52 Results for

Auditor Jobs in Georgia

Jobs

Medicare Claims Technology Product Management Director CVS Health

Connecticut

The Lead Director will partner closely with business, engineering, data, architecture, operations, and delivery leaders, as well as strategic software vendor partners, to translate claims, regulatory, operational, and technology needs into prioritized investments, aligned roadmaps, and measurable outcomes across a complex enterprise ecosystem. Given the significant role of vendor-provided platforms in the claims product, this leader will influence vendor roadmaps, align modernization priorities, manage critical dependencies, partner with release management on complex releases, and hold internal and external partners accountable for product performance and business outcomes.

3 days ago

Executive Director, Medicaid & Duals Claims Operations - Aetna CVS Health Corp

Hartford, CT

$131,500–$303,195 / year

This role is accountable for delivering operational excellence across a large-scale, complex environment, with responsibility for claims performance, regulatory execution, automation advancement, vendor governance, workforce strategy, and shared services alignment. This individual will drive improvements in claims accuracy, productivity, service performance, and payment integrity while reducing rework, strengthening controls, and enhancing the provider and member experience.

8 days ago

Sr. Supervisor, Commercial Casualty Claims - Remote CSAA Insurance Group

Remote

$99,855–$133,250 / year

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 20 more}. Communicates and enforces administrative policies, operating procedures, and safety rules, communicates changes in policy and procedures, ensures compliance of company procedures and DOI regulations, Oversees the daily operations of the business unit as well as multiple shifts in an operation that is open up to 7 days per week.

12 days ago

Senior Provider Experience Program Manager - Healthcare Claims CVS Health Corp

$106,605–$284,280 / year

What you will do: Lead enterprise delivery of multiple, highly complex business process and technology initiatives aligned to the Provider Experience / Provider NPS program, supporting all lines of business. Drive Agile delivery of Provider Experience / Provider NPS initiatives, supporting business process and technology improvements across multiple lines of business.

30+ days ago

Sr. Complex Claims Specialist Arch Capital Group Ltd

Hartford, CT

$95,700–$148,512 / year

Assist CAM's and others with TPA management and oversight to include: o TPA claim staff training relating to Arch processes, procedures, expectations, reporting, technical claim handling, litigation/vendor management, legal/regulatory developments, customer service and other topics that may arise. Responsibilities include, actively managing and effectively overseeing large exposure and complex general/auto liability and trucking claims (primary, umbrella and excess) direct handled by Third-party Administrators ("TPA's") and supporting Arch business stakeholders.

30+ days ago

Sr. Specialist, Claims & Fraud Operations Santander US

Southington, CT

Skills: + Working knowledge of loss and fraud detection/prevention principals, multiple fraud areas, compliance and regulatory issues related to the department and/or company. This role is responsible for supporting the operational unit through driving continuous improvement, removing barriers, building/maintaining a robust and effective reporting suite, and assisting in production.

19 days ago

EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealth

Epic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.

30+ days ago

Claims Consultant Continental Casualty Company

Glastonbury, Connecticut

Performs a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost effective manner and ensuring timely issuance of disbursements.

11 days ago

Stage-Gate & Claims Coordinator Sun Gro Horticulture

Agawam, MA

Full time

The Portfolio & Claims Coordinator is a hybrid role responsible for supporting portfolio management processes and overseeing claims administration across professional growing media and retail product lines (IGC and big box channels). Since its humble beginnings in 1929, it has become the leading supplier of soilless growing mixes to North America’s top 100 greenhouse and nursery growers, shipping over 70,000 truckloads of product annually.

30+ days ago

Claims Service Specialist III - Springfield and Bridgewater Offices Arbella

Springfield, Massachusetts

$75,000–$78,000 / year

Our current reasonable and good faith estimate of the annual salary range for this position is approximately $75,000 - $78,000 based on a variety of factors including, but not limited to, relevant skills and experience, educational background and certifications, performance and qualifications, market demand for the role and other organizational needs. Effort may concentrate around intermediate exposure, Commercial Auto, Homeowner liability, and/or Commercial Property claims among other market/line combinations with stretch assignments based on experience.

26 days ago

Workers'''' Compensation Claim Representative/Senior Claim Representative The Hartford Insurance Group Inc

Hartford, CT

$56,391–$84,587 / year

Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL, Alpharetta, GA) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Our dynamic team of claim professionals provide superb customer service with the valuation, disposition and settlement of worker compensation claims while consistently adhering to our corporate claim settlement policies.

11 days ago

Medical Only Claims Service Representative - CT Gallagher

East Hartford, Connecticut

Remote

Full time

Accurately set reserves, make payments and document file activity by working with clients, claimants, vendors, field personnel and other internal or external resources. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.

30 days ago

Patient Coordinator IVYREHAB Network Inc

St Louis Park, MN

$21–$24 / hour

Across Ivy Rehab Physical Therapy, Ivy Pediatric Therapy, and our trusted local partner brands, orthopedic and pediatric teammates are connected by one shared purpose: helping patients and families make meaningful progress. The Patient Coordinator supports clinic workflows by maintaining accurate patient records, appointment management, and providing excellent customer service to patients and families.

14 days ago

Pediatric Occupational Therapist (OTR/L) Honeybee Hires

Anoka, MN

Quick Apply

Work in a gymnasium-size therapy gym with a rock wall and slide, a smaller sensory gym for kids who get overwhelmed, a dedicated feeding room and private treatment rooms. Our real-life experience working in pediatric therapy across schools, clinics and homes allows us to be picky about who we add to our employer network.

17 days ago

Special Education Teacher Point Quest

Minneapolis, Minnesota

About IEP Therapy Point Quest Group: Point Quest Group is a leading national provider of special education services, partnering with 350+ school districts to help students with unique needs thrive academically, socially, and emotionally. Work as part of a multidisciplinary team that includes general education teachers, parents, school counselors, speech therapists, and administrators to provide holistic support.

15 days ago

Cfss Consultation Coordinator Pinnacle Services

Minneapolis, MN

Remote

$21.25–$22.25 / hour

Provide the person served with a list of CFSS provider agencies (if the person chooses the agency model) or FMS providers (if the person is purchasing goods and services and/or chooses the budget model). Education substitution: Staff working directly with people but not as the lead employee can substitute one of the following for a bachelor's degree: One year of full-time experience providing direct services to people with disabilities or people older than age 65.

30+ days ago

Special Education Teacher Point Quest Group Inc

Minneapolis, MN

$32–$45 / hour

30+ days ago

Early Learning Center Teacher Lutheran Social Service of Minnesota

Saint Paul, Minnesota

Child Development Associate (CDA) (preschool) AND 9 months experience working within a childcare setting with preschool children from diverse communities; OR Certificate as a Child Development Assistant AND 1 year experience working within a childcare setting with preschool children from diverse communitites; OR other eligibility for Teacher qualification from DHS. The LSS Early Learning Center addresses instability through a trauma-informed, relationship-based approach, fostering significant developmental progress in children to ensure they are socially, emotionally and academically prepared for kindergarten.

30+ days ago

Licensed Physical Therapist (PT) PRN EmpowerMe Wellness

Minnetonka, Minnesota

$56–$60 / hour
Per diem

Guided by our mission of improving the lives of seniors and the communities they call home, our therapists are at the heart of this purpose — delivering care with meaning, building trusted relationships, and shaping the future of senior wellness every day. Through our EmpowerMe 360 program, we bring together therapy, pharmacy, and medical care to help residents live stronger, safer, and more independent lives.

30+ days ago

Licensed Occupational Therapist (OT) Part-Time EmpowerMe Wellness

Stillwater, Minnesota

$46–$57 / hour
Part time

30+ days ago

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Auditor Jobs in Georgia

Medicare Claims Technology Product Management Director CVS Health

Executive Director, Medicaid & Duals Claims Operations - Aetna CVS Health Corp

Sr. Supervisor, Commercial Casualty Claims - Remote CSAA Insurance Group

Senior Provider Experience Program Manager - Healthcare Claims CVS Health Corp

Sr. Complex Claims Specialist Arch Capital Group Ltd

Sr. Specialist, Claims & Fraud Operations Santander US

EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealth

Claims Consultant Continental Casualty Company

Stage-Gate & Claims Coordinator Sun Gro Horticulture

Claims Service Specialist III - Springfield and Bridgewater Offices Arbella

Workers'''' Compensation Claim Representative/Senior Claim Representative The Hartford Insurance Group Inc

Medical Only Claims Service Representative - CT Gallagher

Patient Coordinator IVYREHAB Network Inc

Pediatric Occupational Therapist (OTR/L) Honeybee Hires

Special Education Teacher Point Quest

Cfss Consultation Coordinator Pinnacle Services

Special Education Teacher Point Quest Group Inc

Early Learning Center Teacher Lutheran Social Service of Minnesota

Licensed Physical Therapist (PT) PRN EmpowerMe Wellness

Licensed Occupational Therapist (OT) Part-Time EmpowerMe Wellness

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