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City of New York
New York
Job Description *Candidates must be permanent in the Management Auditor title or reachable on the civil service list. JOB DESCRIPTION: The mission of the New York City Police Department is to enhance the quality of life in New York City by working in partnership with the community to enforce the law, preserve peace, protect the people, reduce fear,
Job Source: City of New YorkCapital One
New York
NYC 299 Park Avenue (22957), United States of America, New York, New York Principal Auditor Credit Risk Management (Hybrid) Capital One’s Audit function is a dedicated group of professionals focused on delivering top-quality assurance services to the organization’s Audit Committee. Audit professionals are experienced, well-trained and credentialed,
Job Source: Capital OneMagone & Company, P.C.
Cedar Knolls
Job Description Job Description Salary: Magone & Company, a CPA firm with offices in New Jersey's Morris & Essex Counties, is seeking a full-time External Auditor to join our growing practice. We're looking for talent as we add offices and work toward a custom hybrid, flexible work environment. Ours is a fast-paced, tech-savvy firm, and we will
Job Source: Magone & Company, P.C.Fidelity Information Services
New York, NY, United States
JOB DESCRIPTION Position Type : Full time Type Of Hire : Experienced (relevant combo of work and education) Education Desired : Bachelor of Accounting Travel Percentage : 15 - 25% Job Description FIS is a leader in technology and services that helps businesses and communities thrive by advancing commerce and the financial world. For over 50 years,
Job Source: Fidelity Information ServicesNRGUSA
New York
Job Description Job Description NRGUSA is hiring immediately for a Field Service Agent to work with a large healthcare organization in a hybrid role. The individual will monitor and evaluate representatives at their sites to ensure that they are complying with company internal requirements as well as Federal and State guidelines. 4 days remote
Job Source: NRGUSAExperis
New York, NY, United States
Our industry leading client is seeking several IT Auditors to join their team. Job Title: IT Auditor Location: Remote Pay Range: $70 - $90/HR Developing and evaluating audit processes and reporting on their results Applying established audit standards throughout the infrastructure Auditing and assessing all aspects of the company's network appl
Job Source: ExperisExperis
Jersey City, NJ, United States
Jefferson Wells has an immediate on site with travel project opportunity in Metro NY/NJ area for an experienced IT auditor. You must have 5 + years' experience in IT audit, ITGC, SOC reporting and SaaS application review. You must have experience with Peoplesoft ERP This project is scheduled to run thru year end 2024. W2 pay rate up to $70 hr. Abo
Job Source: ExperisDiverse Lynx
New York, NY, United States
Position ::- IT Auditor Location ::- NY / NJ- Hybrid Contract ::- 6 Months Interview ::- Video JD: •Knowledge of IT security and infrastructure. This is one of the most important qualifications required to work as an IT Auditor. •Risk assessment: Another major skill required in a successful IT Auditor is the ability to properly assess risks and
Job Source: Diverse LynxNewark, NJ, United States
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 benefits including a fresh perspective on workplace flexibility.
Must reside in NJ
Develop and maintain the audit process and tools related to: authorizations, appeals, quality events, and case management in CCMS; interrater reliability related to InterQual; and data entry into the credentialing subsystem
Develop and maintain the audit schedule
Audit staff as outlined in the system auditing policies
Train audit staff at the health plan in the use of audit process and tools
Facilitate compliance with the auditing process
Act as a consultant related to system auditing to others in the unit, department and health plan
Work with staff to identify and resolve authorization load error report system problems
Coordinate auditing outcomes with the Trainer to identify, develop and publish corrective actions/educational material related to audit errors
Coordinate auditing outcomes and system maintenance with the Sr.
Clinical Systems Specialist to resolve or enhance clinical systems
Ability to travel
Performs other duties as assigned
Complies with all policies and standards
Must reside in NJ
Education/Experience: Bachelor’s degree in related field or equivalent experience. 3+ years of related experience.
License/Certification: Current state nursing license.
For New Jersey Health Plan Only: State unrestricted license as Licensed Clinical Mental Health Counselor, Licensed Clinical Social Worker (LCSW), Registered Nurse (RN), Licensed Psychologist (Psy.D.), Licensed Marriage and Family Therapist (LMFT) may also be used.
Pay Range: $54,000.00 - $97,100.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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Medical Management Auditor jobs in Newark, NJ, United States
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