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Peraton
Peraton
H1B vizos rėmėjasKonsultavimasLogistikaSveikatos priežiūra
Peraton yra į misiją orientuota technologijų įmonė, teikianti paslaugas nacionalinio saugumo, kariuomenės ir vyriausybinėms institucijoms. Jos veikla apima pažangias IT ir kibernetinio saugumo paslaugas, įskaitant kibernetinę gynybą, debesijos operacijas, inžineriją, žvalgybą ir duomenimis grindžiamus technologinius sprendimus. Peraton telkia dideles specializuotas komandas, kad spręstų sudėtingus veiklos ir saugumo iššūkius, o įmonės pareigybės padeda diegti technologinius pajėgumus, reikalingus kritinėms misijoms.
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Darbai įmonėje

Senior Medicaid Auditor

Conduct cost report, claims, and risk-based audits for Peraton’s healthcare fraud and abuse programs. Analyze findings and support Medicaid audit projects.

USJungtinės ValstijosFLFlorida
66 000 $ – 106 000 $ / metai
NuotolinisVisas etatasVyresnysis specialistasVadovasPrivaloma Kalba: anglųAuditorius

Aprašymas

  • Apply audit expertise to resolve routine business issues within moderately complex assignments.
  • Analyze issues and provide informed input on project direction as a team member.
  • Use independent judgment within established procedures and interpret applicable policies.
  • Assess unusual circumstances and recommend appropriate action.
  • Audit cost reports and claims submissions.
  • Conduct focused audits as needed.
  • Assess inherent and residual risks and perform risk-based audits.
  • Review audited functions and identify findings and improvements using business knowledge, analysis, and experience.
  • Share regular progress reports and audit finding updates with team members.
  • Contribute to projects and audits.
  • Research and analyze data for moderately complex projects.
  • Keep current with developments in auditing.
  • Work through moderately complex problems.
  • Apply intermediate subject matter knowledge to solve common business issues.

Reikalavimai

  • Have at least five years of experience with a bachelor’s degree, or nine years with a high school diploma.
  • Have typically two or more years of related experience in finance, accounting, or auditing.
  • Bring intermediate knowledge of internal audit policies and operating principles.
  • Bring intermediate understanding of Medicaid or healthcare auditing and revenue cycles.
  • Have intermediate risk assessment and scoping skills.
  • Demonstrate strong research and analytical skills.
  • Be proficient with Microsoft Office, including intermediate to advanced Excel skills.
  • Be a U.S. citizen.
  • A degree in finance, accounting, or a related field is preferred.
  • Have intermediate financial and business acumen.
  • Have basic project management skills.

Privalumai

  • Work remotely from Florida.
  • May be eligible for overtime.
  • May be eligible for a shift differential.
  • May be eligible for a discretionary bonus.

Susiję darbai

BlueCross BlueShield of South Carolina

Auditor II, Medicare Cost Reporting

BlueCross BlueShield of South Carolina
KonsultavimasSveikatos priežiūraTeisė
USJungtinės ValstijosALAlabamaAKAliaskaAZArizonaCAKalifornijaCOKoloradasCTKonektikutasFLFloridaHIHavajaiIDAidahasILIlinojusIAAjovaKSKanzasasKYKentukisLALuizianaMEMeinasMDMerilandasMAMasačusetsasMIMičiganasMNMinesotaMSMisisipėMOMisūrisMTMontanaNENebraskaNVNevadaNHNaujasis HampšyrasNJNaujasis DžersisNMNaujoji MeksikaNYNiujorkasNCŠiaurės KarolinaNDŠiaurės DakotaOHOhajasOKOklahomaOROregonasPAPensilvanijaRIRod AilandasSCPietų KarolinaSDPietų DakotaTNTenesisTXTeksasasUTJutaVTVermontasVAVirdžinijaWAVašingtonasWIViskonsinasWYVajomingas
49 447 $ – 94 737 $ / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųAuditorius

Conducts financial, compliance, and operational audits for BlueCross Blue Shield of South Carolina, with a focus on Medicare cost reports. Evaluates controls and business risks, recommends corrective actions, and supports remote audits across the United States.

Atidaryti
Cotiviti

Senior Appeals Auditor – Cotiviti (Remote, US)

Cotiviti
5 001 – 10 000 Darbuotojai
H1B vizos rėmėjasKonsultavimasLogistikaSveikatos priežiūra
USJungtinės Valstijos
47 $ – 57 $ / valanda
NuotolinisVisas etatasVyresnysis specialistasPrivaloma Kalba: anglųAuditorius

Defend Cotiviti’s recovery decisions by reviewing Medicare claims, clinical records, coding, medical necessity, and provider appeals. Prepare evidence-based appeal responses and support cases progressing to Administrative Law Judge hearings.

Atidaryti