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Peraton
Peraton
Sponzor vizuma H1BLogistikaSvetovanjeZdravstveno varstvo
Peraton je tehnološko podjetje, osredotočeno na izvajanje pomembnih misij, ki zagotavlja storitve strankam na področju nacionalne varnosti, vojske in državne uprave. Njegovo delo obsega napredne IT- in kibernetske storitve, vključno s kibernetsko obrambo, delovanjem v oblaku, inženiringom, obveščevalnimi dejavnostmi in tehnološkimi rešitvami, ki temeljijo na podatkih. Peraton združuje velike specializirane ekipe za reševanje kompleksnih operativnih in varnostnih izzivov, pri čemer delovna mesta podpirajo zagotavljanje tehnoloških zmogljivosti za kritične misije.
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Delovna mesta v podjetju

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.

USZdružene države AmerikeFLFlorida
66.000 $ – 106.000 $ / leto
Na daljavoPolni delovni časSeniorVodjaZahtevani Jezik: angleščinaRevizor

Opis

  • 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.

Zahteve

  • 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.

Ugodnosti

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

Sorodna delovna mesta

BlueCross BlueShield of South Carolina

Auditor II, Medicare Cost Reporting

BlueCross BlueShield of South Carolina
PravoSvetovanjeZdravstveno varstvo
USZdružene države AmerikeALAlabamaAKAljaskaAZArizonaCAKalifornijaCOKoloradoCTConnecticutFLFloridaHIHavajiIDIdahoILIllinoisIAIowaKSKansasKYKentuckyLALouisianaMEMaineMDMarylandMAMassachusettsMIMichiganMNMinnesotaMSMisisipiMOMisuriMTMontanaNENebraskaNVNevadaNHNew HampshireNJNew JerseyNMNova MehikaNYNew YorkNCSeverna KarolinaNDSeverna DakotaOHOhioOKOklahomaOROregonPAPensilvanijaRIRhode IslandSCJužna KarolinaSDJužna DakotaTNTennesseeTXTeksasUTUtahVTVermontVAVirginijaWAWashingtonWIWisconsinWYWyoming
49.447 $ – 94.737 $ / leto
Na daljavoPolni delovni časSrednja ravenSeniorZahtevani Jezik: angleščinaRevizor

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.

Odpri
Cotiviti

Senior Appeals Auditor – Cotiviti (Remote, US)

Cotiviti
5001 – 10.000 Zaposleni
Sponzor vizuma H1BLogistikaSvetovanjeZdravstveno varstvo
USZdružene države Amerike
47 $ – 57 $ / ura
Na daljavoPolni delovni časSeniorZahtevani Jezik: angleščinaRevizor

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.

Odpri