Data processing auditor jobs near me - 142 jobs

ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Brown & Joseph, Paragon, SubroIQ, and NEIS each a powerhouse in their own right, providing specialized expertise in debt management and financial services. NEIS, LLC has been a leader in the insurance audit and loss control prevention industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium Auditors examinethe financial records of businesses insured by commercial property and casualty insurers to make sure they are following laws and regulations. As a premium auditor, looking for evidence of fraud and checking that insured businesses adhere to these regulations are your primary responsibilities. Your job will be based from home with required daily travel to each audit location. Car travel will be on average of 2-4 days per week within your assigned territory. Job Responsibilities: Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder's records, and applying manual rules and company standards. Prepare for the audit by identifying the necessary information and type of records needed Prepare schedule to maximize optimal use of time Correspond with insured via phone, email and mail to setup audit appointments. Examine the policyholder's records, gather data to determine correct classifications for business activities and write an effective description of operations Prepare complete audit document, explain results to insured and communicate the results to the home office Travel to multiple audit locations Hybrid position - work from home and complete remote audits 2-3 days per week Job Requirements: Associate's Degree or equivalent plus two years' performing premium audits or equivalent combination of education and experience highly desired Ability to read, analyze and interpret financial documents General PC knowledge including Microsoft Excel and Word. Knowledge of Visual Audit is a plus. Ability to communicate well with customers and staff. Valid driver's license and satisfactory driving record Maintain automobile insurance while employed with bodily injury limits equal to or greater than $100,000 per person and $300,000 per accident or $300,000 combined Compensation and Benefits: Benefit package with health, dental, vision, life and disability coverage options 401(k) retirement plan option with company matching Generous paid time off policy and 7 paid holidays Salary is $45.00 - $50.00 per billable hour Weekly pay 401(k) plan with company matching and immediate vesting We look forward to you joining the team! ARMStrong Insurance Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

Responsible for the coordination and completion of the audit reviews, reviewing audit work papers and reports completed by department staff, distributing reports to management, coordinating auditor's assignments, mentoring and coaching department staff, and assisting the department manager with the direction of the workflow of various risk management activities and special projects. Description The Lead Medicare Auditor is a part-time remote position. What You'll Do: Independently and objectively helps plan and execute audits in accordance with professional auditing standards. Performs or supports audits focused primarily on operational controls, asset safeguarding, and compliance with procedures, laws, and regulations. Functions as in-charge auditor of the most complex audit reviews and/or cost reports. May conduct reviews of account reconciliations performed by various financial areas. Identifies and analyzes related key processes, systems, and controls to determine effectiveness. Communicates audit status and results to management, with emphasis on discussing deficiencies and recommending corrective actions. Prepares formal written work papers and reports, documenting audit work performed and expressing conclusion. Assesses desk reviews performed by subordinate auditors to ensure that quality audit work is performed and on-the-job training is provided as necessary. Assists in ensuring that all assigned audits are completed and reviewed in accordance with Generally Accepted Accounting Principles, Generally Accepted Auditing Standards and, Government Auditing Standards. Coordinates the completion of these assignments in a manner which results in timely completion of all assignments in accordance with budget performance requirements as well as departmental interim goals. Directs the day-to-day efforts of assigned audit staff by reviewing and planning assignments, training, and providing leadership and guidance. Assists in the development and revision of work instructions, forms, and procedures. Broadens and maintains working knowledge of applicable laws, regulations, and procedures through self-study programs, on-the-job training, attending seminars and network association's formal training programs. Communicates with internal and external areas as necessary to ensure efficient completion of assigned tasks. To qualify for this position, you will need: Required Education: Bachelor's in a job related field Required Work Experience: 7 years auditing or accounting experience with one year leading audits. Required Skills and Abilities: Knowledge of the principles and practices of auditing. Ability to analyze and determine the applicability of financial data, to draw conclusions and make appropriate recommendations. Ability to gather information by examining records and documents and to interview individuals concerning those records. Strong interpersonal skills and the ability to work professionally with persons at all levels, and to maintain effective working relationships. Ability to communicate clearly and effectively in oral and written form. Ability to handle sensitive matters on a confidential basis. Knowledge of cost accounting standards and General Accepted Accounting Principles. Knowledge and use of auditing standards and statistical sampling techniques. Good planning and organization skills. Required Software and Tools: Microsoft Office. Preferred Licenses and Certificates: Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA) Work Environment: Typical office environment. Some travel between office buildings. Out of town travel may be required.Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits at the first of the month following 28 days of employment: Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Salary Range: Range Minimum$60,455.00 Range Midpoint$90,815.50 Range Maximum$121,176.00Equal Employment Opportunity StatementBlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.Some states have required notifications. Here's more information. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

As a Medical Claim Lead Auditor, you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader and primary interface with administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims, resolve open issues, and draft the final report. You will contribute to the creation of new tools and approaches. The Responsibilities Conduct pre-implementation and coverage specific audits and accurately document and record all audit findings Understand client's plans and apprise team of unique provisions/issues prior to audit Adjust workloads as necessary to achieve successful completion of project Clearly communicate and professionally interact with vendor and audit team Review documentation of potential discrepancies for thoroughness and accuracy Resolve post-audit activities in an accurate and timely fashion Write quality value-added draft report in a timely manner Participate in client presentation of findings, when requested Understand vendors' processes, operating environment, and specific challenges and take them into account with daily work Develop working relationship with vendor counterparts Distribute individual claim/work queues to team in a timely manner Efficiently utilize audit-specific analytic techniques, tools and processes Ensure that Professional Excellence protocols are followed Meet billable hours target Seek opportunities to improve work processes and methods in pursuit of quality output and service delivery Role will be working remotely within the posted locations. Qualifications 5+ years' experience in health claims adjudication gained preferably in a consulting environment and/or in a major insurance claims administrator or health plan environment Solid understanding of health and welfare plan design and all areas of claims administration, as well as of vendors' processes and operating environment Familiarity with all plan types including consumer-driven, PPO, Indemnity and Managed Care Must demonstrate a high level of claims administration knowledge, including experience with medical, dental, mental health and Medicare Detailed knowledge of ICD-10 and CPT codes and coding protocols Must have prior experience in medical claim auditing (e.g., re-evaluating medical claims that were previously processed for adherence to plan design and other program parameters). Experience auditing both professional and facility claims types. Must have experience auditing both benefits and pricing. Excellent oral and written communications skills Team player with strong work ethic Self-directed; requiring very little supervision Previous internal audit experience at a carrier or third-party external audit experience a plus Bachelor's Degree preferred; High School Diploma required Compensation and Benefits Base salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation. Please note that base salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation. Compensation The base salary compensation range being offered for this role is $90,000 to $98,000 USD per year. This role is also eligible for an annual short-term incentive bonus. Company Benefits WTW provides a competitive benefit package which includes the following (eligibility requirements apply): Health and Welfare: Mental health/emotional wellbeing (including Employee Assistance Program), medical (including prescription drug coverage and fertility benefits), dental, vision, Health Savings Account, Commuter Accounts, Health Care and Dependent Care Flexible Spending Accounts, company-paid life insurance, supplemental life insurance, AD&D, group accident, group critical illness, group legal, identity theft protection, wellbeing program, adoption assistance, surrogacy assistance, auto/home insurance, pet insurance, and other work/life resources. Leave Benefits: Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off Retirement Benefits: Contributory Pension Plan and Savings Plan (401k). All Level 38 and more senior roles may also be eligible for non-qualified Deferred Compensation and Deferred Savings Plans. Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles County Fair Chance Ordinance for Employers, we will consider for employment qualified applicants with arrest and conviction records. Note that visa employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity. This position will remain posted for a minimum of three business days from the date posted or until sufficient/appropriate candidate slate has been identified. EOE, including disability/vets

As a Medical Claim Lead Auditor, you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader and primary interface with administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims, resolve open issues, and draft the final report. You will contribute to the creation of new tools and approaches. The Responsibilities Conduct pre-implementation and coverage specific audits and accurately document and record all audit findings Understand client's plans and apprise team of unique provisions/issues prior to audit Adjust workloads as necessary to achieve successful completion of project Clearly communicate and professionally interact with vendor and audit team Review documentation of potential discrepancies for thoroughness and accuracy Resolve post-audit activities in an accurate and timely fashion Write quality value-added draft report in a timely manner Participate in client presentation of findings, when requested Understand vendors' processes, operating environment, and specific challenges and take them into account with daily work Develop working relationship with vendor counterparts Distribute individual claim/work queues to team in a timely manner Efficiently utilize audit-specific analytic techniques, tools and processes Ensure that Professional Excellence protocols are followed Meet billable hours target Seek opportunities to improve work processes and methods in pursuit of quality output and service delivery Role will be working remotely within the posted locations. Qualifications 5+ years' experience in health claims adjudication gained preferably in a consulting environment and/or in a major insurance claims administrator or health plan environment Solid understanding of health and welfare plan design and all areas of claims administration, as well as of vendors' processes and operating environment Familiarity with all plan types including consumer-driven, PPO, Indemnity and Managed Care Must demonstrate a high level of claims administration knowledge, including experience with medical, dental, mental health and Medicare Detailed knowledge of ICD-10 and CPT codes and coding protocols Must have prior experience in medical claim auditing (e.g., re-evaluating medical claims that were previously processed for adherence to plan design and other program parameters). Experience auditing both professional and facility claims types. Must have experience auditing both benefits and pricing. Excellent oral and written communications skills Team player with strong work ethic Self-directed; requiring very little supervision Previous internal audit experience at a carrier or third-party external audit experience a plus Bachelor's Degree preferred; High School Diploma required Compensation and Benefits Base salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation. Please note that base salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation. Compensation The base salary compensation range being offered for this role is $90,000 to $98,000 USD per year. This role is also eligible for an annual short-term incentive bonus. Company Benefits WTW provides a competitive benefit package which includes the following (eligibility requirements apply): Health and Welfare: Mental health/emotional wellbeing (including Employee Assistance Program), medical (including prescription drug coverage and fertility benefits), dental, vision, Health Savings Account, Commuter Accounts, Health Care and Dependent Care Flexible Spending Accounts, company-paid life insurance, supplemental life insurance, AD&D, group accident, group critical illness, group legal, identity theft protection, wellbeing program, adoption assistance, surrogacy assistance, auto/home insurance, pet insurance, and other work/life resources. Leave Benefits: Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off Retirement Benefits: Contributory Pension Plan and Savings Plan (401k). All Level 38 and more senior roles may also be eligible for non-qualified Deferred Compensation and Deferred Savings Plans. Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles County Fair Chance Ordinance for Employers, we will consider for employment qualified applicants with arrest and conviction records. Note that visa employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity. This position will remain posted for a minimum of three business days from the date posted or until sufficient/appropriate candidate slate has been identified. EOE, including disability/vets

Joining TÜV Rheinland means working for one of the world's leading testing, inspection, and certification service providers with more than 20,000 employees globally. Our employees are our most important asset. That is why we invest in their development and offer competitive pay, multiple health insurance plan options, and a 401(k) with up to 6% company match. At the same time we live an international, team-oriented culture characterized by respect, collegiality and openness. This enables our employees to develop their potential, apply new knowledge and methods directly - and plan a long-term career with real opportunities for advancement. SUMMARY: Plan and perform independent audits to evaluate and determine customer's quality systems and/or products compliance to applicable standards and regulatory requirements. PRINCIPAL DUTIES AND RESPONSIBILITIES: * Perform and document pre-audits, registration audits, re-audits and surveillance audits following relevant published standard(s), regulatory requirements and company procedures. May lead audit team and be responsible for successful accomplishment of assigned project * Review and forward audit reports, client responses to audit non conformities, and other technical documentation reports to Certification Specialist * Inform client management through verbal and written communication of compliance issues, relevant standards and regulatory requirements * Evaluate product nonconformance related to product processes and specifications * Establish and maintain strong professional relationships with customers * Maintain and expand technical expertise in specific product fields * Perform other duties as assigned QUALIFICATIONS & REQUIREMENTS: Knowledge, Skill, & Abilities * Broad knowledge of domestic and international regulatory compliance laws and regulations, including specific product directives * Ability to read and interpret documentation for compliance with procedures, standards and regulations * Ability to communicate with client's highly specialized engineers, scientists and regulatory employees * Must be highly organized and able to work independently * Technical expertise in product field * Ability to travel domestically and internationally. Valid passport and driver's license required. Education * Bachelor's Degree in an Engineering or Life Science discipline or equivalent education and/or experience Experience * 2 years of experience in conducting global regulatory compliance audits * 4 years of experience in the product industry with at least 2 years experience in quality assurance or regulatory affairs * Computer literacy required including Microsoft Office applications. Certifications * Commodity approved ISO 9001, ISO 14001, and ISO 4500 Lead Auditor Certification PHYSICAL DEMANDS & WORK ENVIRONMENT: * Office, manufacturing and laboratory environments. Equipment Used: * Laptop Computer Travel Required: * Ability to travel up to 100% of time, both domestically and internationally. TUV Rheinland North America EEO Statement As a global business, TUV Rheinland North America relies on diversity of culture and thought to deliver on our goal of Creative People, Practical solutions serving our client needs, and ensures nondiscrimination in all programs and activities in accordance with Title VI and VII of the Civil rights Act of 1964. We continuously seek talented, qualified employees in our world-wide operations regardless of race, color, sex/gender, including gender identity and expression, sexual orientation, pregnancy, national origin, religion, disability, age, marital status, citizen status, protected veteran status, or any other protected classification under country or local law. TUV Rheinland North America is proud to be an Equal Employment Opportunity/ Affirmative Action Employer/ Federal Contractor desiring priority referrals of all protected veterans for job openings. #LI-remote

Joining TÜV Rheinland means working for one of the world's leading testing, inspection, and certification service providers with more than 20,000 employees globally. Our employees are our most important asset. That is why we invest in their development and offer competitive pay, multiple health insurance plan options, and a 401(k) with up to 6% company match. At the same time we live an international, team-oriented culture characterized by respect, collegiality and openness. This enables our employees to develop their potential, apply new knowledge and methods directly - and plan a long-term career with real opportunities for advancement. SUMMARY: Plan and perform independent audits to evaluate and determine customer's quality systems and/or products compliance to applicable standards and regulatory requirements. PRINCIPAL DUTIES AND RESPONSIBILITIES: Perform and document pre-audits, registration audits, re-audits and surveillance audits following relevant published standard(s), regulatory requirements and company procedures. May lead audit team and be responsible for successful accomplishment of assigned project Review and forward audit reports, client responses to audit non conformities, and other technical documentation reports to Certification Specialist Inform client management through verbal and written communication of compliance issues, relevant standards and regulatory requirements Evaluate product nonconformance related to product processes and specifications Establish and maintain strong professional relationships with customers Maintain and expand technical expertise in specific product fields Perform other duties as assigned QUALIFICATIONS & REQUIREMENTS: Knowledge, Skill, & Abilities Broad knowledge of domestic and international regulatory compliance laws and regulations, including specific product directives Ability to read and interpret documentation for compliance with procedures, standards and regulations Ability to communicate with client's highly specialized engineers, scientists and regulatory employees Must be highly organized and able to work independently Technical expertise in product field Ability to travel domestically and internationally. Valid passport and driver's license required. Education Bachelor's Degree in an Engineering or Life Science discipline or equivalent education and/or experience Experience 2 years of experience in conducting global regulatory compliance audits 4 years of experience in the product industry with at least 2 years experience in quality assurance or regulatory affairs Computer literacy required including Microsoft Office applications. Certifications Aerospace approved AS9100, AS9110 or AS9120 Lead Auditor Certification PHYSICAL DEMANDS & WORK ENVIRONMENT: Office, manufacturing and laboratory environments. Equipment Used: Laptop Computer Travel Required: Ability to travel up to 100% of time, both domestically and internationally. TUV Rheinland North America EEO Statement As a global business, TUV Rheinland North America relies on diversity of culture and thought to deliver on our goal of Creative People, Practical solutions serving our client needs, and ensures nondiscrimination in all programs and activities in accordance with Title VI and VII of the Civil rights Act of 1964. We continuously seek talented, qualified employees in our world-wide operations regardless of race, color, sex/gender, including gender identity and expression, sexual orientation, pregnancy, national origin, religion, disability, age, marital status, citizen status, protected veteran status, or any other protected classification under country or local law. TUV Rheinland North America is proud to be an Equal Employment Opportunity/ Affirmative Action Employer/ Federal Contractor desiring priority referrals of all protected veterans for job openings. #LI-remote

Responsible for the coordination and completion of the audit reviews, reviewing audit work papers and reports completed by department staff, distributing reports to management, coordinating auditor's assignments, mentoring and coaching department staff, and assisting the department manager with the direction of the workflow of various risk management activities and special projects. Description The Lead Medicare Auditor is a part-time remote position. What You'll Do: Independently and objectively helps plan and execute audits in accordance with professional auditing standards. Performs or supports audits focused primarily on operational controls, asset safeguarding, and compliance with procedures, laws, and regulations. Functions as in-charge auditor of the most complex audit reviews and/or cost reports. May conduct reviews of account reconciliations performed by various financial areas. Identifies and analyzes related key processes, systems, and controls to determine effectiveness. Communicates audit status and results to management, with emphasis on discussing deficiencies and recommending corrective actions. Prepares formal written work papers and reports, documenting audit work performed and expressing conclusion. Assesses desk reviews performed by subordinate auditors to ensure that quality audit work is performed and on-the-job training is provided as necessary. Assists in ensuring that all assigned audits are completed and reviewed in accordance with Generally Accepted Accounting Principles, Generally Accepted Auditing Standards and, Government Auditing Standards. Coordinates the completion of these assignments in a manner which results in timely completion of all assignments in accordance with budget performance requirements as well as departmental interim goals. Directs the day-to-day efforts of assigned audit staff by reviewing and planning assignments, training, and providing leadership and guidance. Assists in the development and revision of work instructions, forms, and procedures. Broadens and maintains working knowledge of applicable laws, regulations, and procedures through self-study programs, on-the-job training, attending seminars and network association's formal training programs. Communicates with internal and external areas as necessary to ensure efficient completion of assigned tasks. To qualify for this position, you will need: Required Education: Bachelor's in a job related field Required Work Experience: 7 years auditing or accounting experience with one year leading audits. Required Skills and Abilities: Knowledge of the principles and practices of auditing. Ability to analyze and determine the applicability of financial data, to draw conclusions and make appropriate recommendations. Ability to gather information by examining records and documents and to interview individuals concerning those records. Strong interpersonal skills and the ability to work professionally with persons at all levels, and to maintain effective working relationships. Ability to communicate clearly and effectively in oral and written form. Ability to handle sensitive matters on a confidential basis. Knowledge of cost accounting standards and General Accepted Accounting Principles. Knowledge and use of auditing standards and statistical sampling techniques. Good planning and organization skills. Required Software and Tools: Microsoft Office. Preferred Licenses and Certificates: Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA) Work Environment: Typical office environment. Some travel between office buildings. Out of town travel may be required.Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits at the first of the month following 28 days of employment: Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Salary Range: Range Minimum$60,455.00 Range Midpoint$90,815.50 Range Maximum$121,176.00Equal Employment Opportunity StatementBlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.Some states have required notifications. Here's more information. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

We are SGS - the world's leading testing, inspection and certification company. We are recognized as the global benchmark for sustainability, quality and integrity. Our 99,600 employees operate a network of 2,600 offices and laboratories, working together to enable a better, safer and more interconnected world. As the Lead IATF Certification Auditor, you will perform third-party audits per SGS Certification procedures and the requirements for the IATF 16949 standard. They are responsible to make relevant decisions concerning the audit process and to inform SGS SSC as required to resolve issues outside the audit process. The Lead Auditor is responsible to collect and analyze sufficient information to provide a recommendation for certification. They have the authority for the control and performance of auditing activities including planning and the control of other members of audit teams. 100% Remote Contract Position Perform audits in any capacity in conformance with SGS Global/Local procedures, sector specific schemes and IATF 16949 Assimilate, understand, and operate the SGS Certification Management System in all activities relating to the post, and to liaise with the Product Managers and Accreditation Manager regarding any changes to its design and implementation Control as necessary, teams of auditors during the activities covered by items above. Decide upon evidence gained during audits whether or not registration should be recommended or allowed to continue. Strive to acquire sufficient audit experience to cover the whole of SGS's Certification's accredited activities. Assist in the training of other auditors and lead auditors during planned audits or during other training functions. Participate actively in witness audits by SGS or accreditation bodies. Maintain all audit credentials. Undertake any other activities as directed by the Operations and/or Accreditation Manager. Adheres to internal standards, policies, and procedures. Possible assignments against other standards (e.g. ISO 9001:2015) Qualifications EDUCATION & EXPERIENCE Required: Bachelor's degree or higher in relevant discipline, or similar Qualified Lead Auditor Accredited scheme against IATF 16949 Satisfactorily completion of an approved IATF 16949 Auditor/Lead Auditor course. The course must include an examination, which must be passed to evidence satisfactory completion. It would be a plus to have completed similar training for ISO 9001 Experience in the automotive sector is required. Possess competent working knowledge of recognized quality, security, service management and business continuity related ISO standards. KNOWLEDGE/ SKILLS/ ABILITIES Strong background and knowledge of technical applications of the standards Language Skills: Highest advanced level of English Mathematical Skills: Basic level Reasoning Skills/Abilities: Basic level Excellent communication and interpersonal, verbal, written and presentation skills Leadership abilities - ability to Lead a team to achieve a set up goal or complete an audit on time and according to standards Proactive attitude and excellent organizational skills Effectively reacts in stressful situations and make clear, well-founded decisions regarding conformity during the audit Ability to multitask and manage multiple projects while delivering results on time Act with integrity, tact, and character COMPUTER SKILLS MS Office Suite (Word, Excel, PowerPoint) - Intermediate user proficiency TRAVEL Travels up to 80% of the time - automobile / airplane, some travel might be international with flight time 8+ hours depending on the destination. Weekend travel may be necessary to meet utilization requirements. Additional Information SGS is an Equal Opportunity Employer, and as such we recruit, hire, train, and promote persons in all job classifications without regard to race, color, religion, sex, national origin, disability, age, marital status, sexual orientation, gender identity or expression, genetics, status as a protected veteran, or any other characteristics protected by law. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily with or without reasonable accommodations. The requirements listed above are representative of the knowledge, skills, and/or abilities required. This job description should not be construed as an exhaustive statement of duties, responsibilities or requirements, but a general description of the job. Nothing contained herein restricts the company's rights to assign or reassign duties and responsibilities to this job at any time. If you are applying for a position within the United States and you have difficulty completing the on-line employment application because of a disability, please call ************ for assistance and leave a message. You will receive a call back. Please note, this phone number is not for general employment information, but is only for individuals who are experiencing difficulty applying for a position due to a disability All your information will be kept confidential according to EEO guidelines.

PROVIDER AUDIT AND REIMBURSEMENT LEAD AUDITOR (CMS) - REMOTE ARC Group has an immediate opportunity for a Provider Audit and Reimbursement Lead Auditor (CMS)! This position is 100% remote working eastern time zone business hours. This is a direct hire FTE position and a fantastic opportunity to join a well-respected organization offering tremendous career growth potential. 100% REMOTE! Candidates must currently have PERMANENT US work authorization. Job Description: The Provider Audit and Reimbursement Lead utilizes advanced knowledge of Medicare laws, regulations, instructions from the Centers for Medicare and Medicaid Services (CMS), and provider policies to perform desk reviews and audits of the annual Medicare cost reports, as well as interim rate review/reimbursement, and/or settlement acceptance/finalization for all provider types, including complex and organ transplant hospitals, as both a preparer and reviewer of work product based on established performance goals. The position will mentor and train Auditors and In-Charge Auditors and oversee daily workload of unit team. ESSENTIAL DUTIES & RESPONSIBILITIES Lead Accountabilities (60%): Coordinates with management by overseeing the unit's daily workload. Routinely uses independent judgment and discretion to make decisions for self and less experienced auditors with regard to additional time and procedures; identifies and raises errors to the attention of supervisor and/or provider and identifies and communicates actions to correct same. Prioritizes auditor work and ensures that audit work is completed on time. Recognizes data needs for self and other auditors; develops plan of work for less experienced auditors (10%) Analyzes working papers and cost reports for errors. (10%) Reviews workpapers of auditors for correctness, control and adherence to Generally Accepted Accounting Practices (GAAP), Generally Accepted Accounting Standards (GAAS) and Government Auditing Standards (GAS) as required. Examines and reviews workpapers upon completion of the audit to ensure compliance with CMS Uniform Desk Review (UDR), policy, or technical direction and reflects proper reference, clear and concise conclusion of the major audit categories and assembly of working papers into logical sequence. (10%) Reviews, evaluates and approves the disbursement of tentative cost settlements in compliance with Federal and State Government regulations for each class/type of provider within area of responsibility. (5%) Develops technical competence and constructive work attitudes in self and less experienced auditors; strives to build an effective team and to develop the growth needs of individual members of his/her team. (10%) Coordinates the assignments and subsequent development of auditors based on their training needs; explains work to be performed and principle or objective of procedure; provides accurate and constructive coaching, mentoring, and training of team members. Identifies training needs within the team and/or department. (5%) Manages, implements and coordinates an internal quality control program in conjunction with the Internal Quality Control (IQC) department and provides reasonable assurance that the Provider Audit and Reimbursement Department has established, as well as is following, adequate policies, procedures, and is following applicable auditing standards. (5%) Facilitates the development of Quality Management System (QMS) policies and procedures. (5%) Auditor Accountabilities (40%) Performs audit functions including those which are non-routine; keeps track of instructions for many projects simultaneously. Presents and defends adjustments and workpapers to provider with minimal consultation from manager. (10%) Coordinates large audits and/ or diverse audits independently while seeking help on truly unusual or major items. (10%) Uses professional communication techniques in own and auditor's work and in conclusions drawn from the work. (5%) Establishes and maintains constructive provider relations by demonstrating a professional approach, expressing positive corporate image. Advises providers on Medicare policy questions and directs other questions to responsible departments or personnel. (5%) Conducts entrance and exit conferences and meetings away from office as needed. (5%) Perform other duties as the manager may deem necessary (5%) REQUIRED QUALIFICATIONS Bachelors' degree or a combination of education and experience in disciplines such as auditing, accounting, analytics, finance or similar experience in lieu of a degree In addition to having a thorough understanding of the Medicare cost report, including the step-down method, the candidate must possess the required work experience to independently perform the duties of the position. To demonstrate the necessary experience, the candidate must have performed the following tasks at a sufficiently successful level to show understanding of the work, judgment, and the ability to perform these tasks independent of supervision, which is generally gained through 2.5 to 3 years of Medicare cost report auditing experience: A Uniform Desk Review (UDR) and an audit for a large or complex hospital, as the in-charge auditor A review of Medicare Bad Debts, inclusive of all relevant sample selection and testing according to CMS standards A review of DSH, inclusive of all relevant sample selection and testing according to CMS standards A review of IME/GME, inclusive of reviewing rotation schedules, bed count and all relevant testing according to CMS standards A review and appropriate approval of an audit's scope A supervisory review and approval of all work papers* Sample testing, transferring of testing to the audit adjustment report, and explaining the adjustments to a provider with the achievement of understanding by the provider* Assistance to audit management in the assignment and monitoring of workload, as well as leading junior team members Additionally: The auditor must display leadership skills by being integrally involved in junior auditor formal training or assisting on special projects, or have been a Subject Matter Expert (SME)* The auditor must be able to prepare workpapers according to CMS standards The auditor must have a good working knowledge of all applicable software applications The auditor must be able to serve as an effective mentor for less experienced staff The auditor must demonstrate engagement, commitment to departmental success, and professionalism by completing their work within prescribed deadlines, taking ownership of their work and setting an example for more junior auditors and staff by consistently and reliably working the time necessary to properly complete their duties, timely attending meetings, providing adequate notice to management and co-workers when unexpected issues arise, and ensuring work is properly covered in the auditor's absence. Demonstrated oral and written communications skills Demonstrated ability to exercise independent judgement and discretion Demonstrated attention to detail PREFERRED QUALIFICATIONS 3 to 4 years of Medicare cost report auditing experience Demonstrated work experience to independently perform: A review of Nursing & Allied Health Education (NAHE), inclusive of calculating the additional add-on payment and all relevant testing A review of Organ Acquisition costs, inclusive of all relevant testing Requirements This opportunity is open to remote work in the following approved states: AL, AR, FL, GA, ID, IN, IO, KS, KY, LA, MS, NE, NC, ND, OH, PA, SC, TN, TX, UT, WV, WI, WY. Specific counties and cities within these states may require further approval. In FL and PA in-office and hybrid work may also be available. Would you like to know more about our new opportunity? For immediate consideration, please send your resume directly to John Burke ******************** or apply online while viewing all of our open positions at ******************* ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know. Position is offered with no fee to candidate.

Des Moines, IA, USA Full-time ** **Eurofins Scientific is an international life sciences company, providing a unique range of analytical testing services to clients across multiple industries, to make life and our environment safer, healthier and more sustainable. From the food you eat, to the water you drink, to the medicines you rely on, Eurofins works with the biggest companies in the world to ensure the products they supply are safe, their ingredients are authentic and labelling is accurate.** **Eurofins is the global leader in food, environment, pharmaceutical and cosmetic product testing and in agroscience Contract Research Organisation services. Eurofins is one of the market leaders in certain testing and laboratory services for genomics, discovery pharmacology, forensics, advanced material sciences and in the support of clinical studies, as well as having an emerging global presence in Contract Development and Manufacturing Organisations. The Group also has a rapidly developing presence in highly specialised and molecular clinical diagnostic testing and in-vitro diagnostic products.** **In over just 30 years, Eurofins has grown from one laboratory in Nantes, France to 55,000 staff across a decentralised and entrepreneurial network of 900 laboratories in over 50 countries. Eurofins offers a portfolio of over 200,000 analytical methods to evaluate the safety, identity, composition, authenticity, origin, traceability and purity of biological substances and products.** **Job Description** **Position Summary:** The core responsibility of the Consumer Products Assurance Social Compliance Lead Auditor will be to execute assigned social compliance audits for Eurofins' clients - primarily in the US. As a lead auditor, the role will involve managing and developing social compliance auditors - in addition to leading audit executions. **Objectives:** **Audit Execution** Lead auditor will support the operating results of the business through the execution of audit services - with approximately 14 billable days per month. In audit execution, the lead auditor will be responsible to for supporting the training and development of junior auditors - participating in audits as a team member. **Technical Support and Governance** As a member of the audit team, the lead auditor will contribute technical input and perspective to the development of operating procedures and methodologies to ensure audit service delivery capabilities support client service delivery objectives - enhancing satisfaction among clients. **Customer Service** Provide customer support as the audit service stream program managers for selected large global accounts and collaborative programs. **Roles and Responsibilities:** **Audit Execution and Reporting** + Perform audits consistent with Eurofins' client and program instructions in accordance with established protocols + Prepare audit reports in a complete, accurate and timely manner for submission to the Eurofins ARCC + Respond timely to any post audit queries from ARCC to close and finalize audit report **Technical Support and Governance** + Ensure the integrity and consistency of the delivery of CPA audit services though support for the continuous improvement of operating procedures and methodologies to ensure service delivery capabilities support client service delivery objectives on a global basis. + Provide subject matter support for the effective and timely resolution of issues and problems with audits related in other key sourcing markets. **Qualifications** + Bachelors or advanced degree in Business, Finance or a related field of study. + At least 5 years' experience in professional services and/or auditing. + At least 3years' experience managing teams of professionals. + APSCA CSCA certificate/license **Key Skills** **Subject Matter** + Significant knowledge of audit subject matter - particularly social audits, service delivery methodologies for audit services and the demonstrated ability to implement them + General knowledge of risk management, auditing, and process management consulting concepts and the demonstrated ability to implement them **Client interaction** + Demonstrated ability to work with clients and facilities to be audited, understand their requirements, define and assist in solving problems, and generally ensure client's total satisfaction with Eurofins **Management/Leadership** + Effective oral and written communications skills including professional English presentation + Strong skills as a team leader and ability to work well with peers. + Highly developed organizational and interpersonal skills. + Ability to interpret regulations and standards. + Technical aptitude, the ability to quickly assimilate and assess new information and develop plans to capitalize or react to it **Additional Information** **Schedule:** + 40 hours per week **What we offer:** + Excellent full time benefits including comprehensive medical coverage, dental, and vision options + Life and disability insurance + 401(k) with company match + Paid vacation and holidays **Eurofins USA Consumer Product Testing is a Disabled and Veteran Equal Employment Opportunity employer.**

Eurofins Scientific is an international life sciences company, providing a unique range of analytical testing services to clients across multiple industries, to make life and our environment safer, healthier and more sustainable. From the food you eat, to the water you drink, to the medicines you rely on, Eurofins works with the biggest companies in the world to ensure the products they supply are safe, their ingredients are authentic and labelling is accurate. Eurofins is the global leader in food, environment, pharmaceutical and cosmetic product testing and in agroscience Contract Research Organisation services. Eurofins is one of the market leaders in certain testing and laboratory services for genomics, discovery pharmacology, forensics, advanced material sciences and in the support of clinical studies, as well as having an emerging global presence in Contract Development and Manufacturing Organisations. The Group also has a rapidly developing presence in highly specialised and molecular clinical diagnostic testing and in-vitro diagnostic products. In over just 30 years, Eurofins has grown from one laboratory in Nantes, France to 55,000 staff across a decentralised and entrepreneurial network of 900 laboratories in over 50 countries. Eurofins offers a portfolio of over 200,000 analytical methods to evaluate the safety, identity, composition, authenticity, origin, traceability and purity of biological substances and products. Job Description Position Summary: The core responsibility of the Consumer Products Assurance Social Compliance Lead Auditor will be to execute assigned social compliance audits for Eurofins' clients - primarily in the US. As a lead auditor, the role will involve managing and developing social compliance auditors - in addition to leading audit executions. Objectives: Audit Execution Lead auditor will support the operating results of the business through the execution of audit services - with approximately 14 billable days per month. In audit execution, the lead auditor will be responsible to for supporting the training and development of junior auditors - participating in audits as a team member. Technical Support and Governance As a member of the audit team, the lead auditor will contribute technical input and perspective to the development of operating procedures and methodologies to ensure audit service delivery capabilities support client service delivery objectives - enhancing satisfaction among clients. Customer Service Provide customer support as the audit service stream program managers for selected large global accounts and collaborative programs. Roles and Responsibilities: Audit Execution and Reporting Perform audits consistent with Eurofins' client and program instructions in accordance with established protocols Prepare audit reports in a complete, accurate and timely manner for submission to the Eurofins ARCC Respond timely to any post audit queries from ARCC to close and finalize audit report Technical Support and Governance Ensure the integrity and consistency of the delivery of CPA audit services though support for the continuous improvement of operating procedures and methodologies to ensure service delivery capabilities support client service delivery objectives on a global basis. Provide subject matter support for the effective and timely resolution of issues and problems with audits related in other key sourcing markets. Qualifications Bachelors or advanced degree in Business, Finance or a related field of study. At least 5 years' experience in professional services and/or auditing. At least 3years' experience managing teams of professionals. APSCA CSCA certificate/license Key Skills Subject Matter Significant knowledge of audit subject matter - particularly social audits, service delivery methodologies for audit services and the demonstrated ability to implement them General knowledge of risk management, auditing, and process management consulting concepts and the demonstrated ability to implement them Client interaction Demonstrated ability to work with clients and facilities to be audited, understand their requirements, define and assist in solving problems, and generally ensure client's total satisfaction with Eurofins Management/Leadership Effective oral and written communications skills including professional English presentation Strong skills as a team leader and ability to work well with peers. Highly developed organizational and interpersonal skills. Ability to interpret regulations and standards. Technical aptitude, the ability to quickly assimilate and assess new information and develop plans to capitalize or react to it Additional Information Schedule: 40 hours per week What we offer: Excellent full time benefits including comprehensive medical coverage, dental, and vision options Life and disability insurance 401(k) with company match Paid vacation and holidays Eurofins USA Consumer Product Testing is a Disabled and Veteran Equal Employment Opportunity employer.

This is a 'physical' auditor role, where, although you work remotely, the portions of the work require physically being on site at the insured's premises in the general geography indicated. We ❣️ love ❣️our auditors! At ISG, we are committed to forming a partnership with our premium auditors that is based on integrity and open, honest communication. We hire the right auditors - those focused on quality - with the right experience and the interpersonal skills required to build relationships in our industry. In turn, we offer a challenging environment, training, educational opportunities, and experience using the most current and up to date technology. The ISG difference is the caliber of our team. Join our market-leading, insurance premium audit team! At ISG, you can expect to: Be challenged - We provide you with exciting, challenging, and diverse audit projects. Grow your skills - Expand your knowledge and skills with our proprietary training and development program. Have pride in your firm - Join a top rated, highly respected and fast growing company. Expand your knowledge base - We serve a wide variety of clients, including policies from workers' compensation to general liability and commercial auto. Key experience and skills required: Minimum of three years' prior experience in auditing Workers Compensation and General Liability policies A working knowledge of state, NCCI, and ISO guidelines Superior communication and organization skills Excellent computer skills (Microsoft Applications such as Excel, Word, and Outlook); experience with Visual Audit is helpful Strong work ethic and commitment to excellence ISG values high caliber, experienced professionals and compensates at 💰 top industry rates 💰! Apply today if you meet the above criteria!

About the EXL Insurance Premium Audit Group: A leader in the field, EXL can complete all levels of premium audits on all auditable exposure types. We train our 450+ highly skilled professionals worldwide utilizing our industry-leading training platform and curriculum. This expertise is combined with a technology-enabled proprietary platform, with predictive modeling capabilities. Using a Premium Audit selection model, the team can predict the likelihood of policy misclassification, automatically assign audit methods to save carriers time and money, and use machine learning to continuously improve correlation and prediction accuracy. To learn more about the EXL Insurance Premium Audit Group visit us at ***************************************************** Why work for the EXL Insurance Premium Audit Team? 17 days paid vacation, plus 8 paid holidays Additional 10 paid sick days Superb training program Work from home Competitive total compensation package and benefits with 401k Career advancement opportunities Discounted health club benefits in many areas around the U.S. Paid Parental Leave Laptop and other necessary office equipment provided Compensation: Pay Type: Hourly plus production bonus incentives, in accordance with EXL's policies Total compensation for this position, which is a combination of an hourly base rate plus production bonus incentives, is targeted between $50K-$70K in total earnings within the first year.: Hourly base rate is dependent upon job specific experience and location. There is no cap on production bonus incentives ***Applicants must have at least 2 years of experience in a premium auditor role*** Qualifications: Must have at least 2 yrs experience Ability to work independently from home. Experience with the MS Office Suite (excel, word, outlook, etc.) Must be self-motivated, self-disciplined and exhibit a willingness to learn. Excellent time management Excellent verbal and written communication skills Working knowledge of insurance and / or basic accounting principles is a plus.} High School Diploma or GED required To view our total rewards offered click here -> ************************************************** Base Salary Range Disclaimer: The base salary range represents the low and high end of the EXL salary range for this position. Actual salaries will vary depending on factors including but not limited to location and experience. The base salary range listed is just one component of EXL's total compensation package for employees. Other rewards may include bonuses, a Paid Time Off policy, and many region-specific benefits. Please also note that the data shared through the job application will be stored and processed by EXL in accordance with the EXL Privacy Policy. EEO/Minorities/Females/Vets/Disabilities Application & Interview Impersonation Warning- Purposely impersonating another individual when applying and / or participating in an interview in order to obtain employment with EXL Service Holdings, Inc. (the “Company”) for yourself or for the other individual is a crime. We have implemented measures to deter and to uncover such unlawful conduct. If the Company identifies such fraudulent conduct, it will result in, as applicable, the application being rejected, an offer (if made) being rescinded, or termination of employment as well as possible legal action against the impersonator(s). EXL may use artificial intelligence to create insights on how your candidate information matches the requirements of the job for which you applied. While AI may be used in the recruiting process, all final decisions in the recruiting and hiring process will be taken by the recruiting and hiring teams after considering a candidate's full profile. As a candidate, you can choose to opt out of this artificial intelligence screening process. Your decision to opt out will not negatively impact your opportunity for employment with EXL. The Role and Responsibilities: Working from your home office, this role requires scheduling appointments with the insured to be audited and obtain necessary documentation for our insurance company client audits all while adhering to customer requirements and quality standards. Territory: Remote

This Sealants auditor position is an excellent opportunity for recent retirees or consultants that have experience in product specific, manufacturing (Mixing, Packaging, Storage, etc), testing and inspection. Our auditors enjoy traveling domestically and/or internationally, a flexible schedule (some auditors perform 1 or 2 audits a month, while others desire to audit every week), competitive compensation that includes a daily rate plus travel expenses, meeting new people and keeping in touch with technology and the latest developments, networking with other industry professionals. To learn more about this auditor position, please review these General Guidelines. Qualifications The ideal auditor candidate will possess most of the following criteria: 3 or more years experience in Sealants, Chemical Coatings, Adhesives, Wet Processing or other relating chemical processing 3 or more years experience as a Laboratory Technician Knowledge of Two-Part Polysulfide Sealants, Silicones and Fluorosilicones, Polyurethanes, Adhesion Promoters, Coatings and Coating Processes and Peel Panels, Shear Specimens, and Tensile Bars

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As an Audit Lead, you'll support audit engagements of varying complexity, often participating in cross-functional, risk-based assurance and advisory projects, contributing to the quality of audit work. A key aspect of this role involves testing models and model-related tools as part of audit engagements. You will support Auditor-In-Charge (AIC) responsibilities and maintain knowledge of financial services regulations, effectively responding to and interacting with regulators. This role provides support and oversight to multiple audit engagements and participates in the review of engagement planning, fieldwork, and reporting. You will also manage strategic initiatives and assist with the development and implementation of a risk-based audit plan. You will serve as, and/or partner with, subject matter expert(s) within audit or the business to analyze issues, establish collaborative client relationships, and proactively work with client management to assess risk and improve internal controls. You will also adhere to the Institute of Internal Auditors' International Standards for the Professional Practice of Internal Auditing (Standards) and Code of Ethics. We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: San Antonio, TX, Plano, TX, or Charlotte, NC. Relocation assistance is available for this position. What you'll do: Contribute to continuous monitoring, advisory activities, special reviews, and investigations. Ensure assigned audit engagements are completed objectively, professionally, and timely, adhering to audit standards. Identify control weaknesses and recommend improvements, drafting audit issues and reports for client leadership and conducting follow-up. Support quality of audit reviews and propose updates to the universe risk assessment based on audit results. Build client relationships to drive strategic objectives. Communicate effectively with business/clients, delivering risk-based and difficult messages, and potentially with regulators and executive leaders. Provide coaching and guidance to other auditors, ensuring timely and quality deliverables, and may provide engagement evaluations. Provide input into the internal audit universe and risk profiles, updating risk assessment information. Participate in the development and execution of the annual audit plan, assessing and covering risks. What you have: Bachelor's degree in Business or relevant field such as Finance, Accounting, Business, or Information Technology. Four additional years of related experience beyond minimum required may be substituted in lieu of a degree. 8 years of audit, financial, insurance, banking, information technology or related business and/or leadership experience. Experience performing internal audits, external audits, or applying audit, risk, or compliance acumen in a complex operational and regulatory environment. Broad and comprehensive experience in Audit theory, internal audit principles with demonstrated experience in audit examining, analyzing, assessing, and drawing conclusions from audit work. Demonstrated experience effectively communicating and challenging Controls with business partners and influencing business outcomes. Understanding of risks and internal controls and the ability to evaluate and determine adequacy and efficiency of controls. Experience in a support role, mentoring, and providing feedback to audit team members throughout the audit. Experience in overseeing work with both internal and external partners in a highly collaborative environment Demonstrated critical thinking and knowledge of data analysis tools and techniques and decision-making abilities. Demonstrated experience in highly dynamic environment undergoing change; ability to deal with competing priorities. What sets you apart: ACAS or FCAS designation. Proven background in P&C model frameworks, ranging from pricing, reserving, and catastrophe modeling to enterprise risk, across development, validation, or oversight risk. Advanced degree (e.g., Master's, PhD) in a quantitative field, such as Economics, Mathematics, Statistics, Actuarial Science, Data Science, Engineering, Computer Science, or Related Field with Core Quantitative Curriculum. Deep knowledge and experience with SR 11-7 and/or ASOP 56. Compensation range: The salary range for this position is: $143,320 - $273,930. USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com. Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

The Contract Management Auditor is Responsible for reviewing, analyzing and resolving discrepancies in claim payments as determined by TruBridge Contract Management software. The Contract Management Auditor works closely with team members and the client to ensure necessary and up to date contract information is provided and works with the TruBridge modeling team to confirm terms are modeled correctly. Essential Functions: Proactively researches and identifies claim reimbursement discrepancies and takes the necessary steps to resolve the issue and collect maximum reimbursement from payers for services provided. Reviews and interprets payer contracts and associated documentation to ensure accurate modeling and works with the Contract Management modeling team to ensure accurate calculations and communicate any known updates or changes needed. Works with payors and client payor representatives through verbal, online and/or written communication as required by specific payor appeal processes to correct and collect underpayments on claims as well as identifying overpayment refunds due from the client to payors as required. Manage Contract Management processes for multiple clients. Maintain tracking system and reporting on appeals and under payment recoupments. Other duties as required. Minimum Requirements: 3 Years of health care billing multiple payors. 1 Year of Health care Contract Management Auditing or Comparable Experience Above average knowledge of healthcare billing processes. High degree of self-motivation, strong organizational skills. Ability to positively collaborate and communicate with the team. Can work independently and has a high degree of critical thinking skills. Business Support

The Contract Management Auditor is Responsible for reviewing, analyzing and resolving discrepancies in claim payments as determined by TruBridge Contract Management software. The Contract Management Auditor works closely with team members and the client to ensure necessary and up to date contract information is provided and works with the TruBridge modeling team to confirm terms are modeled correctly. Essential Functions: Proactively researches and identifies claim reimbursement discrepancies and takes the necessary steps to resolve the issue and collect maximum reimbursement from payers for services provided. Reviews and interprets payer contracts and associated documentation to ensure accurate modeling and works with the Contract Management modeling team to ensure accurate calculations and communicate any known updates or changes needed. Works with payors and client payor representatives through verbal, online and/or written communication as required by specific payor appeal processes to correct and collect underpayments on claims as well as identifying overpayment refunds due from the client to payors as required. Manage Contract Management processes for multiple clients. Maintain tracking system and reporting on appeals and under payment recoupments. Other duties as required. Minimum Requirements: 3 Years of health care billing multiple payors. 1 Year of Health care Contract Management Auditing or Comparable Experience Above average knowledge of healthcare billing processes. High degree of self-motivation, strong organizational skills. Ability to positively collaborate and communicate with the team. Can work independently and has a high degree of critical thinking skills. Business Support

Primary Location: 250 E Liberty StAddress: 250 East Liberty St. Louisville, KY 40202 Shift: First Shift (United States of America) Summary: : The Insurance Reimbursement Auditor is primarily responsible for the review on paid insurance claims (including $0.00 pay) and payor recoupments to successfully determine if reimbursement is accurate according to current contracted rates. This employee follows up with government, managed care, commercial, and third party payers on outstanding monies due for services rendered to a patient. This employee will provide “root cause” analysis and trend identification of revenue opportunities to ensure appropriate reimbursement for UofL Health facilities.Additional Job Description: • Perform thorough research of paid claims (including $0.00 pay) for appropriate follow up with payer. • Provide detailed analysis of findings and payer trends. • Review claim remittances to determine reimbursement rates and methodologies used by the payer when processing the claim. • Identify opportunities with underpayment or contract language that is determinant to reimbursement and report findings to leadership. • Perform extensive review of high dollar accounts that are subject to alternative reimbursement terms to validate payments are in accordance with contracted rates. • Responsible for reviewing and understanding explanation of benefits/remittance advice from third-party payers. • Process and review incoming correspondence from payers related to underpayment or high dollar/outlier payment discrepancies. • Audit, research accounts, payment posting, and contractuals to confirm the accuracy of the balance, financial class, and follow up schedule on the account. • Phone contact with patient, physician office, attorney, etc. for additional information to provide payer in order to process claim in accordance with contracted rates. • Communicate payment discrepancies to payer specific provider representatives via email, phone, or scheduled in-person meetings. • Work with reimbursement and contract modeling team members to verify contracted rates are properly calculated with contract modeling system. • Maintain regular contact with Managed Care & Contracting management team to ensure all new contract agreements/updated rates are received timely and effective dates for new rates are communicated to the appropriate Revenue Cycle teams. • Prepare and submit letters, emails, faxes, online inquiries, appeals, and adjustments. • Document all follow up efforts in a clear and concise manner into the AR system. • Work assigned accounts as directed while reaching daily productivity goals. • Complete tasks by deadline provided by leadership. • Participate in system testing and training. • Attend seminars as requested. • Other duties as assigned. Minimum Education and Experience • High School Diploma or GED • 2-3 years of billing, insurance follow-up or insurance payor experience • Experience performing account resolution with third-party payors is preferred • Experience in working with ICD-10, revenue codes, CPT-4 and HCPCS • Moderate computer proficiency including working knowledge of MS Excel, Word and Outlook Knowledge, Skills, and Abilities • Ability to read and interpret documents, i.e. contracts, claims, instructions, policies and procedures in written (in English) form. • Ability to calculate rates using mathematical skills. • Ability to define problems, collect data, and establish facts to execute sound financial decisions in regard to patient account(s). • Must have detailed knowledge of the uniform bill guidelines. • Ability to be persistent in the follow up of underpaid or partially paid claims in a timely manner. • Ability to review, comprehend, and discuss HCFA billing with Insurance or Government agencies. • Knowledge of general insurance requirements. • Experience working directly with EOBs, contractual adjustments, and payer contracts. • General computer knowledge and working with electronic filing systems. • Ability to communicate verbally and in writing with professionalism. • Organizational and documentation skills to ensure timely follow-up and accurate record keeping. • Ability to meet productivity expectations. • Strong team player. • Strong self-motivation to achieve goals.

Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana. About the Indiana Department of Revenue (DOR): Since 1947, the Indiana Department of Revenue has proudly served the people and businesses of Indiana. With more than 600 dedicated team members, we administer over 65 different tax types and process nearly $30 billion in tax revenue each year. Our commitment to excellence has earned us recognition as a Top Workplaces employer, reflecting our focus on service, integrity, and innovation. Role Overview: The Revenue Tax Auditor conducts audits on behalf of the State of Indiana on a variety of taxpayers. You will analyze books and records of businesses to ensure compliance with tax laws. You will ensure the highest level of customer focus, with a strong commitment to taxpayers through continuous, innovative methods to increase accuracy, efficiency, an productivity in all areas of departmental operations and tax administration. This position is in the Columbus, Indiana, Field Office. Residency in the service area is highly preferred. Requires occasional travel to taxpayer locations. Travel is reimbursed. Salary: This position starts at an annual salary of $53,222 with the opportunity for adjustment based on relevant experience and skill sets of the applicant. The Department utilizes three auditor-level classifications based on acquired competencies and demonstrated skill sets. Salary for this position may be commensurate with education and job experience. Use our Compensation Calculator to view the total compensation package. A Day in the Life: Responsibilities include: Independently perform field audits on taxpayers, including international companies with numerous subsidiaries, for all listed taxes. Travel within the established jurisdiction in Indiana to conduct audits. Travel outside of Indiana when required. Conduct pre-audit analysis on audit files to develop a list of preliminary questions and/or areas of concern. Write audit reports, summarizing audit results in a clear and concise manner. Clearly and diplomatically explain audit scope, audit adjustments, tax laws, and policies to taxpayer representatives in order to resolve misunderstandings and errors. Perform administrative functions which may include preparing and updating a file inventory log, a calendar, travel vouchers and attendance reports. Interpret Indiana Tax Code, audit procedures and regulations. Auditor utilizes computer system, the Internet, and research materials specific to the taxpayer to identify areas of potential problems. Maintain records of activities and progress during examinations. Conduct audits on a statistical sampling basis. Provide technical assistance and training to lower-level auditors. The job profile is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time. This position is exempt from overtime compensation for additional work hours which may be required to complete essential functions or other assigned work. Exempt employees may work more than 75 hours in a pay period without additional compensation and must report a minimum of 75 hours per pay period of work hours and/or paid leave taken to receive their base biweekly salary. What You'll Need for Success: Credentials: Bachelor's degree with a minimum of 15 hours of Accounting coursework. 3 - 5 years of experience in tax auditing. Additional qualifications: Working knowledge of accounting principles and auditing standards and procedures. General knowledge of statutes, regulations, and case law related to tax compliance. Ability to generate data requests and to extract, evaluate, and use information from a variety of business records. Ability to effectively interview and solicit pertinent information from taxpayers and their representatives, some of whom may be uncooperative or hostile. Ability to establish and maintain effective working relationships with co-workers, taxpayers, their representatives, and others involved in the audit process. Ability to travel overnight in the performance of assigned audits. Ability to perform essential functions with or without reasonable accommodations. Supervisory Responsibilities/Direct Reports: This role may be utilized in a supervisory capacity based on agency needs. Benefits of Employment with the State of Indiana: The State of Indiana offers a comprehensive benefits package for full-time employees that includes: Three (3) medical plan options (including RX coverage) as well as vision and dental plans Wellness Rewards Program: Complete wellness activities to earn gift card rewards Health savings account, which includes bi-weekly state contribution Deferred compensation 457(b) account (similar to 401(k) plan) with employer match Two (2) fully-funded pension plan options A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to: 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers Up to 15 hours of paid community service leave Combined 180 hours of paid vacation, personal, and sick leave time off 12 paid holidays, 14 in election years Education Reimbursement Program Group life insurance Referral Bonus program Employee assistance program that allows for covered behavioral health visits Qualified employer for the Public Service Loan Forgiveness Program Free Parking for most positions Free LinkedIn Learning access Equal Employment Opportunity: The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at ***************.