Top 15349 Program auditor i Jobs

Auditor/Investigator I
Qlarant —North Dakota
- $47,911 - $71,508 a year
- Full-time
- Remote
- Analysis skills
- Bachelor's degree
- Entry level
Quick Apply
Auditor, Compliance (Remote in FL)
Molina Healthcare —Florida
- $54,922 - $107,099 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- 2 years
- Health insurance
Compliance Specialist $20-$26/hr with Overtime Potential (LIHTC/Affordable Housing Exp Req; Remote)
Zeffert & Associates, Inc. —Remote
- $20 - $26 an hour
- Overtime
- Travel
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Experienced Auditor
McSoley McCoy & Co. —South Burlington, VT
- $70,000 - $100,000 a year
- Full-time
- Hybrid work
- CPA
- Mid-level
- Office
- Wellness program
- Paid holidays
Quick Apply
Retail Banking Manager
Dairy State Bank —Rice Lake, WI
- Full-time
- Background check
- Management
- Customer service
- Health savings account
- Health insurance
Quick Apply
Coding and Compliance Auditor
South Shore Health —Weymouth, MA
- $73,000 - $104,400 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Acute care experience
Senior Manager, Income Tax Reporting & Provision
Anheuser-Busch —St. Louis, MO
- $106,400 - $159,600 a year
- Full-time
- CPA
- Analysis skills
- GAAP
- Disability insurance
- Health insurance
Medical Coding Auditor
IN Compass Health —Alpharetta, GA
- Full-time
- 5 years
- Acute care experience
- In-person
- Health insurance
- Dental insurance
Quick Apply
Policy Management ERM Specialist
CONTINENTAL SERVICE GROUP LLC —Fairport, NY
- $62,353.20 - $71,706.18 a year
- 8 hour shift
- Microsoft Word
- Microsoft Excel
- Mid-level
Quick Apply
Assistant Director of Finance and Accounting
Community Resource Services —Greenwood Village, CO
- $115,000 - $135,000 a year
- Full-time
- Microsoft Excel
- Management
- CPA
- Health insurance
- Dental insurance
Quick Apply
Quality Manager
DRC Heat Transfer —Melrose Park, IL
- Full-time
- Background check
- Management
- Bachelor's degree
- Health savings account
- Health insurance
Quick Apply
Quality Engineer - II
AGC/ GarKenyon —Meriden, CT
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Writing skills
Quick Apply
Accountant
La Paz County Financial and Administrative Office —Parker, AZ
- $49,046.40 - $72,592.00 a year
- Overnight shift
- Hybrid work
- Background check
- CPA
- Finance
- Health savings account
- Health insurance
Quick Apply
Director of Compliance
Precision Armament —Wellsville, NY
- $65,000 - $90,000 a year
- Full-time
- Management
- 5 years
- Engineering
- Profit sharing
- Health savings account
Quick Apply
4d
Production Manager - 3rd Shift
Norwich Pharmaceuticals Inc —Norwich, NY
- $85,000 - $95,000 a year
- Full-time
- Bachelor of Science
- Employment & labor law
- 3 years
- Wellness program
- Health savings account
Quick Apply
Accountant/HR Manager (at a Christian Residential Program in Vidalia, GA)
Paul Anderson Youth Home —Vidalia, GA
- $40,000 - $45,000 a year
- Full-time
- Research
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
Accountant/HR Manager (at a Christian Residential Program in Vidalia, GA)
Paul Anderson Youth Home —Swainsboro, GA
- $40,000 - $45,000 a year
- Full-time
- Research
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
Accountant/HR Manager (at a Christian Residential Program in Vidalia, GA)
Paul Anderson Youth Home —Claxton, GA
- $40,000 - $45,000 a year
- Full-time
- Research
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
Accountant/HR Manager (at a Christian Residential Program in Vidalia, GA)
Paul Anderson Youth Home —Baxley, GA
- $40,000 - $45,000 a year
- Full-time
- Research
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
Quality Assurance Technician
Tandem Products —Blooming Prairie, MN
- Up to $22 an hour
- Full-time
- Microsoft Excel
- Mid-level
- Office
- Health savings account
- Health insurance
Quick Apply
13d

I want to receive the latest job alert for program auditor i

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

program auditor i jobs near

Auditor/Investigator I

Qlarant -
North Dakota

Quick Apply

Job Details

Full-time
$47,911 - $71,508 a year

Qualifications

Stakeholder management

Full Job Description

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for underserved communities.

Best People, Best Solutions, Best Results

Job Summary:

Serves as an entry level professional who develops baseline plans for ensuring the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Identifies opportunities to target fraud, waste, and abuse or discrepancies in claims submissions. Adheres to industry regulations and company policies for managerial follow-up. Analyzes data in order to effectively assess the validity of claims. Provides accurate recommendations to management for claim resolution and closure. Documents and inputs all findings, while preparing comprehensive reports that may be used for legal or audit/investigative purposes.

Essential Functions:

Conducts routine and impartial audits/investigations into customer claims, ensuring accurate and fair assessments of claims validity.
Provides customer service by addressing inquiries and concerns, and escalates audit/investigation, as needed.
Compiles detailed and organized records of audit/investigation findings, ensuring accuracy and compliance with legal and regulatory requirements.
Applies functional knowledge to create and implement strategies to identify and prevent fraudulent activities, safeguarding the integrity of the claims process.
Conducts interviews with relevant witnesses, claimants, and other stakeholders to gather additional information and perspectives on claims.
Communicates with appropriate internal teams to ensure the proper processing of audits/investigations, while adhering to legal and regulatory standards.
Ensures that all audit and investigative documents and records are processed into the database in a timely and accurate manner.
Communicates audit/investigation findings clearly and professionally to customers, claimants, and other stakeholders, managing expectations and providing updates.
Supports management in regular audit and investigation proceedings, ensuring full compliance with all applicable regional and federal standards, regulations, and protocols.

Level of Supervision Received:
Under general supervision, proceeds alone on regular duties, referring questionable cases to manager.

Education (can be substituted for experience):
Minimum Bachelor's Degree required

Work Experience (can be substituted for education):
0 - 2 years of experience required; 2 - 4 years preferred

Certification(s):
Certified Fraud Examiner or Accredited Heathcare Anti-Fraud Investigator preferred

Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.

Qlarant is a drug-free workplace. All offers of employment are contingent upon successful completion of pre-employment background and drug screens.

Quick Apply

Refine Your Search

program auditor i jobs

Auditor/Investigator I

Auditor, Compliance (Remote in FL)

Compliance Specialist $20-$26/hr with Overtime Potential (LIHTC/Affordable Housing Exp Req; Remote)

Experienced Auditor

Retail Banking Manager

Coding and Compliance Auditor

Senior Manager, Income Tax Reporting & Provision

Medical Coding Auditor

Policy Management ERM Specialist

Assistant Director of Finance and Accounting

Quality Manager

Quality Engineer - II

Accountant

Director of Compliance

Production Manager - 3rd Shift

Accountant/HR Manager (at a Christian Residential Program in Vidalia, GA)

Accountant/HR Manager (at a Christian Residential Program in Vidalia, GA)

Accountant/HR Manager (at a Christian Residential Program in Vidalia, GA)

Accountant/HR Manager (at a Christian Residential Program in Vidalia, GA)

Quality Assurance Technician

I want to receive the latest job alert for program auditor i

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected