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1 - 8 of 8 matches in 0.012 seconds
Audit Supervisor (Medicare Cost Report) (2830888)
Last Updated: 2020-03-26
Employer: BlueCross BlueShield of SC
Location: Birmingham, AL

*Summary*THIS POSITION MAY BE WORKED FROM HOME IN ANY STATE.

Responsible for supervising the receipt, review, and settlement of the Medicare cost report, ensuring all Centers for Medicare and Medicaid Services (CMS) requirements are met throughout the process.
Description

20% Performs supervisory review of all audit work…

Auditor II (Medicare Cost Report) (2830836)
Last Updated: 2020-03-26
Employer: BlueCross BlueShield of SC
Location: Birmingham, AL

*Summary*THIS POSITION MAY WORK FROM HOME IN ANY STATE.

Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources.
Description

  • 40% Conducts internal and external timely operational, compliance, and financial audits of divisions, departments…
Auditor III (Medicare Cost Report) (2830305)
Last Updated: 2020-03-25
Employer: BlueCross BlueShield of SC
Location: Birmingham, AL

*Summary*THIS POSITION MAY BE WORKED FROM HOME IN ANY STATE.

Responsible for providing a full range of financial, compliance, and operational audits, business advisory, and consultation services, investigations, internal controls, accountability, and use of resources.
Description

50% Conducts internal and/or external timely operational, financial, and/or compliance audits of divisions…

Lead Auditor (Medicare Cost Report) (2830304)
Last Updated: 2020-03-25
Employer: BlueCross BlueShield of SC
Location: Birmingham, AL

*Summary*THIS POSITION MAY BE WORKED FROM HOME IN ANY STATE.

Responsible for the coordination and completion of the audit reviews, reviewing audit work papers and reports completed by department staff, distributing reports to management, coordinating auditor’s assignments, mentoring and coaching department staff, and assisting the department manager with the…

Auditor III (2830265)
Last Updated: 2020-03-25
Employer: BlueCross BlueShield of SC
Location: Birmingham, AL

*Summary*Responsible for providing a full range of financial, compliance, and operational audits, business advisory, and consultation services, investigations, internal controls, accountability, and use of resources.
Description

50% Conducts internal and/or external timely operational, financial, and/or compliance audits of divisions, departments, providers, and activities of the corporation including evaluation of internal…

RN Medical Review Supervisor (2827183)
Last Updated: 2020-03-19
Employer: BlueCross BlueShield of SC
Location: Birmingham, AL

*Summary*Responsible for the supervision and maintenance of the daily functions of Utilization Review/Review Nurses, Case Management, and/or Medical Review staff and specialty programs. Ensures appropriate levels of healthcare services are provided.
Description

  • Manages day-to-day activities for assigned staff. Identifies training needs and verifies accuracy and timeliness of workflow functions.
  • Supervises…
Audit and Reimbursement Auditor I (2822994)
Last Updated: 2020-03-11
Employer: BlueCross BlueShield of SC
Location: Birmingham, AL

*Summary*Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action…

Medicare Medical Director (2820256)
Last Updated: 2020-03-06
Employer: BlueCross BlueShield of SC
Location: Birmingham, AL

*Summary*As member of the senior management team, provides administrative oversight to the medical staff, analyzes medical review utilization data, researches new medical procedures or technology, and acts as a resource to providers and internal staff on issues concerning medical policies. May also write and revise medical policies.
Description

This position…

Legend

  • Registered Apprenticeship