Kodiak Solutions transforms the healthcare industry through technology-driven solutions, specializing in healthcare finance, unclaimed property, risk management, and revenue cycle management. With an innovative platform, they offer cloud-based systems, automated workflows, and advanced data management tools.
Establish and maintain a risk-based internal audit program.
Lead audits across key functional areas.
Collaborate with executive management to evaluate risk management.
Affirm is reinventing credit to make it more honest and friendly, giving consumers the flexibility to buy now and pay later without any hidden fees or compounding interest. They are a remote-first company that values transparency and innovation.
Conducts audits of highly complex accounts substantiating accuracy of policy classifications.
Develops proper premium basis on risks adhering to strict time deadlines.
Conducts interviews with the insured to obtain information regarding the insured's operations and business model.
CNA strives to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. They are focused on success, individually and collectively and pride themselves on promoting a culture that challenges and engages people.
Audits FEP claims, customer service inquiries, member and group enrollment activities in accordance with Plan Incentive Program (PIP) guidelines.
Supports IA and SIU with assistance as needed.
Utilizes the internal SharePoint Audit tool to communicate findings and follow up assuring corrective action is taken and documented.
Capital Blue Cross is committed to going the extra mile for their team and community. It's why their employees consistently vote them one of the “Best Places to Work in PA.”
Work closely with leaders to analyze and understand both internal and external needs.
Establish and execute product ownership strategies related to data products.
Act as a Subject Matter Expert (SME) for analytics methodology design and implementation.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Design and/or enhance targeted and annual risk assessments.
Construct specific and effective auditing and monitoring workplans based on risks identified.
Analyze compliance outcomes and ensure detected issues are referred for remediation.
SmithRx is a rapidly growing, venture-backed Health-Tech company aiming to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector. With hundreds of thousands of members onboarded, they foster a mission-driven and collaborative culture, dedicated to transforming the U.S. healthcare system.
Perform business analysis to support Entegra’s largest client.
Assist in preparing for and supporting client audits by gathering documentation and ensuring compliance.
Recommend and implement process and procedural improvements to drive efficiency and operational excellence.
Sodexo's purpose is to create a better everyday for everyone and build a better life for all. They improve the quality of life for those they serve and contribute to the economic, social, and environmental progress in the communities where they operate.
Support internal and external audits by helping coordinate documentation, timelines, and follow up items
Collaborate with cross functional partners to gather information and support compliance reviews
Monitor daily, weekly, and monthly quality and oversight reports to ensure regulatory and internal deadlines are met
Spring Health is on a mission to revolutionize mental healthcare by removing every barrier. They partner with over 450 companies and brands you use and know like Microsoft, Target, and Delta Airlines, providing care for 10 million people.
Serve as project manager leading teams to successful project conclusions.
Consult, work with, and service clients to make recommendations on business and process improvement.
Collaborate with team members to plan, develop, and implement project activities to achieve project and client goals.
BerryDunn is a professional services firm that helps businesses, nonprofits, and government agencies throughout the US solve challenges with tax, advisory, and consulting services. The firm has been recognized for its diverse and inclusive workplace culture and its focus on learning, development, and well-being.
Ensure adherence to regulations and contractual obligations.
Develop and update compliance policies and SOPs.
Conduct internal compliance audits and report findings.
Equip is a virtual, evidence-based eating disorder treatment program. They aim to ensure that everyone with an eating disorder can access effective treatment, operating in all 50 states and partnered with most major health insurance plans. Since its founding in 2019, Equip has maintained a fully virtual environment.
Lead integrated risk and controls audits across claims operations, reserving, payments, and insurance data quality
Plan and execute internal audits of P&C insurance operations
Assess and challenge end-to-end control environments
They are a platform that uses AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. They shortlist the top-fitting candidates and share directly with the hiring company.
Monitor federal and state laws impacting government programs.
Provide cross-functional guidance for compliance with legal requirements.
Coordinate and support compliance audits, ensuring timely responses.
CareCentrix is focused on healthcare at home, aiming to simplify care delivery and management. They offer services like home health, durable medical equipment, and home infusion, managing care for over 19 million members across the U.S. and Puerto Rico.
Provide support to the project team for all planning functions ensuring that issues within the programme are highlighted and understood.
Review current reporting practices and outputs, suggest and implement improvements.
Give appropriate planning advice and direction to project team members & all relevant Stakeholders and produce programme assurance reports on our Client commissions.
Turner & Townsend is a global professional services company with over 22,000 people in more than 60 countries. Working with their clients across real estate, infrastructure, energy and natural resources, they transform together delivering outcomes that improve people’s lives.