the full-time Remote Phone Auditor will work directly with policyholders via phone to obtain payroll and accounting records while ensuring accuracy and compliance in all audit tasks.Key...
To support the company's growth, the full-time Senior Actuarial Analyst will build actuarial models and studies that guide decision-making across pricing, forecasting, and value-based care contract performance while working remotely.Key...
Participating in all facets of financial model design, the full-time California Licensed Actuary will provide guidance on utilization, product pricing, and trend forecasting while working remotely.Key responsibilitiesManage actuarial data mart...
To support a growing legal practice, the remote Intake Audit Specialist will monitor and audit incoming client data, collaborate with internal and external stakeholders, and ensure data integrity while working during Central Time business...
Joining the Internal Audit team, the full-time hybrid Information Security Auditor will conduct risk-based audits, execute control testing, and assess compliance with regulations while collaborating with various stakeholders to enhance internal...
Working remotely on a full-time basis, the Claims Auditor will investigate claims liability, process claims according to existing policies, and communicate with clients to resolve claim processing issues.Key ResponsibilitiesReview and interpret...
Working remotely on a full-time basis, the Aggregate Claims Auditor will investigate claims liability, process claims according to policies, and establish reserves for claim liability while ensuring compliance with contract terms.Key...
Leading actuarial efforts in a remote capacity, the full-time Associate Director of Actuarial Services will manage data analysis, Excel modeling, and actuarial analytics to support the Medicare Advantage bid process while coordinating special...
Detail-oriented and analytical, the full-time Healthcare Revenue Cycle Compliance Auditor will plan and conduct audits of financial, operational, and compliance processes across the revenue cycle while working remotely within the U.S.Key...
To support a growing healthcare organization, the full-time Insurance Reimbursement Auditor will be responsible for reviewing and following up on paid insurance claims, conducting root cause analysis, and ensuring accurate reimbursement while...
To support a growing late-stage portfolio, the part-time contract Drug Safety Associate I will manage end-to-end intake and data entry in Veeva Vault Safety, ensuring expedited regulatory submissions meet ICH E2B and FDA/EMA timelines while...
Working remotely, the full-time Final Reviewer & Certification Decision Maker will review audit packs for compliance with medical device regulations, make certification decisions, and ensure all documentation meets required standards.Key...
To support quality assurance in a fast-paced environment, the full-time Sales Quality Audit Representative will conduct audits, provide feedback to reduce compliance risk, and ensure proper resource usage by agents while working remotely.Key...
Assisting in claims operations, the full-time Claims Associate will process assigned claims from intake through coverage determination while communicating with interested parties in a remote environment.Key ResponsibilitiesReview, evaluate, and...
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