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1 - 9 of 9 matches in 0.062 seconds
Auditor III (Medicare Cost Reporting) (2789443)
Last Updated: 2020-01-15
Employer: BlueCross BlueShield of SC
Location: Birmingham, AL

*Summary*Responsible for completing/reviewing cost report reopenings or appeals within established timeframes and ensuring that the quality of our work meets CMS expectations. Both reopenings and appeals include review of various provider types and issues related to the Medicare cost report. For appeals, duties would include completing/reviewing position papers, reviewing cases…

Data Analyst (2788859)
Last Updated: 2020-01-14
Employer: Alahealth
Location: Birmingham, AL

This position is responsible for leading data management for the Project Management Office (PMO) Quality performance is created through a close working relationship with management to analyze claims data to identify and support quality initiatives This includes creating and running reports to identify provider performance and contract results…

Medicare Cost Report Auditor 1 (2788910)
Last Updated: 2020-01-14
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…

Auditor II (Medicare Cost Reporting) (2788906)
Last Updated: 2020-01-14
Employer: BlueCross BlueShield of SC
Location: Birmingham, AL

*Summary*Responsible for completing cost report reopenings or appeals within established timeframes and ensuring that the quality of our work meets CMS expectations. Both reopenings and appeals include review of various provider types and issues related to the Medicare cost report. For appeals, duties would include completing position papers, reviewing cases…

Sales Operations Analyst (2788848)
Last Updated: 2020-01-14
Employer: Blue Cross & Blue Shield of Alabama
Location: Birmingham, AL

The Sales Operations Analyst is the Sales’ subject matter expert for group facing analysis and reporting and assumes the responsibility of verifying the appropriateness of group facing deliverables This position is responsible for coordinating, monitoring and managing interactions and reporting workflow with Health Care Analytics (HCA) Consultants and…

Provider Network Consultant I - mobile (2788842)
Last Updated: 2020-01-14
Employer: Blue Cross & Blue Shield of Alabama
Location: Birmingham, AL

The Provider Network Consultant I serves as a consultant and corporate liaison to health care providers, external vendors, and other internal stakeholders in key areas of the Company Health care providers served include physicians, hospital administrators, and all ancillary providers The overall role is providing both contracting and consultative services…

IT Internal Auditor (2788839)
Last Updated: 2020-01-14
Employer: Blue Cross & Blue Shield of Alabama
Location: Birmingham, AL

This position assists with various functions within the Internal Audit Department which include: Examining and evaluating the effectiveness, efficiency and economy of internal controls. Assist all levels of management in the organization and the Audit Committee of the Board of Directors in the effective discharge of their responsibilities. Provide analyses…

Senior Internal Audit Coordinator - NCQA Accreditation (2788837)
Last Updated: 2020-01-14
Employer: Blue Cross & Blue Shield of Alabama
Location: Birmingham, AL

The Senior Internal Audit Coordinator will be responsible for leading and monitoring NCQA Health Plan Accreditation This includes monitoring and reporting of quality and/or performance indicators, identification of opportunities for improvement, conducting qualitative barrier analysis, collaborating with business areas to identify strategies for improvement and monitoring the impact of initiatives…

Medicare Cost Report Supervisor (2788792)
Last Updated: 2020-01-14
Employer: BlueCross BlueShield of SC
Location: Birmingham, AL

*Summary*THIS POSITION WILL BE LOCATED IN BIRMINGHAM, AL.

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 papers completed…

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