Healthcare Internal Audit Manager Jobs in Somerville

Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..

... review, provider record updates, and audit preparation as defined by the ... updates are complete. 15% Manage internal correspondence control numbers. Request medical ... medical records. Print and prepare..

... (CCM) organization is seeking a Manager, Fraud & Waste to join ... join the Provider Payment Integrity-Clinical Audit team working remote anywhere in ... As the Fraud & Waste..

... mitigate risk associated with external audit reviews. Responsible for driving accuracy ... and/or Auditing experience in the Healthcare Industry Experience in a production ... a production goal-oriented environment within..

Quality & Analytics Manager, Home & Community Based Services ... a data-driven Quality & Analytics Manager to join the HCBS Waiver ... of HCBS Waiver Administration, the Manager will have..

... report builder to complete customer audit requests, with minimal supervision4.5 out ... degree required in Public Health, Healthcare Administration, Information Systems, Business Analytics, ... with Imprivata solutions or relevant..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Boston Massachusetts Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

... entity contacts and CCO team lead/manager, of the verification status of ... Medical Staff Offices and other internal/external customers as it relates to ... same records. Responsible for notifying..

... With general oversight from Administrative Manager for Research and the Director ... to project termination. Responds to audit questions and queries and maintains ... to project termination. Responds to..

... the BIDMC. The Senior Project Manager will oversee research study protocols ... IPCAVD program. The Senior Project Manager will interact routinely with physicians, ... the sponsor(s). The Senior Project..

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..

... the Data & Safety Monitoring Manager. n nThe ODQ Internal Auditing Program is an integral ... multi-center research.n Prepare for scheduled audit by thoroughly reading and understanding ... for..

63780BRTitle:Financial Reporting Analyst IIDepartment:Finance-Financial ReportingAutoReqId:63780BRStatus:Full-TimeStandard Hours per Week:40 Job Category:FinanceJob Posting Description:The Finance Division positions itself to provide the best support to the U.S. News & World’s #1 Children’s Hospital in ..

... is looking for an experienced Healthcare Investigator to join its industry ... billing practices. Prepares investigative and audit reports. Begins to influence department's ... o Able to collaborate with..

... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, ... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2, ... include: Collaborate with the Quality..

Job Information Humana Manager, Fraud and Waste-Remote US in ... in Boston Massachusetts Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Boston Massachusetts Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Boston Massachusetts Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... practices. Prepares complex investigative and audit reports. Begins to influence department's ... o Able to collaborate with..