- Bachelor's Degree required.
- Three or more years of experience in auditing required.
- Experience in compliance, healthcare, and Medicare and Medicaid managed care is helpful and preferred.
- Additionally, experience in facilitating regulatory audits, such as CMS, DOH and DFS audits is helpful and preferred.
- Ability to independently conduct audits;
- Ability to develop and implement audit plans, protocols, corrective action plans, root cause analyses, and impact reports;
- Ability to interact with all levels of management, as well as federal and state regulatory agencies;
- Excellent verbal and written communication skills essential;
- Proficiency in Excel and experience in data analysis, charting, and dashboards.
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Compliance Auditor
5 days ago
MJHS New York, United StatesReq #: · 1851 · Job ID: · 13399 · Job Location: · New York, NY · Zip Code: · 10040 · Category: · Compliance · Agency: · Elderplan · Status: · Regular Full-Time · Office: · Office-based · Salary: · $77, $92,519.21 per year · The challenges of affordable healthcare continu ...
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Clinical Compliance Auditor
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Village Care New York, United StatesJob Description · Job DescriptionAre you a Registered Nurse with a passion for ensuring compliance? Join our team at VillageCare as a Full-Time Clinical Compliance Auditor and take the next step in your career from the comfort of your own home. This fully remote position offers a ...
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Clinical Compliance Auditor
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TAL Healthcare New York, United StatesJob Description · Job DescriptionSenior Compliance Coding Auditor · Our client, a top NYC academic medical center, is currently seeking to hire a Senior Compliance Coding Auditor. · Responsibilities: · • Participate in external government audits, including the OMIG, OIG, AG, OSC ...
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Coding Compliance Auditor
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LMHS Newark, United StatesLMPC COMPLIANCE AUDITOR · Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community.With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellen ...
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Field Compliance Auditor
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Tower Water New York, United StatesJob Description · Job DescriptionPosition Description: · Come and join an amazing team that is passionate about what we do Tower Water is a leading company in the environmental services industry, we are looking for someone that shares our values and passion for the work we do to ...
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Compliance Auditor, Special Education
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Success Academy Charter Schools New York, United StatesThanks for your interest in Success Academy Running the largest, fastest-growing, and highest-performing network of public charter schools in New York City takes a village - families, children, teachers, staff and faculty, advocates and supporters alike. We would love to welcome ...
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Healthcare Compliance Auditor
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LMHS Newark, United StatesLMPC COMPLIANCE AUDITOR · Position Description · Under the general direction of the VP of Financial Services, this position provides overall compliance auditing and monitoring functions of the Professional Corporation. This position additionally serves as a liaison for regulato ...
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Coding Compliance Auditor
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LMHS Newark, United StatesLMPC COMPLIANCE AUDITOR · Position Description · Under the general direction of the VP of Financial Services, this position provides overall compliance auditing and monitoring functions of the Professional Corporation. This position additionally serves as a liaison for regulator ...
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Compliance Internal Auditor
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Insight Global New York, United StatesOne of our largest banking clients is looking for a Compliance Internal Auditor to join their Compliance Internal Audit team based in NYC (5 days a week onsite). Internal Audit (IA) is organized into global teams comprising business and technology auditors to cover all the firm's ...
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Compliance Internal Auditor
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Insight Global New York, United StatesJob Description · One of our largest banking clients is looking for a Compliance Internal Auditor to join their Compliance Internal Audit team based in NYC (5 days a week onsite). Internal Audit (IA) is organized into global teams comprising business and technology auditors to c ...
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Societe Generale New York, United StatesThe Senior Auditor's primary responsibility is to lead audit assignments. They are expected to have a high degree of technical proficiency, autonomy, and the ability to oversee and monitor the work of their team. They can run larger and complex audits with minimal supervision or ...
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Healthcare Compliance Auditor
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MJHS New York, United StatesOur Corporate team may not provide direct care, but we still touch people's lives in a very real and substantial way. The services we provide contribute greatly to the overall patient and member experience, supporting our reputation for excellence. · Under the direction of the MJ ...
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Tower Water New York, United States**Position Description**: · This is a full-time, entry-level position. Training is provided · **POSITION WILL ENTAIL THE FOLLOWING**: · **Primary Duties** · - Review, audit, and monitor facility water management plans. · - Communicate and coordinate with our water treatment and c ...
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Capital One Financial Corp New York, United StatesNYC 299 Park Avenue , United States of America, New York, New York · Senior Staff Auditor, Financial Crimes Compliance (Hybrid) · Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality assurance services to the organization's Audit ...
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Compliance Auditor - New York, United States - Metropolitan Jewish Health System
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Description
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
Under the direction of the Compliance Officer and Compliance Department management, the Compliance Auditor is responsible for working independently on assigned projects to ensure health plan compliance with Medicare (Part C and D), NYS Medicaid and MLTC regulations. Initiates and perform audits and monitoring activities of various health plan operations, such as appeals and grievances, claims, medical management, customer service, provider relations and contracting, sales and enrollment, and other functions to ensure proper compliance with governmental regulations and health plan policies.