Auditor jobs in Kentucky - 67 jobs

Join Davies Risk Services as a Premium Auditor - No Experience Required! Are you a self-starter who thrives on independence, loves working with numbers, and enjoys meeting new people? Do you have a curious mind, strong communication skills, and the ability to juggle multiple tasks with ease? If so, Davies Risk Services wants to hear from you! We're hiring Premium Auditors to join our dynamic team. Our auditors come from various backgrounds - bookkeeping, restaurant service, bartenders, stay-at-home parents and more. Regardless of your experience, our comprehensive training program will equip you with everything you need to succeed in this exciting opportunity. Why Davies? For over 30 years, Davies has been a trusted leader in premium audit and loss control services. Our success is built on the drive and dedication of our talented field auditors. At Davies, our values aren't just words - they're the heartbeat of our culture: We are Connected • We are Dynamic • We are Innovative • We Succeed Together What You'll Love About This Role: 🕒 Flexibility & Freedom: Be your own boss-set your schedule between the hours of 7 a.m. to 5:00 p.m., choose your workload, and grow your business on your terms. 💼 Pay Per Audit: Your earnings are directly tied to your output. The more you audit, the more you earn. 🌎 Field-Based Work: Meet with policyholders onsite, review records, and verify operations-no two days are the same. What Does a Premium Auditor Do? You'll conduct onsite audits by: Scheduling appointments with policyholders Reviewing payroll, sales journals, cost records, etc. Verifying class codes based on business operations 📹 Watch our Premium Audit Overview: *************************************** What We're Looking For: Must reside in the advertised geographic area Bookkeeping experience is a plus, but not required Excellent communication and customer service skills Strong analytical and deductive reasoning abilities Proficiency in Microsoft Excel, Word, and Outlook Self-motivated, organized, and able to think independently If you're ready to take control of your career and be part of a team that values innovation and collaboration, apply today and discover what makes Davies different. **Davies Risk Services is an equal opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, gender, gender identity, age, national origin, disability, veteran status, marital status, sexual orientation, genetic information or any other status or condition protected by the laws or regulations in the locations where we operate. ** **We only consider applications submitted through our official hiring portal. We do not utilize sites like Facebook or Telegram Ap to recruit or interview potential employees or contractors. If you have been directed to provide any information through any another method other than our career portal, please email us at [email protected] #LI-LB1 #LI-HYBRID

Summary Objective The purpose of this position is to provide professional, technical, and administrative work analyzing data and conducting audits and reviews that provide command staff with thorough and timely evaluations of departmental performance based on state law, local ordinances, requirements of the Department of Justice, departmental policy, and training. This class works independently, under limited supervision, reporting major activities through periodic meetings. ESSENTIAL FUNCTIONS The essential functions listed below are those that represent the majority of the time spent working in this class. Management may assign additional functions related to the type of work of the class as necessary. * Conducts complex, specialized law enforcement internal performance audits and reviews to determine compliance with departmental regulations. * Conducts field work investigations, data analysis, and interviews required to accomplish the audits. * Conducts audits of incident reports, case files, search warrants, wearable video systems and use of force reports. * Improves data collection and monitoring efforts to provide meaningful performance metrics. * Conducts job audits, interviews employees and supervisors, analyzes position questionnaires, reviews performance appraisals, and obtains information to prepare recommendations regarding employees. * Analyzes, researches, compiles data and submits recommendations on departmental performance. * Provides technical assistance and instruction and explains policies, procedures, ordinances, and laws. * Explains procedures to employees and prepares recommendations, correspondence, and documents to implement changes. * Participates in and/or observes departmental training as necessary. * Develops and designs audit and review work plans, project scopes, methodologies, and compliance testing instruments to facilitate internal audits. * Produces and communicates written and oral reports on audit results for internal and external use. * Identifies methods for improving the operations of the department. * Performs related work as assigned. MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS * Bachelor's Degree in Business Administration, Computer Science, Criminal Justice, Economics, Information Technology or related discipline. * Five (5) years conducting research, audits, reviews, compliance work, and/or evaluations and reports including quantitative and/or qualitative data collection. OR * An equivalent combination of education, training and experience. OTHER MINIMUM REQUIREMENTS * Must not have been convicted of a felony or have any criminal action pending against them. * Misdemeanor convictions will be considered on an individual basis. * Must submit to a pre-employment drug screening. * Must submit to a pre-employment polygraph test. * Must submit to fingerprinting for criminal history check. * Must possess and maintain a valid state driver's license with an acceptable driving history. * Applicants who have illegally bought or used marijuana, including medicinal cannabis, within six months of application will be disqualified. * Applicants who have illegally sold marijuana, including medicinal cannabis, within one year of application will be disqualified. * Applicants who have illegally bought, sold, or used any controlled substance or narcotic drug, other than marijuana, without a prescription within six years of application will be disqualified. PHYSICAL DEMANDS Physical demands refer to the requirements for physical exertion and coordination of limb and body movement. * Performs sedentary work that involves walking or standing some of the time and involves exerting up to 10 pounds of force on a regular and recurring basis or sustained keyboard operations. AMERICANS WITH DISABILITIES ACT COMPLIANCE Louisville Metro Government is an Equal Opportunity Employer. ADA requires the Louisville Metro Government to provide reasonable accommodations to qualified persons with disabilities. Prospective and current employees are encouraged to discuss ADA accommodations with management. STANDARD CLAUSES May be required to work nights, weekends, holidays and emergencies (man-made or natural) to meet the business needs of Louisville Metro Government. This job description is not designed to cover or contain a comprehensive listing of essential functions and responsibilities that are required of an employee for this job. Other duties, responsibilities, and activities may change or be assigned at any time with or without notice. ESSENTIAL SAFETY FUNCTIONS It is the responsibility of each employee to comply with established policies, procedures and safe work practices. Each employee must follow safety training and instructions provided by their supervisor. Each employee must also properly wear and maintain all personal protective equipment required for their job. Finally, each employee must immediately report any unsafe work practices or unsafe conditions as well as any on-the-job injury or illnesses. Every manager/supervisor is responsible for enforcing all safety rules and regulations. In addition, they are responsible for ensuring that a safe work environment is maintained, safe work practices are followed and employees are properly trained. Salary Grade: NU 118 EOE Test Weights: Training & Experience: 100% Please note that Training & Experience scores are based on the relevant (as determined by the hiring agency and Civil Service) training and experience from the last 10 years, as listed on your application and resume, as submitted. Any information that is unclear or that is not listed on your application and/or resume will not be considered in the calculation of the Training & Experience score. This also means that you should list your employment dates including the month and year (e.g. 02/2016 to 01/2026) of employment.

Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting locations will not be considered for employment, unless an accommodation is granted as required by law. The DRG Clinical Validation Auditor is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. Primary duties may include, but are not limited to: * Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. * Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. * Utilizes audit tools, auditing workflow systems and reference information to generate audit determinations and formulate detailed audit findings letters. * Maintains accuracy and quality standards as established by audit management. * Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions (HACs). * Suggests and develops high quality, high value, concept and or process improvement and efficiency recommendations. Minimum Requirements: * Requires current, active, unrestricted Registered Nurse license. * Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: * One or more of the following certifications are strongly preferred: * Certified Clinical Documentation Specialist (CCDS), * Certified Documentation Improvement Practitioner (CDIP), * Certified Professional Coder (CPC) and/or * Inpatient Coding Credential such as CCS or CIC. * Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred. * Bedside Acute care experience strongly preferred. * Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $90,000 to $135,702. Locations: Maryland; Nevada In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed/Certified - Other Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. * Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement sent in by acute care hospitals on submitted DRG. How you will make an impact: * Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. * Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. * Utilizes audit tools and auditing workflow systems and reference information to make audit determinations and generate audit findings letters. * Maintains accuracy and quality standards as set by audit management for the auditing concept, valid claim identification, and documentation purposes (e.g., letter writing). * Identifies new claim types by identifying potential claims outside of the concept where additional recoveries may be available, such as re-admissions, Inpatient to Outpatient, and HACs. * Suggests and develops high quality, high value concept and or process improvement and efficiency recommendations. Minimum Requirements: * Requires at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing. * Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator and/or RHIT certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. * Requires 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG. Preferred Skills, Capabilities and Experiences: * BA/BS preferred. * Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. * Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. * Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $95,172 to $149,556. Locations: Colorado; Illinois; Maryland; Minnesota; Nevada In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

About Us ITC Worldwide Advisors, LLP is a rapidly growing, modern provider of professional services to the middle market, operating globally. Our mission is to instill confidence in a world of change. Enable Transformation while doing more with less! Our exceptional people are the cornerstone of our unique culture and talent experience. Responsibilities * Understand clients' needs and expectations, their business and industry, accounting and control systems, employees, company values, and industry-related GAAP and GAAS issues. * Develop an understanding of the ITC audit automation approach and ERP tools. * Assess risks and evaluate the client's internal control structure. * Perform substantive tests and tests of internal controls to identify and resolve accounting or reporting issues. *Prepare financial statements under prescribed formats. Required Skills and Qualifications * Completion of 90+ credit hours towards a B.A. / B.S. degree or equivalent from an accredited university in Accounting or Finance. * You must have passed your ACCA, CPA, CFA, or CIMA exam. N.B: We kindly request you to complete a brief survey. Your feedback will help us enhance the candidate experience and ensure we attract the best talent. **************************** **************************** **************************** Next Steps: Once you have completed the survey, please proceed with your job application as instructed. Learn more:****************************************************************

We firmly believe that our employees drive the success of the company! With success in mind as the ultimate goal, we strive to create and provide an environment that offers challenging, stimulating and financially rewarding opportunities. We are looking for The Right One to join our team! What's In It For You? * Competitive Salary with Bonus Opportunities * Paid Time Off * Comprehensive Medical, Dental and Vision Benefits (Low Premiums!) * Flexible Spending and Health Savings Accounts * 14 Paid Company Holidays * 401(k) with Company Contribution * Educational Tuition Reimbursement Summary The aim of the Toyota Tsusho America, Inc. (TAI) internal audit department is to review and evaluate the progress of any and all business operations, express opinions thereon, give support and recommendations for the improvement of the business operation and assist the effective achievement of the business objectives of the company in a fair and independent capacity. The internal auditor provides expertise and analysis to managers and other employees within the department while ensuring all work is completed to the highest standard. The auditor also performs technical or professional tasks related to support the overarching goals of the department. DUTIES & RESPONSIBILITIES * Plan, Coordinate and execute standard audit programs or develop new audit programs as the need arises. * Perform Standard audit procedures utilizing established matrices or develop new templates as needed. * Prepare findings and recommendations, and present to management * Review the work of others for compliance with audit standards * Asist team and contractors in completing audit tasks * Pursue professional development opportunities, including internal and external training and professional association membership * Assist division management with organizational and/or special projects. * Other duties and projects as assigned. Education and/0r Experience * Minimum of bachelor's degree in accounting, finance or similar field and at least 3-5 years of experience in related field. * Proficiency in MS Office suite, including advanced skills (Pivot tables, Vlookup, etc.). * Strong accounting skills, and knowledge of the business processes and systems necessary to execute work, including knowledge of COSO framework of Internal Controls. * CPA and CIA certifications are preferred but not required. Travel Requirements: Up to 50% in USA, Canada and Mexico Our company is proud to be an equal opportunity employer! It is the policy and commitment of the company to maintain a work environment that provides equal employment opportunity (EEO) for all its employees and applicants. We are committed to providing equal employment opportunities without regard to race, color, ethnicity, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, marital/domestic partner status, veteran status, disability, genetic information or any other applicable lawfully protected basis. This policy applies to all terms and conditions of employment. We seek to employ individuals qualified for a position by virtue of job-related educational standards, training, experience, and personal qualifications.

About Metalsa: We are a global company with 60+ years of experience in the automotive industry, we manufacture safe and sustainable products for people around the world. We are working for a better future where we enrich communities every day by being committed to people, innovation, and our planet. If you have what it takes to accelerate Metalsa's vision of future mobility, we want you to join the team! For more information, visit metalsa.com Mission The Weld Audit area is a valuable role, and responsible for providing variable data that is used to ensure the welding process remains centered in production through the Cut & Etch process. Tasks include reviewing customer and standard requirements, as well as managing and improving welding data to optimize productivity. What would your typical day look like? Provide guidance and leadership to the weld audit team members while they are conducting day-to-day operations. Make sure Team Member payroll is accurate and complete as necessary. Manage data collection systems to ensure timely and accurate data at all times. Manage product containment activity daily. Provide support in the implementation of new projects. Promote continuous improvement in our processes. Assure the solution of quality problems in products (external and internal). Maintain and improve the quality operating system. Maintain and improve the performance of Quality ratings with the customers. Additional responsibilities as required - this position is subject to change as the needs of the department change. Technical Skills Weld Audit/Cut & Etch experience Preferred. Proficient in Microsoft suite (Excel, Word, Outlook, and Power Point). Able to understand and identify welding characteristics. Ability to understand Welding Symbols, along with understanding weld section data. Control plan development experience. Ability to spot and diagnose problems, as well as engineer solutions. Ability to self-learn a new system. PowerBI experience Preferred Work Standard development experience. Academic and Experience Required 5 years of proven supervisory experience in welding required 3-years' experience in the field of welding required Certified Weld Inspector (CWI) and American Weld Society (AWS) preferred. Program Management experience preferred Automotive experience with quality preferred R&R experience preferred Supervisor in unionized manufacturing preferred What is in it for YOU? As part of the Metalsa team, you will benefit from great compensation and benefits package! Vacation, Personal Time, and Paid Holidays Excellent Benefits Plan! Medical, dental, vision, prescription insurance Paid Short-Term Disability & Long-Term Disability Coverage Flexible Spending Account (FSA) Health Reimbursement Account (HRA) 401(k) Company Matching Tuition Reimbursement Program Advancement Opportunities & Training Programs Other Discounts & Perks!

We firmly believe that our employees drive the success of the company! With success in mind as the ultimate goal, we strive to create and provide an environment that offers challenging, stimulating and financially rewarding opportunities. We are looking for The Right One to join our team! What's In It For You? Competitive Salary with Bonus Opportunities Paid Time Off Comprehensive Medical, Dental and Vision Benefits (Low Premiums!) Flexible Spending and Health Savings Accounts 14 Paid Company Holidays 401(k) with Company Contribution Educational Tuition Reimbursement Summary The aim of the Toyota Tsusho America, Inc. (TAI) internal audit department is to review and evaluate the progress of any and all business operations, express opinions thereon, give support and recommendations for the improvement of the business operation and assist the effective achievement of the business objectives of the company in a fair and independent capacity. The internal auditor provides expertise and analysis to managers and other employees within the department while ensuring all work is completed to the highest standard. The auditor also performs technical or professional tasks related to support the overarching goals of the department. DUTIES & RESPONSIBILITIES Plan, Coordinate and execute standard audit programs or develop new audit programs as the need arises. Perform Standard audit procedures utilizing established matrices or develop new templates as needed. Prepare findings and recommendations, and present to management Review the work of others for compliance with audit standards Asist team and contractors in completing audit tasks Pursue professional development opportunities, including internal and external training and professional association membership Assist division management with organizational and/or special projects. Other duties and projects as assigned. Education and/0r Experience Minimum of bachelor's degree in accounting, finance or similar field and at least 3-5 years of experience in related field. Proficiency in MS Office suite, including advanced skills (Pivot tables, Vlookup, etc.). Strong accounting skills, and knowledge of the business processes and systems necessary to execute work, including knowledge of COSO framework of Internal Controls. CPA and CIA certifications are preferred but not required. Travel Requirements: Up to 50% in USA, Canada and Mexico Our company is proud to be an equal opportunity employer! It is the policy and commitment of the company to maintain a work environment that provides equal employment opportunity (EEO) for all its employees and applicants. We are committed to providing equal employment opportunities without regard to race, color, ethnicity, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, marital/domestic partner status, veteran status, disability, genetic information or any other applicable lawfully protected basis. This policy applies to all terms and conditions of employment. We seek to employ individuals qualified for a position by virtue of job-related educational standards, training, experience, and personal qualifications.

Job Description Strothman and Company is currently hiring for a full-time Financial Auditor / Accountant in the Louisville, KY area. This auditing position earns a competitive salary of $55,000 - $60,000 per year and is perfect for a recent graduate. In addition to competitive pay and our exceptional culture, we offer our Financial Auditor / Accountants the following benefits: A great work environment Open communication Trainings Development resources So, now that you've learned the who, what, where, and why, you may be wondering HOW? It's easy! Just fill out our initial mobile-friendly online application. We hope to meet you soon! DAY-TO-DAY As a Financial Auditor / Accountant, you bring freshness and newness to the front lines of our firm. Friendly and personable, you are our clients' first impression of the company. You perform auditing procedures, communicate job status to managers, and update work papers. These audit procedures are performed at client offices, from our office, or remotely. You effectively communicate to clients and other team members the status of each accounting procedure you complete. Your eagle eye ensures that problems are caught and corrected early. You are dedicated to learning auditing and sampling techniques to improve your abilities. Additionally, you seek to learn the clients' business in order to provide them with the most effective financial solutions. You always present yourself professionally, whether to prospective clients, current clients, or other team members. With attention to detail, you produce accurate audit documentation that is easy to understand. You take great pride in ensuring that everything is accurate and up to date for our clients! ABOUT STROTHMAN AND COMPANY Formed in 1983, we are a regional CPA firm dedicated to providing exceptional financial services for our clients. Our firm provides quality accounting, tax, technology, and special services for businesses, successful individuals, nonprofit organizations, and public sector agencies. We specialize in helping business owners find financial solutions by utilizing state-of-the-art technology, innovative practices, and strategic alliances. Our mission is to exceed our clients' expectations! Our success has come from the innovative ideas and policies created by our team members over the years. As a 3-time winner of the Best Places to Work in Kentucky award, we are proud to provide a positive work environment, a supportive corporate culture, and excellent training. We listen to and value our employees' input and ideas. In addition to enthusiastic and dedicated leadership, our team also enjoys competitive compensation and benefits! OUR IDEAL FINANCIAL AUDITOR / ACCOUNTANT Career-minded - Looking for more than just a job Dependable - Reliable, shows up on time and prepared Takes pride in your work - Pays close attention to detail and goes above and beyond Team player - Works well with others Respectful - Treats others with kindness and dignity If this sounds like you, keep reading! REQUIREMENTS FOR A FINANCIAL AUDITOR / ACCOUNTANT 0-1 year of public accounting experience Working knowledge of auditing and accounting principles CPA certification or completion of the 150-hour requirement to sit for the CPA exam is preferred. Experience in government and employee benefit plans would be a plus but is not required. If you meet the above requirements, we need you. Apply today to join our team as a Financial Auditor / Accountant! Location: 40202

Ideal candidate will be based in the Greater Columbus, Ohio area! Also open to remote candidates that reside in Eastern or Central time zones. **_What Internal Audit-Finance contributes to Cardinal Health_** Finance oversees the accounting, tax, financial plans and policies of the organization, establishes and maintains fiscal controls, prepares and interprets financial reports, oversees financial systems and safeguards the organization's assets. Internal Audit - Finance conducts financial and operational audits to ensure compliance with policies, procedures and regulations. This family evaluates and recommends improvements to business practices, processes and control procedures and manages Sarbanes-Oxley (SOX) compliance and fraud investigations. **_Responsibilities_** + Assist in leading efforts of managing and executing the SOX program including identifying, performing testing, and review of SOX controls, while working with and maintaining relationships with business. + Work directly with and perform substantive audit procedures on the behalf of our external auditors EY. + Assist with the transition of controls/processes of new acquisitions and business transformations. + Act as a subject matter expert in the related business/process being evaluated. + Provide assistance to less experienced staff as needed. + Lead in department development efforts centered on Data Analytics, Training, Diversity Equity and Inclusion (DE&I), Career Development and other areas of impact. **_Qualifications_** + Bachelors degree in related field preferred, or equivalent work experience, preferred. + 3+ years internal or external audit experience, preferred + Certified Internal Auditor or Certified Public Accountant Preferred + Good communication skills (verbal, written, and presentation) **_What is expected of you and others at this level_** + Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects + May contribute to the development of policies and procedures + Works on complex projects of large scope + Develops technical solutions to a wide range of difficult problems. Solutions are innovative and consistent with organization objectives + Completes work independently receives general guidance on new projects + Work reviewed for purpose of meeting objectives + May act as a mentor to less experienced colleagues **Anticipated salary range:** $80,900-$103,950 **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 02/06/2026 *if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. \#LI-SR1 \#LI-Remote _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. **What We're Looking For:** As an Outpatient Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! ******Seeking a candidate to bring a strong skill set with regards to auditing ED, SDS, OBS and I&I as well as experience in ProFee including but not limited to E&M, IR, Spinal and Orthopedics.****** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment + Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc + Keeps abreast of regulatory changes + Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in a professional, efficient and positive manner + Adhere to the American Health Information Management Association (AHIMA)'s code of ethics + Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession + High complexity of work function and decision making + Strong organizational, teamwork, and leadership skills ******Seeking a candidate to bring a strong skill set with regards to auditing ED, SDS, OBS and I&I as well as experience in ProFee including but not limited to E&M, IR, Spinal and Orthopedics.****** **What You Need to Succeed:** + 5+ years of outpatient facility coding experience and/or auditing + CCS (preferred), RHIA or RHIT preferred + Maintains 95% accuracy rate + Experience with various software including Epic, Cerner, and other prevalent EMRs **What We Offer:** + Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays + Free CEUs every year + Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable + Equipment: monitor, laptop, mouse, headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in this together!) Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $35 - $45 an Hour Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $35-$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .

An employer is looking for a Revenue Audit Specialist to join their team. This position's focus will be auditing revenue and the distribution of daily operating reports for a large facility. Specific duties include picking up and scanning all paperwork related to audits, review journal entries, reporting taxable earnings information, month end inventory, verifying deposits and a few other areas of responsibility. It is an exciting job with a great team to help. It is necessary for this individual to have strong communication skills so they may provide exceptional communication with internal counterparts and external partners. This position is fully onsite in the Louisville, KY area. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: **************************************************** Skills and Requirements · 1 year of experience working with accounts receivable, accounts payable, or revenue auditing prior or an Associates or Bachelor's Degree in Accounting, Finance, or similar · Experience compiling and auditing revenue, reviewing journal entries, and completing inventories at month end with support of audit team · Experience preparing reports to present to management · Strong professionalism and ability to communicate with all parties Desire to learn and continue enhancing their professional accounting abilities · Experience working with accounting software to verify deposits Knowledge of the gaming / racing industry

Posting Details Information Working Title Staff Auditor (internal only) Department Financial & Operational Auditing Compensation Title Staff Auditor Position Number 30010826 Position Status Regular Work Schedule Full time Monday-Friday. Under the supervision of the Director of Financial and Operational Auditing, the staff auditor provides independent appraisals of university functions through completion of reviews of financial, organizational and functional activities and systems. The staff auditor evaluates the effectiveness of internal controls, compliance with policies, regulations and laws, efficiency of operations and safeguards over university assets. Written reports are prepared to inform management of weaknesses and recommendations for corrective actions. Primary Responsibilities * Assists the Director with developing and executing a comprehensive audit plan for evaluation of the University's system of internal controls. * Performs reviews, testing and analysis in order to verify the effectiveness of systems of internal control, efficiency of operations, compliance with policies and regulations, reliability of management data, and safeguarding of assets. * Maintains audit workpapers, including organizing, indexing, and filing in order to document the audit program and results of the performed audit steps. * Prepares written recommendations to management to correct areas of control weaknesses. * Prepares memos, correspondence and audit reports that are distributed throughout the organizations including to the vice-presidents, president and Audit, Risk and Compliance Committee of the Board of Regents. * Reviews electronic data processing controls for security of data. * Utilizes various computer applications including SAP, Workday, data analytic software, spreadsheets, databases, etc. * Provides assistance to the external auditors during the annual year end financial statement audit, Single Audit, and NCAA agreed upon procedures. * At the request of management, perform confidential investigations related to allegations of theft, misuse of funds, and other fraudulent activities. * Performs administrative duties in absence of the Director. Qualifications Bachelor's degree in Business Administration (Accounting or Finance major preferred) and 2 years of experience required. Masters in Business Administration or Accounting, CPA (Certified Public Accountant), CIA (Certified Internal Auditor) designation preferred. Accounting/finance knowledge, an understanding of business processes, internal controls, risk management, and governance. Strong verbal and written communication skills. Critical thinking, data analysis and problem-solving skills. The ability to maintain independence, objectivity and integrity. Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) certifications are preferred. Knowledge of Microsoft Office applications, database management, report writing software. Any candidate who is offered this position will be required to go through a pre-employment criminal background check as mandated by state law. Position is on-site with potential for 1-2 remote days per week after onboarding. Minimum Education Bachelor's Degree Preferred Education Master's Degree Minimum Experience 2 years Salary Pay Grade S72 Posting Detail Information Requisition Number 2025S2311 Job Open Date 01/15/2026 Job Close Date Quick Link *********************************** Is this an internal only posting? Supplemental Questions

**Virtual** : This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. **Alternate locations may be considered if candidates reside within a commuting distance from an office.** _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting locations will not be considered for employment, unless an accommodation is granted as required by law._ The **DRG Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. Primary duties may include, but are not limited to: + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate audit determinations and formulate detailed audit findings letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality, high value, concept and or process improvement and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license. + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + One or more of the following certifications are strongly preferred: + Certified Clinical Documentation Specialist (CCDS), + Certified Documentation Improvement Practitioner (CDIP), + Certified Professional Coder (CPC) and/or + Inpatient Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred. + Bedside Acute care experience strongly preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $90,000 to $135,702. **Locations** : Maryland; Nevada In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Join Davies Risk Services as a Premium Auditor - No Experience Required! Are you a self-starter who thrives on independence, loves working with numbers, and enjoys meeting new people? Do you have a curious mind, strong communication skills, and the ability to juggle multiple tasks with ease? If so, Davies Risk Services wants to hear from you! We're hiring Premium Auditors to join our dynamic team. Our auditors come from various backgrounds - bookkeeping, restaurant service, bartenders, stay-at-home parents and more. Regardless of your experience, our comprehensive training program will equip you with everything you need to succeed in this exciting opportunity. Why Davies? For over 30 years, Davies has been a trusted leader in premium audit and loss control services. Our success is built on the drive and dedication of our talented field auditors. At Davies, our values aren't just words - they're the heartbeat of our culture: We are Connected • We are Dynamic • We are Innovative • We Succeed Together What You'll Love About This Role: 🕒 Flexibility & Freedom: Be your own boss-set your schedule between the hours of 7 a.m. to 5:00 p.m., choose your workload, and grow your business on your terms. 💼 Pay Per Audit: Your earnings are directly tied to your output. The more you audit, the more you earn. 🌎 Field-Based Work: Meet with policyholders onsite, review records, and verify operations-no two days are the same. What Does a Premium Auditor Do? You'll conduct onsite audits by: Scheduling appointments with policyholders Reviewing payroll, sales journals, cost records, etc. Verifying class codes based on business operations 📹 Watch our Premium Audit Overview: *************************************** What We're Looking For: Must reside in the advertised geographic area Bookkeeping experience is a plus, but not required Excellent communication and customer service skills Strong analytical and deductive reasoning abilities Proficiency in Microsoft Excel, Word, and Outlook Self-motivated, organized, and able to think independently If you're ready to take control of your career and be part of a team that values innovation and collaboration, apply today and discover what makes Davies different. **Davies Risk Services is an equal opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, gender, gender identity, age, national origin, disability, veteran status, marital status, sexual orientation, genetic information or any other status or condition protected by the laws or regulations in the locations where we operate. ** **We only consider applications submitted through our official hiring portal. We do not utilize sites like Facebook or Telegram Ap to recruit or interview potential employees or contractors. If you have been directed to provide any information through any another method other than our career portal, please email us at [email protected] #LI-SM1 #LI- HYBRID

Audit & Reimbursement III- Medicare Cost Report Audit Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The Audit and Reimbursement III will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services). Under guided supervision, the Audit and Reimbursement III will gain experience on complex issues involving the Medicare cost report and Medicare Part A reimbursement. They will participate in contractual Audit and Reimbursement workload, and have opportunities to participate on special projects. This position provides a valuable opportunity to gain further experience in auditing and financial analysis within a growing healthcare industry. This position allows for educational opportunities leading to certifications and promotes a well-balanced lifestyle that includes professional networking opportunities. How you will make an impact: * Analyzes and interprets data and makes recommendations for change based on judgment and experience. * Able to work independently on assignments and under minimal guidance from the manager. * Prepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) and CMS requirements. * Gain experience with applicable Federal Laws, regulations, policies, and audit procedures. * Respond timely and accurately to customer inquiries. * Ability to multi-task while independently and effectively prioritizing work using time management, initiative, project management and problem-solving skills. * Must be able to perform all duties of lower-level positions as directed by management. * Participates in special projects and review of work done by auditors as assigned. * Assist in mentoring less experienced associates as assigned. * Perform complex cost report desk reviews. * Perform complex cost report audits, serving as an in-charge auditor assisting other auditors assigned to the audit. * Dependent upon experience, may perform supervisory review of work completed by other associates. * Analyze and interpret data per a provider's trial balance, financial statements, financial documents, or other related healthcare records. Minimum Requirements: * Requires a BA/BS degree and a minimum of 5 years of audit/reimbursement or related Medicare experience; or any combination of education and experience, which would provide an equivalent background. * This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years. Preferred Skills, Capabilities, and Experiences: * Degree in Accounting preferred. * Knowledge of CMS program regulations and cost report format preferred. * Knowledge of CMS computer systems and Microsoft Office Word and Excel strongly preferred. * MBA, CPA, or CIA preferred. * Must obtain Continuing Education Training requirements (where required). * A valid driver's license and the ability to travel may be required. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $61,560 to $102,060 Locations: Maryland, Minnesota, Nevada, and New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. * Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement. This position provides a valuable opportunity to gain advanced experience in auditing and financial analysis within a growing healthcare industry. This position allows for educational opportunities leading to certifications and promotes a well-balanced lifestyle that includes professional networking opportunities. How you will make an impact: * Evaluate the work performed by other associates to ensure accurate reimbursement to providers. * Assist Audit and Reimbursement Leads and Managers in training, and development of other associates. * Participates in special projects as assigned. * Able to work independently on assignments and under minimal guidance from the manager. * Prepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) and CMS requirements. * Analyze and interpret data with recommendations based on judgment and experience. * Must be able to perform all duties of lower-level positions as directed by management. * Participate in development and maintenance of Audit & Reimbursement standard operating procedures. * Participate in workgroup initiatives to enhance quality, efficiency, and training. * Participate in all team meetings, staff meetings, and training sessions. * Assist in mentoring less experienced associates as assigned. * Prepare and perform supervisory review of cost report desk reviews and audits. * Review of complex exception requests and CMS change requests. * Perform supervisory review of workload involving complex areas of Medicare part A reimbursement such as Medicare DSH, Bad Debts, Medical Education, Nursing and Allied Health, Organ Acquisition, Wage Index and all cost based principles. Minimum Qualifications: * Requires a BA/BS and a minimum of 8 years of audit/reimbursement or related Medicare experience; or any combination of education and experience which would provide an equivalent background. * This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years. Preferred Qualifications: * Accounting degree preferred. * Knowledge of CMS program regulations and cost report format preferred. * Knowledge of CMS computer systems and Microsoft Office Word and Excel strongly preferred. * Must obtain Continuing Education Training requirements. * MBA, CPA, CIA or CFE preferred. * Demonstrated leadership experience preferred. * A valid driver's license and the ability to travel may be required. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $ 73,720 to $122,220 Locations: Maryland, Minnesota, Nevada and New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Job Description Join Davies Risk Services as a Premium Auditor - No Experience Required! Are you a self-starter who thrives on independence, loves working with numbers, and enjoys meeting new people? Do you have a curious mind, strong communication skills, and the ability to juggle multiple tasks with ease? If so, Davies Risk Services wants to hear from you! We're hiring Premium Auditors to join our dynamic team. Our auditors come from various backgrounds - bookkeeping, restaurant service, bartenders, stay-at-home parents and more. Regardless of your experience, our comprehensive training program will equip you with everything you need to succeed in this exciting opportunity. Why Davies? For over 30 years, Davies has been a trusted leader in premium audit and loss control services. Our success is built on the drive and dedication of our talented field auditors. At Davies, our values aren't just words - they're the heartbeat of our culture: We are Connected • We are Dynamic • We are Innovative • We Succeed Together What You'll Love About This Role: 🕒 Flexibility & Freedom: Be your own boss-set your schedule between the hours of 7 a.m. to 5:00 p.m., choose your workload, and grow your business on your terms. 💼 Pay Per Audit: Your earnings are directly tied to your output. The more you audit, the more you earn. 🌎 Field-Based Work: Meet with policyholders onsite, review records, and verify operations-no two days are the same. What Does a Premium Auditor Do? You'll conduct onsite audits by: Scheduling appointments with policyholders Reviewing payroll, sales journals, cost records, etc. Verifying class codes based on business operations 📹 Watch our Premium Audit Overview: *************************************** What We're Looking For: Must reside in the advertised geographic area Bookkeeping experience is a plus, but not required Excellent communication and customer service skills Strong analytical and deductive reasoning abilities Proficiency in Microsoft Excel, Word, and Outlook Self-motivated, organized, and able to think independently If you're ready to take control of your career and be part of a team that values innovation and collaboration, apply today and discover what makes Davies different. **Davies Risk Services is an equal opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, gender, gender identity, age, national origin, disability, veteran status, marital status, sexual orientation, genetic information or any other status or condition protected by the laws or regulations in the locations where we operate. ** **We only consider applications submitted through our official hiring portal. We do not utilize sites like Facebook or Telegram Ap to recruit or interview potential employees or contractors. If you have been directed to provide any information through any another method other than our career portal, please email us at ********************************* . #LI-LB1 #LI-HYBRID Powered by JazzHR FVYRrRGLDM

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. * Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Nurse Audit Senior will be responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review. How you will make an impact: * Investigates potential fraud and over-utilization by performing medical reviews via prepayment claims review and post payment auditing * Correlates review findings with appropriate actions (provider education, recovery of monies, cost avoidance, recommending sanctions or other actions) * Assists with development of audit tools, policies and procedures and educational materials * Acts as liaison with service operations as well as other areas of the company relative to claims reviews and their status * Analyzes and trends performance data, and works with service operations to improve processes and compliance * Notifies areas of identified problems or providers, recommending modifications to medical policy and on line policy edits Minimum Requirements: * Requires AS in nursing and minimum of 4 years of clinical nursing experience; or any combination of education and experience, which would provide an equivalent background. * Current unrestricted RN license in applicable state(s) required. Preferred Skills, Capabilities, and Experiences: * Knowledge of auditing, accounting and control principles and a working knowledge of CPT/HCPCS and ICD 9 coding and medical policy guidelines strongly preferred * BA/BS preferred * Medical claims review with prior health care fraud audit/investigation experience preferred * Knowledge of Provider Manuals and Reimbursement policies is preferred Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.