Pharmacy Claims Auditor - Philadelphia

Starr Insurance Companies is a leading insurance and investment organization, providing commercial property and casualty insurance, including travel and accident coverage, to almost every imaginable business and industry in virtually every part of the world. · Cornelius Vander St ...

· Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together, we will achieve our mission to enhance the health and well-being of the people and communities we serve. · The Auditor, Pa ...

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to persona ...

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to persona ...

Description · Pharmacy Claims Auditor CPhT · Do you have a CPhT certification? · Would you like to audit pharmacy claims for accuracy? · About the Role · Conduent Payment Integrity Solutions performs in depth pharmacy audits on behalf of our healthcare payer clients. As a Pharmac ...

NTT DATA Services currently seeks a Stop Loss Claims Auditor to join our team. Must live within commute to Lansdale, PA. · Position OverviewThe Stop Loss Claims Auditor plays a critical role in auditing, evaluating, and validating stop loss claim submissions to ensure they comply ...

NTT DATA Services currently seeks a Stop Loss Claims Auditor · to join our team.  Must live within commute to Lansdale, PA. · Position Overview · The Stop Loss Claims Auditor plays a critical role in auditing, evaluating, and validating stop loss claim submissions to ensure they ...

NTT DATA Services currently seeks a Stop Loss Claims Auditorto join our team. Must live within commute to Lansdale, PA. Position Overview · The Stop Loss Claims Auditor plays a critical role in auditing, evaluating, and validating stop loss claim submissions to ensure they comply ...

We are a values-based organization where respect, integrity, excellence, collaboration and passion define who we are and how we do business. We value diversity of backgrounds experience and perspectives and strive to foster an inclusive environment that enables all our team membe ...

We are looking for a meticulous and analytical Payment Integrity Auditor to ensure accurate claims payment, uphold compliance with regulatory standards, and drive financial integrity through detailed chart reviews and collaborative audit processes. · ...

The Brandywine Claim Director is responsible for all aspects of claim handling on a book of complex asbestos, long term exposure and environmental claims from first notice through resolution with guidance from, · a Brandywine Vice President.JOB RESPONSIBILITIESAnalyze contracts,p ...

The Brandywine Assistant Vice President- Claim Audit Manager is responsible for the management of the claim audit staff. · Regular review of the work of the audit team and the Medicare reporting process. · ...

+Job summary · The Payment Integrity Auditor is responsible for conducting complex and high-risk audit assignments to ensure claim payment accuracy and compliance. · +ResponsibilitiesAddress problematic and complex audit assignments to identify claim overpayments. · Evaluate and ...

The Brandywine Assistant Vice President- Claim Audit Manager is responsible for managing the claim audit staff. This role involves analyzing claims data, leading audit processes, and implementing improvements to enhance operational efficiencies. · ...

The Department of the Auditor General (DAG) seeks a motivated self-starting individual to join their team of fiscal watchdogs in the role of Liquor Store Examiner 1. · This position involves examining the Pennsylvania Liquor Control Board (PLCB) operation of approximately 600 Win ...

We are looking for a meticulous and analytical Payment Integrity Auditor to ensure accurate claims payment, · uphold compliance with regulatory standards, · and drive financial integrity through detailed chart reviews and collaborative audit processes.Perform medical chart review ...

Description · The Brandywine Senior Direct Claim Handler is responsible for all aspects of claim handling on a book of complex asbestos, long term exposure and environmental claims from first notice through resolution with guidance from, and reporting to, a Brandywine Vice Presid ...

Description · The Brandywine Claim Director is responsible for all aspects of claim handling on a book of complex asbestos, long term exposure and environmental claims from first notice through resolution with guidance from, and reporting to, a Brandywine Vice President.   · JOB ...

Description · The Brandywine Claim Director is responsible for all aspects of claim handling on a book of complex asbestos, long term exposure and environmental claims from first notice through resolution with guidance from, and reporting to, a Brandywine Vice President.   · JOB ...

The Payment Integrity Auditor is responsible for conducting complex and high-risk audit assignments to ensure claim payment accuracy and compliance with established billing and coding parameters. · Address problematic and complex audit assignments to identify claim overpayments i ...