Plan, organize, and lead external audit projects related to group benefit examinations and contractual compliance reviews.
Serve as primary liaison between external auditors and internal business units, ensuring timely completion and accurate documentation of audit deliverables.
Monitor open audit items, assign tasks, and provide leadership to ensure compliance with organizational processes and standards.
Capital Blue Cross is a health insurance company that provides coverage and wellness services to its members. The company is consistently voted one of the Best Places to Work in PA, and its culture emphasizes flexibility, support, and community involvement.
You will complete third-party risk assessments and track issues through resolution.
You will review and challenge first-line due diligence and ongoing monitoring.
You will maintain third-party risk reporting and support program uplift efforts.
Mercury is a fintech company that provides banking services through partner banks. They prioritize diversity and belonging and are an equal opportunity employer.
Coordinate and complete payer audits per program requirements and deadlines.
Review claims for accuracy, identify discrepancies, investigate root causes, and report findings.
Maintain up-to-date knowledge of billing regulations and support training and process improvements.
CarepathRx provides healthcare pharmacy services with a focus on home infusion and revenue cycle operations. The company emphasizes operational excellence, accuracy, and a remote work culture supporting employee success.
Audit closing packages daily and update statuses in Litify for next-day processing.
Rename and upload scans, trust checks, and client advance checks to Litify and OneDrive.
Verify deposits in QuickBooks, resolve variances, and support attorney lien negotiations.
The Ward Law Group is an award-winning personal injury law firm dedicated to helping injured clients and providing exceptional legal representation. Recognized as a Best Place to Work, the firm fosters a collaborative, high-accountability culture focused on client service and team growth.
Conduct comprehensive MS-DRG and APR-DRG coding audits to validate assignments and identify overpayments.
Apply advanced ICD-10-CM/PCS coding guidelines and AHA Coding Clinic references to produce defensible audit findings.
Prepare clear audit reports and collaborate with stakeholders to maintain high quality and regulatory compliance.
We're a healthcare auditing company specializing in DRG and inpatient coding reviews, ensuring accuracy and reimbursement compliance for leading healthcare clients. We foster a collaborative, inclusive, and supportive remote culture with mentorship programs and ongoing professional development.
Lead audit engagements from onboarding through fieldwork, risk assessment, and completion while mentoring junior staff.
Perform substantive testing, analytical procedures, and financial data analysis to assess accuracy and identify risk areas.
Research complex auditing and regulatory issues, and support U.S. compliance, tax, and bookkeeping tasks as needed.
Manay CPA is a global full-service accounting and advisory firm headquartered in Atlanta, GA, offering tax, audit, payroll, and HR solutions. With over 20 years of experience and a diverse team across 4 continents, we foster a collaborative, growth-oriented culture recognized as a Top 100 Small Business by the U.S. Chamber of Commerce.
Audit the 2027 Forbes Top Hospitals results, including process mapping, methodology-to-code traceability, testing evidence, and reproducibility validation.
Compare Python code to the methodology report to identify any discrepancies between the code and the methodology.
Review output in an Excel document against the methodology report, such as checking Star rating against the percentile.
Forbes is a global media brand that spotlights success, industry-shaping doers, and impactful journalism. The Forbes brand reaches more than 140 million people monthly through trusted journalism, ForbesLive events, and 49 licensed local editions in 81 countries.
Lead complex Workers' Compensation audits, including multi-state and test-state audits.
Investigate disputes, apply state-specific rules, and ensure regulatory compliance.
Collaborate with teammates and improve audit processes and accuracy.
ERGO NEXT is a technology-led, full-stack provider of small business insurance, transforming the customer experience for entrepreneurs. Since 2016, they've helped hundreds of thousands of small business customers and are backed by industry leaders, with a culture of teamwork and inclusion.
Lead the Quality Assurance Nurse Investigations Unit, guiding complex investigations into healthcare fraud and regulatory non-compliance.
Apply advanced clinical expertise to ensure accurate, compliant, and defensible investigative outcomes.
Coordinate with executive leadership, review investigation reports, and support strategic initiatives.
Our partner is a state agency that safeguards public healthcare programs by conducting clinical investigations, audits, and regulatory oversight. The organization cultivates a culture of integrity, accountability, and continuous improvement, offering a supportive team environment and comprehensive public-sector benefits.
Lead implementation and regional adaptation of operational risk management frameworks across business units.
Act as primary link between enterprise risk functions and regional stakeholders to promote proactive risk culture.
Oversee regional control programs, develop teams, and ensure risk insights inform enterprise governance.
Our partner is a financial services organization with a focus on insurance and enterprise risk management. They offer a remote, inclusive work environment with international exposure and opportunities for professional growth.