Top 138 Senior auditor Jobs in Remote&

Senior Credentialing Representative - Quality Auditor
Optum —Minnetonka, MN
- $91,700 - $163,700 a year
- Full-time
- Remote
- Microsoft Outlook
- Pass drug screening
- Research
- Health insurance
1d
Senior Auditor Quality - OPSP
Cotiviti —Remote
- $47 - $56 an hour
- Full-time
- Remote
- Nursing
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Disability insurance
INTERNAL AUDITOR SR
Moffitt Cancer Center —Tampa, FL
- $91,356.20 - $139,432.80 a year
- Full-time
- Remote
- CPA
- Mid-level
- 3 years
Senior Auditor, Food Safety
SGS —Remote
- $87,000 - $100,000 a year
- Full-time
- Basic math
- English
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Senior Affordable Housing Compliance Auditor
Pronto Housing —Remote
- $60,000 - $70,000 a year
- Full-time
- Microsoft Excel
- CPA
- 5 years
Quick Apply
Senior Claims Auditor - DRG
Cohere Health —Remote
- $74,000 - $90,000 a year
- Remote
- Nursing
- 6 years
- HIPAA
- Paid parental leave
- Health savings account
Quick Apply
Senior Internal Auditor
Harris Health —Houston, TX
- $92,800 - $116,000 a year
- Full-time
- Remote
- CPA
- 5 years
- Finance
- Health insurance
- Dental insurance
Senior Auditor Appeals - OPSP
Cotiviti —Remote
- $48.56 an hour
- Full-time
- Remote
- Nursing
- 3 years
- Home Health
- Paid holidays
- Disability insurance
SENIOR INTERNAL AUDITOR (REMOTE)
Canteen —Charlotte, NC
- $75,000 - $95,000 a year
- Full-time
- Remote
- Background check
- Microsoft Excel
- CPA
- Commuter assistance
- Paid parental leave
Quick Apply
Claims Auditor, Managed Care (remote)
Cedars-Sinai —Los Angeles, CA
- $27.74 - $43.00 an hour
- 8 hour shift
- Remote
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Dental insurance
Senior SOC 2 Type 2 Auditor
Wilson Consulting Group —Remote
- Senior level
Claims Auditor- Remote
American Health Plans —Franklin, TN
- Remote
- Mid-level
- 2 years
- Paid holidays
- Disability insurance
Quick Apply
Internal Audit, Senior
LivaNova —Remote
- $75,000 - $100,000 a year
- Full-time
- CPA
- Bachelor of Science
- English
Senior HEDIS Quality & Audit Analyst
Centene —Remote
- $70,100 - $126,200 a year
- Full-time
- Remote
- Background check
- Master's degree
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
Senior Accountant, Accident & Health
Skyward Specialty Insurance —Remote
- $75,000 - $95,000 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Math
- Employee stock purchase plan
- Paid holidays
Senior Construction Auditor
Consertus —Remote
- Full-time
- Remote
- 7 years
- CPA
- Customer service
- Paid holidays
- Disability insurance
Sr Medicaid Financial Auditor
General Dynamics Information Technology —Remote
- $140,250 - $189,750 a year
- Remote
- CPA
- Bachelor's degree
- Travel
- Paid time off
- 401(k) matching
Senior Internal Auditor, Technology
GitLab —Remote
- $86,400 - $146,400 a year
- Full-time
- Remote
- CPA
- Computer Science
- Finance
- Employee stock purchase plan
- Health insurance
7d
Senior Internal Auditor
Connexus Credit Union —Remote
- Full-time
- Remote
- CPA
- 3 years
- Finance
- Health savings account
- Paid holidays
2d
Senior GCP Auditor
ImmunityBio —Remote
- $145,500 - $160,000 a year
- Weekends as needed
- Writing skills
- Analysis skills
- Travel
- AD&D insurance
- Disability insurance

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Senior Credentialing Representative - Quality Auditor

Optum -
Minnetonka, MN

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Job Details

Full-time
$91,700 - $163,700 a year
1 day ago

Benefits

Health insurance

Qualifications

Provider database maintenance for medical credentialing
Research
High school diploma or GED
Quality assurance audits
Quality audits

Full Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Senior Credentialing Representative is responsible for ensuring that credentialing information and data meets internal and external quality standards and requirements. Internal audits are performed against established standards for all credentialing and recredentialing functions within the Credentialing Center of Excellence (CCoE). The SCRA will document findings, identify trends, and recommend opportunities for improvement.

Location: Remote, Nationwide

Schedule: Monday to Friday, 8 AM- 5 PM

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges

Primary Responsibilities:

Credentialing File Review/Audit:

Performs daily audits of credentialing and recredentialing files utilizing standardized audit template
Ensures audits are performed within established timeframes
Communicates identified errors to credentialing representatives and specialists utilizing established processes

Process improvement:

Participates in audit result review and track and trend of results
Participates in root cause analysis
Reviews repeat errors for potential training opportunities
Provides explanations and interpretations within area of expertise
Identifies potential process improvement needs to workflows and procedures
Communicates potential and identified trends to leadership

Delegation Oversight:

Collect and review credentialing files and materials for submission to delegating health plans at time of initial and annual delegation oversight audits
Collect and review submitted sub-delegated files and materials at time of pre-assessment and annual delegation oversight audits
Other department duties as assigned

Knowledge, Skills, and Abilities:

Demonstrated understanding credentialing information processes
Established knowledge of credentialing requirements to include NCQA, CMS, and state-specific regulations
Attention to detail, ability to identify inconsistencies and missing information
Consistently delivers excellent quality of credentialing files processed
Analytical and critical thinking skills
Ability to research and evaluate credentialing criteria when questions or discrepancies are presented
Strong communication skills, ability to communicate clearly and professionally in written or oral formats
Ability to identify problems, analyze data and recommend solutions
Ability to maintain confidential information in accordance with Company policies, state, and federal regulations
Ability to manage detail and work with accuracy
Ability to acquire knowledge of technical resources within the organization
Ability to work independently
Ability to establish and maintain cooperative working relationships with individuals at all levels including teammates from other teams
Ability to work with frequent interruptions
Ability to prioritize work and skill in working effectively under deadlines and changing priorities
Demonstrated knowledge of Microsoft Office applications such as Word, Excel, and Outlook
Intermediate level skills working in Microsoft Excel
Consistently delivers excellent quality of work

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

High School Diploma/GED
2+ years of experience in Credentialing
1+ years of proven consistent quality audit scores passing or exceeding requirements
1+ years of experience using credentialing software or software managing provider information

Preferred Qualifications:

Experience using MD-Staff credentialing software
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO, #GREEN

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