Lead prospective claim review audits related to clinical DRG coding compliance and readmissions programs.
Act as Subject Matter Expert to counsel other team members across Clover on clinical coding guidelines.
Collaborate with teams across Clover to ensure provider understanding of Payment Integrity recommendations.
Clover Health is reinventing health insurance by combining the power of data with human empathy to keep their members healthier. They've created custom software and analytics to empower their clinical staff to intervene and provide personalized care to the people who need it most; they are passionate and mission-driven individuals.
Ensure payroll practices comply with labor standards and regulations.
Perform audits to ensure payroll accuracy.
Provide guidance on payroll compliance issues.
Lucile Packard Children’s Hospital Stanford is known for blending advanced technologies and breakthroughs with family-centered care. They provide caregivers with continuing education and state-of-the-art facilities.
Lead and support preparation and review of Basel III regulatory capital calculations and reporting.
Interpret evolving regulatory requirements and assess impact to capital reporting processes and disclosures.
Partner with Risk, Treasury, and Finance teams to validate RWA calculations and capital adequacy metrics.
Santander is a global leader and innovator in the financial services industry and is evolving from a high-impact brand into a technology-driven organization. Our people are at the heart of this journey and together, we are driving a customer-centric transformation that values bold thinking, innovation, and the courage to challenge what’s possible.
Perform client due diligence and KYC screening on existing customers for the various business units
Review and process watch list filtering and negative news alerts that are generated as part of customer updates and audits
Identify potential KYC concerns and escalate to more senior team members or the Manager during the review process
Zerohash is the leading crypto and stablecoin infrastructure platform and the operating system for digital money, powering the next generation of financial services. Founded in 2017, zerohash enables banks, brokerages, fintechs, and payment companies to offer crypto trading, stablecoin payments, and tokenized assets without having to build or manage complex blockchain infrastructure on their own.
Complete audits on time and submit reports to auditing senior
Present audit findings and find ways to increase compliance and efficiency
CKH Group is a boutique accounting & financial services firm that provides local expertise aided by global experience. They have a presence in Atlanta, South Africa, Ukraine, Poland, Azerbaijan, Germany, Spain and Greece and ideals include support for each other and constantly growing.
Assist in performing audits of client financial statements.
Complete audit workpapers by documenting audit tests and findings.
Stay up to date with industry trends and regulations.
GR8 Global is a firm forged by an affinity of top 100 accounting firms in the United States with the objective of coming together and redefining the workplace while providing additional value to their partners. We prioritize creating a positive and inclusive workplace culture where all talents are valued and developed.
Aggregate, transform, and analyze data from multiple systems.
Correlate fraud-related signals across platforms to identify patterns and risks.
Generate insights to improve fraud monitoring and detection capabilities.
Fidelity National Financial (FNF) provides title insurance and transaction services to the real estate and mortgage industries. They strive for a culture demonstrating improvements in data quality, intake accuracy, fraud detection insights, and operational effectiveness across the fraud lifecycle.
Manage fraud intake process end-to-end by capturing and logging all fraud events.
Serve as central intake coordination point for fraud incidents, routing cases to teams.
Analyze contributing factors/root causes in Post-Incident Reviews, tracking follow-up actions.
Fidelity National Financial (FNF) provides title insurance and transaction services to the real estate and mortgage industries. They are committed to creating a positive and inclusive work environment where employees feel valued and have opportunities for growth.