Work ScheduleStandard (Mon-Fri) Environmental ConditionsOffice Job Description Join the PPD clinical research business of Thermo Fisher Scientific, a globally recognized leader in drug development and laboratory services. We partner with leading pharmaceutical, biotech, medical device, academic, and
Work ScheduleStandard (Mon-Fri) Environmental ConditionsOffice Job Description Join the PPD clinical research business of Thermo Fisher Scientific, a globally recognized leader in drug development and laboratory services. We partner with leading pharmaceutical, biotech, medical device, academic, and
ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN Clinical Auditors to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who
The Clinical Quality Assurance team is looking for an auditor based in the Knoxville, TN region.Our RN auditors perform reviews for network providers to ensure our members are receiving quality care in offices that adhere to our internal quality
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the
Are you a nurse with a strong understanding of inpatient care and a passion for getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded accurately and fairly. This is
Overview This auditing role will be responsible for performing retrospective clinical chart reviews on Readmission and Place of Service Claims by utilizing nationally accepted guidelines, clinical review judgment and review methodologies specific to the contract for which services
Anticipated End Date:2026-08-28 Position Title:Clinical Provider Auditor I - Maryland Behavioral Health Job Description: Clinical Provider Auditor I Supports Payment Integrity & Behavioral Health Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization
Anticipated End Date:2026-09-18 Position Title:Patient Safety DRG Clinical Validation Auditor Job Description: Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life
COMPANY OVERVIEW PACS Group, Inc. is a holding company investing in post-acute healthcare facilities, professionals, and ancillary services. Founded in 2013, PACS Group is one of the largest post-acute platforms in the United States. Its independent
Clinical Trainer And Auditor The Clinical Trainer and Auditor is responsible for planning, developing, delivering, coordinating, and evaluating a variety of clinical education programs for health plan clinical operations staff. Training programs include but arent limited to that required for NCQA accreditation,
Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
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
EXL USA Healthcare is seeking an IRF Auditor III to join our team. This role offers a fully remote work experience with possible 10% travel per year for team meetings and limited client onsite engagements. The rest
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
WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites
About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide
Hi, were Oscar. Were hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our
At UASI, were driven by a mission to improve the quality and accuracy of clinical documentation through expert CDI consulting. As we continue to grow our service offerings, we’re looking for experienced and motivated HCC Risk Adjustment