Audit Manager - Healthcare - Philadelphia, PA Who: A seasoned audit professional with strong leadership skills.... - 2+ years of supervisory and mentorship experience. - Healthcare industry audit experience preferred...
Proposal Manager Talson Solutions, LLC, headquartered in Philadelphia, PA, with offices in Los Angeles, California... of capital program advisory services including construction audit, compliance and project management designed to reduce risk...
Certified Information Security Manager (CISM) - Information Systems Audit and Control Association (ISACA) - upon hire... and non-discriminatory means. A Brief Overview The DTS Sr. Manager, Collaboration Technology Product Owner leads the...
The Manager, Clinical Appeals (RN) leads the end-to-end clinical appeals function for both member and provider appeals..., volumes, audit findings, mitigation strategies. · Oversee teams conducting quality reviews of clinical case files...
The Manager, Clinical Appeals (RN) leads the end-to-end clinical appeals function for both member and provider appeals..., volumes, audit findings, mitigation strategies. · Oversee teams conducting quality reviews of clinical case files...
Description : We are seeking Environmental Services Project Managers in Philadelphia, PA. As a Project Manager.... This position requires 100% travel. As a support resource, the Project Manager may be assigned to plan and execute start-ups of new...
information provided for audit and tax reviews, documentation and set-up of the accounting principles for unusual investment types...: Healthcare (medical, dental, vision) Basic term and optional term life insurance Short-term and long-term disability...
: Senior Individual Contributor / Manager Role Summary The Operational Excellence Manager owns operational process design... Audit & Compliance Audit operational adherence to SOPs across teams and facilities Identify gaps between documented...
hire - Preferred or HealthCare Information Security and Privacy Practitioner (HCISPP) - Information Systems Audit... exceptional understanding of emerging regulatory and healthcare issues in order to develop internal and external checks...
, Monday – Friday, some weekend work may be required Under the direction of the Manager of Medical Record Review Operations... reporting (annual Healthcare Effectiveness Data and Information Set (HEDIS) and State EQRO) with duties including...
Job Title: HEDIS Data Reviewer Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data... Healthcare Effectiveness Data and Information Set (HEDIS) and State EQRO) with duties including but not limited to the following...
pm EST, Monday – Friday, some weekend work may be required) Job Description: Under the direction of the Manager... and overread in support of Quality reporting (annual Healthcare Effectiveness Data and Information Set (HEDIS) and State EQRO...
: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing... medical record abstraction and overread in support of Quality reporting (annual Healthcare Effectiveness Data and Information...
and other preventive healthcare services. Assists and supports the pharmacy manager in analyzing performance data including pharmacy... KPI's with Pharmacy Manager, Store Manager, and Healthcare Supervisor. Develops and maintains good relationships...
. Short Description: Reporting directly to the Manager of Revenue Integrity and working closely with the CDM Analysts, the... on audit findings. Performance of root cause analysis relative to charging issues identified by charge edits, claim edits...
Reporting directly to the Manager of Revenue Integrity and working closely with the CDM Analysts, the Revenue Integrity... on audit findings. Performance of root cause analysis relative to charging issues identified by charge edits, claim edits...
. Individual will be required to guide staff accountants when necessary and in the absence of manager. Under moderate supervision... Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards (Uniform Guidance). Experience...
staff accountants when necessary and in the absence of manager. Under moderate supervision, performs full performance... Principles and Audit Requirements for Federal Awards (Uniform Guidance). Experience Required Minimum 4 years of experience...
demands of the healthcare data processing industry. Peer review of solutions and implementations is expected... Supporting company-wide audits; Lead security audit and assessment activities Develop best in class processes to identify...
reviewed in a quarter by Site Manager or senior therapist. Done in 2 out of 4 quarters per year. Qualitative Chart Audit... Therapy required Master's Degree preferred Work Experience Previous healthcare experience preferred Licenses...