-
Senior Compliance Auditor
1 week ago
Centene Corporation Columbus, United StatesYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, youll have access to competitive benefits including a fresh perspective on workplace flexi ...
-
Senior Auditor, HR Employment Compliance
4 hours ago
L Brands Columbus, United StatesThe Senior Auditor, HR Employment Compliance manages I-9, E-Verify, employment form and minimum wage compliance. This position works with hiring managers, HRBPs, HR Direct, and government agencies to ensure federal, state and provincial requirements Auditor, Compliance, HR, Audit ...
-
Medical Billing Compliance Auditor
2 days ago
Sarnova Dublin, United States· Position Title: Medical Billing Compliance Auditor - Digitech - Remote · Req ID: 4562 · Location: Remote, United States · Remote: Remote · Job Description · OverviewDigitech is seeking a Medical Billing Compliance Auditor to work as part of our Internal Auditing Team. This po ...
-
Medical Billing Compliance Auditor
1 week ago
Sarnova Dublin, United States· Position Title: Medical Billing Compliance Auditor - Digitech - Remote · Req ID: 4562 · Location: Remote, United States · Remote: Remote · Job Description · OverviewDigitech is seeking a Medical Billing Compliance Auditor to work as part of our Internal Auditing Team. This po ...
-
Financial Analyst Ii
1 week ago
Thermo Fisher Scientific Franklin, United StatesCompany Information · **About Thermo Fisher Scientific** · At Thermo Fisher Scientific, our Finance teams are important to our business and functional teams to make educated, sound decisions that drive our Mission and make us a stable and trusted industry leader. From Financial P ...
-
Post-harvest Associate
1 week ago
Ascend Wellness Holdings Franklin, United States**JOB SUMMARY** · The Post-Harvest Associate will be responsible for preparing and processing harvests for flower sales and oil extraction. The Post-Harvest Associate will also be responsible for equipment sanitization and sterilization as well as maintaining facilities cleanline ...
-
Project Management Officer
2 weeks ago
Terra Nova Group Marble Cliff, OH, United States Freelance'Safety starts with me at DEKRA - that's why you can rely on us as an employer to ensure safety in your life. At DEKRA, you have the opportunity to work independently and take on responsibility early on. We offer diverse career opportunities and invest in your development. · For ...
-
Quality Auditor
1 week ago
SQA Services Columbus, United StatesSQA Services is a leading Quality Assurance and Supply Chain consultancy firm. SQA manages Supplier Audit and Supplier Development programs for customers in many industries including Pharmaceutical, Medical Device, Automotive, Aerospace, and Electronics manufacturing. Clients lev ...
-
Revenue Integrity Auditor
4 days ago
The Ohio State University Wexner Medical Center Columbus, United StatesScope of Position · Th Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements. The Revenue Integrity Au ...
-
Revenue Integrity Auditor
3 days ago
The Ohio State University Wexner Medical Center Columbus, United StatesScope of Position · Th Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements. The Revenue Integrity Aud ...
-
revenue integrity auditor
5 days ago
The Ohio State University Wexner Medical Center Columbus, United StatesScope of Position · Th Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements. The Revenue Integrity Au ...
-
Revenue Integrity Auditor
1 week ago
The Ohio State University Wexner Medical Center Columbus, United StatesScope of Position · Th Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements. The Revenue Integrity Au ...
-
Revenue Integrity Auditor
4 days ago
The Ohio State University Wexner Medical Center Columbus, United StatesScope of Position · Th Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements. The Revenue Integrity Au ...
-
Revenue Integrity Auditor
1 week ago
Ohio State University Wexner Medical Center Columbus, United StatesScope of Position · Th Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements. The Revenue Integrity A ...
-
Senior Analyst
5 days ago
Veeva Systems Columbus, United StatesVeeva Systems is a mission-driven organization and pioneer in industry cloud, helping life sciences companies bring therapies to patients faster. As one of the fastest-growing SaaS companies in history, we surpassed $2B in revenue in our last fiscal year with extensive growth pot ...
-
Internal Auditor
1 week ago
Creative Financial Staffing Columbus, United StatesInternal Auditor · Columbus, OH · The Internal Auditor will play a key role in evaluating and improving the effectiveness of internal controls, risk management practices, and governance processes within an organization. This role involves conducting audits, analyzing financial ...
-
Research Biologics Quality Assurance Auditor
1 week ago
Nationwide Children's Hospital Columbus, United StatesOverview · The Quality Assurance (QA) Auditor provides compliance and quality improvement support to the manufacture of phase 1/2a Investigational New Drug, Biologics manufacture and facility operations. This role will work in conjunction with the Quality Assurance Manager to pla ...
-
Auditor II
1 week ago
Centene Corporation Columbus, United StatesYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flex ...
-
Accounting Manager
23 hours ago
Creative Financial Staffing (CFS) Columbus, United StatesJob Description · Job DescriptionAccounting Manager · Location: Columbus · Position Type: Full-time · Position Overview: · Our client is looking for an Accounting Manager to oversee the financial operations within their organization. The successful candidate will be responsible f ...
-
Accounting Manager
1 week ago
Plaskolite Inc Grandview Heights, United States· Position Title: Accounting Manager · Location: Columbus, OH 43215, USA · Job Category: SALARY · Schedule: Full-Time · Req ID: ACCOU001045 · Posted Date: May 2, 2024 · Description: Job Details · DescriptionResponsibilities · Oversee and manage the general accounting func ...
Senior Compliance Auditor - Columbus, United States - Oklahoma Complete Health
Description
Senior Compliance Auditor page is loadedSenior Compliance Auditor
Apply
locations
Columbus (OH Easton Way, Ste BHP)
Remote-OH
time type
Full time
posted on
Posted 4 Days Ago
job requisition id
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
This is a hybrid position.
The team meets in the Columbus, OH office on Wednesdays, but is able to work from home on Monday, Tuesday, Thursday, and Friday.
Position Purpose:
Responsible for the development and implementation of the health plan's compliance audit work plan. Completes Prospective and retrospective audits on a monthly, quarterly and annual basis.
Identify regulatory oversight deficiencies, process gaps and communicate audit observations, analyzes findings to provide recommendations on process improvements to the Chief Compliance Officer.
Utilize compliance knowledge to analyze audit findings and in answering disputed findings.Develop and implement compliance improvement and corrective action plans based on risk analysis, audit findings, and health plan performance.
Develop audit processes based on contract requirements defined by Centers for Medicare and Medicaid Services (CMS), State, Federal, Medicaid and/or NCQA guidelines.
Maintain documentation on health plan performance and provide reports to departments as required for audits and risk assessments.Train internal audit
participants/business
owners on audit processes.
Education/Experience:
Bachelor's degree in Health Care, Law, Accounting, Psychology or related field. Master's degree preferred. 3+ years of healthcare compliance and auditing/monitoring experience.
License/Certification:
Compliance or auditing certifications preferred
Pay Range:
$67, $121,300.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
WelcomeAbout Us
Centene is committed to helping people live healthier lives.
We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.
#J-18808-Ljbffr