67 audit lead jobs found

Position Summary The Manager of Medicare Appeals & Grievances is responsible for the end‑to‑end operational, regulatory, and quality oversight of Medicare Advantage (Part C) and Medicare Part D appeals and grievance activities. This role ensures compliance with CMS regulations, NCQA standards, and contractual requirements, while driving operational efficiency, audit readiness, and a positive member experience. The Manager provides direct leadership to non‑clinical staff, oversees daily inventory management, ensures timely and accurate determinations, and partners closely with Compliance, Quality, Legal, Utilization Management, Delegation Oversight, and external vendors. Key Responsibilities Operational Leadership ·        Manage day‑to‑day operations of Medicare Appeals & Grievances teams, including staffing, workload distribution, case assignment, escalations, and performance monitoring. ·        Ensure appeals and grievances are processed accurately and...

Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals.  If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health. At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.  Job Summary Responsibility for completing accuracy reviews of case samples for...

Lehigh University Lehigh University is an affirmative action/equal opportunity employer and does not discriminate on the basis of age, color, disability, gender, gender identity, genetic information, marital status, national or ethnic origin, race, religion, sexual orientation, or veteran status. Lehigh University provides comprehensive benefits including partner benefits. Assistant Project Manager - Facilities Department Join Lehigh University's Facilities team as an Assistant Project Manager and play an essential role in transforming our beautiful campus through strategic capital projects. This full-time exempt position offers the opportunity to support meaningful construction and renovation initiatives that directly impact student life and academic excellence. About the Opportunity Reporting to the Lead Project Manager, you'll support our planning and project management team across all phases of capital projects. From initial setup through final closeout, you'll...

Villanova University Simulation Operations Technician III Posting Details Do you have questions about the application process? If so, please refer to the Applicant FAQ’s. Posting Details (Default Section) Posting Number: 20260114S Position Title: Simulation Operations Technician III Position Type: Staff Location: Villanova, PA Recruitment Type: Internal/External Applicants Work Schedule: full-time/12-months Avg Hours Week Department: 232-Nursing Position Summary: Why work at Villanova? Join a mission-driven organization. Since Villanova University’s founding in 1842, we have been inspired by the values of truth, unity, and love, and are a community dedicated to service to others. Villanova has been included among the nation’s best colleges and universities. VU’s inclusion again in U.S. News & World Report’s 2025 “Best Colleges” rankings is another indication of the...

JOB DESCRIPTION The Chubb Internal Audit (IA) department has over 150 resources deployed globally with North America Operational Audit team members based in Philadelphia, PA. IA plays a vital role by partnering with management to evaluate critical control processes throughout the organization. IA has developed an internal training program which provides a strong foundation to develop audit and leadership competencies. IA team members develop strong business knowledge and control assessment skills to position the candidate for a broad range of potential future career opportunities throughout the Chubb organization. About the role: This Senior Auditor position offers an opportunity to join a broadly diversified global insurance and reinsurance provider with a culture of excellence and remarkable growth potential. Successful candidates will have the opportunity to interact and partner with all levels of management during audits, which makes it an excellent position for...

The Director of Direct Marketing will lead strategic and tactical initiatives to acquire and retain Affordable Care Act (ACA) members across multiple brands for a large regional health insurer. This role is responsible for developing and executing data-driven marketing strategies that enhance member engagement, improve health outcomes, and drive digital adoption. In addition to member-focused communications, the Director will oversee digital communications to brokers, consultants, and sales teams, ensuring alignment with corporate objectives and brand standards. The position requires strong collaboration across business units, advanced campaign management expertise, and a deep understanding of regulatory requirements. Key Responsibilities ·        Direct the development and execution of direct marketing strategies to acquire and retain ACA members across multiple brands. ·        Oversee the design, governance, and continuous optimization of 200+ trigger-based...

JOB DESCRIPTION The Assistant Vice President, Claim Manager leads and manages a cyber and privacy liability claims team within the North America Claims organization. The position is responsible for administration, technical supervision, training and development, and oversight of a claims team that primarily handles primary cyber and privacy liability claims. Responsibilities: Lead a cyber claims team through the application of Best Practices and strong supervisory skills. Drive and develop the technical acumen of the team, which handles a significant number of complex and high severity matters. Management ofclaims systems and data for accuracy and timely reporting. Ensure timely and accurate reserving practices. Provide guidance with respect to technical oversight of claims, including timely coverage reviews and coverage correspondence. Control legal spend while ensuring superior claim outcomes. Ensure compliance with Financial Lines Best Practices to ensure...

Company: Central Admixture Pharmacy Job Posting Location: Allentown (6580 Snowdrift Rd), Pennsylvania, United States Functional Area: Production Working Model: Onsite Days of Work: Friday, Thursday, Wednesday, Tuesday, Monday Shift: 5X8 Relocation Available: No Requisition ID: 10859 B. Braun Medical Inc., a leader in infusion therapy and pain management, develops, manufactures, and markets innovative medical products and services to the healthcare industry. Other key product areas include nutrition, pharmacy admixture and compounding, ostomy and wound care, and dialysis. The company is committed to eliminating preventable treatment errors and enhancing patient, clinician and environmental safety. B. Braun Medical is headquartered in Bethlehem, Pa., and is part of the B. Braun Group of Companies in the U.S., which includes B. Braun Interventional Systems, Aesculap® and CAPS®. Globally, the B. Braun Group of Companies employs more than 64,000 employees in 64...

Company: Central Admixture Pharmacy Job Posting Location: Allentown (6580 Snowdrift Rd), Pennsylvania, United States Functional Area: Production Working Model: Onsite Days of Work: Friday, Thursday, Wednesday, Tuesday, Monday Shift: 5X8 Relocation Available: No Requisition ID: 10858 B. Braun Medical Inc., a leader in infusion therapy and pain management, develops, manufactures, and markets innovative medical products and services to the healthcare industry. Other key product areas include nutrition, pharmacy admixture and compounding, ostomy and wound care, and dialysis. The company is committed to eliminating preventable treatment errors and enhancing patient, clinician and environmental safety. B. Braun Medical is headquartered in Bethlehem, Pa., and is part of the B. Braun Group of Companies in the U.S., which includes B. Braun Interventional Systems, Aesculap® and CAPS®. Globally, the B. Braun Group of Companies employs more than 64,000 employees in 64...

Posting Details Position Information Position Title Vice President, Finance and Administration and Treasurer Requisition Number SCA00895 General Description The Community College of Philadelphia ( CCP ) , with more than 100 academic programs, 21,000 students, and an operating budget of $185 million, announces a national search for its next Vice President for Finance, Administration, and Treasurer . The Vice President reports directly to the President and serves as a member of the College’s senior leadership team. The Vice President’s portfolio includes oversight of budget and auxiliary services, controller and accounting functions, facilities operations, human resources, campus security, business services, and information technology. The Vice President is also responsible for preparing materials and agendas for the Business Affairs and Audit Committees of the Board of Trustees. The new Vice President will join a growing...

Villanova University Business Manager Posting Details Do you have questions about the application process? If so, please refer to the Applicant FAQ’s. Posting Details (Default Section) Posting Number: 20260072S Position Title: Business Manager Position Type: Staff Location: Villanova, PA Recruitment Type: Internal/External Applicants Work Schedule: full-time/12-months Avg Hours Week Department: 146-Theatre Position Summary: Why work at Villanova? Join a mission-driven organization. Since Villanova University’s founding in 1842, we have been inspired by the values of truth, unity, and love, and are a community dedicated to service to others. Villanova has been included among the nation’s best colleges and universities. VU’s inclusion again in U.S. News & World Report’s 2025 “Best Colleges” rankings is another indication of the University’s continued prominence and forward...

Bring your drive for excellence, team orientation, and customer commitment to Independence; help us renew and reimagine our business and shape the future of health care.   The Lead Accountant is an experienced member of the Corporate Accounting team responsible for ensuring timely, accurate, and compliant financial results for Independence Health Group and its subsidiaries. This role blends hands-on accounting work with leadership responsibilities, supporting general accounting functions, financial close activities, reporting requirements, and special projects. It plays a key role in maintaining compliance with GAAP, Statutory, and regulatory standards while also providing analytical insights into the company’s financial performance. The Lead Accountant partners closely with Accounting Management and collaborates with staff accountants and cross-functional teams, offering guidance, reviewing work, and helping to strengthen internal processes and controls. Overall, the...

UGI Utilities Position title: Sr Supervisor - Fixed Asset Accounting Location: Denver, PA, US, 17517 Sr Supervisor - Fixed Asset Accounting Location: Denver, PA, US, 17517 Workplace Environment: Hybrid Company: UGI Utilities, Inc Requisition Number: 29051 At UGI Utilities, Inc. we believe in providing a superior range of energy products and services to our customers in a safe, affordable manner. As our energy needs evolve, UGI will be there providing safe and reliable service that brings warmth and comfort to our 750,000 customers in 45 counties in Pennsylvania and 1 county in Maryland. We strive to reflect the communities we serve by attracting and retaining top talent, while maintaining a diverse workforce that embraces our culture of safety, service, and integrity. As an employee of UGI Utilities, you can expect a competitive total compensation plan and...

Arcadis is the world's leading company delivering sustainable design, engineering, and consultancy solutions for natural and built assets. We are more than 36,000 people, in over 70 countries, dedicated to improving quality of life. Everyone has an important role to play. With the power of many curious minds, together we can solve the world's most complex challenges and deliver more impact together. Role description: Survey active construction sites of capital projects for compliance or non-compliance with safety standards, assist with the review of contractor submitted safety documentation to include job safety analysis, and reporting of audit findings for corrective actions and metric reporting. Role accountabilities: Monitor the contractor's field activities to verify the work is being performed in compliance with approved safety plans, client policies and industry best practices. Develop / maintain strong working relationships with contractor safety representatives...

Test Facility Supervisor DLAR-Animal Husbandry - Pennsylvania-Pittsburgh - (26001445) The Division of Laboratory Animal Resources (DLAR) Test Facility Supervisor will assist in the establishment, growth, and continuous improvement of a Good Laboratory Practices (GLP) compliant animal testing facility. The position will manage operations in accordance with DLAR Standard Operating Procedures (SOPs), University policies, federal regulations, and industry standards, and will serve as a key operational liaison between researchers, veterinarians, and various regulatory oversight agencies. The candidate will: • Liaise with faculty and industry sponsors to establish and execute project plans for sponsored research studies, and for surgeon qualification training events, • Coordinate successfully executed studies in support of research goals, • Lead the activities of study support staff, including training, scheduling, task assignment, and workflow oversight, •...

Villanova University Associate Director or Director of Enrollment Analytics and Operations Posting Details Do you have questions about the application process? If so, please refer to the Applicant FAQ’s. Posting Details (Default Section) Posting Number: 20260079S Position Title: Associate Director or Director of Enrollment Analytics and Operations Position Type: Staff Location: Villanova, PA Recruitment Type: Internal/External Applicants Work Schedule: full-time/12-months Avg Hours Week Department: 245-MBA - Entrepreneurial Position Summary: Why work at Villanova? Join a mission-driven organization. Since Villanova University’s founding in 1842, we have been inspired by the values of truth, unity, and love, and are a community dedicated to service to others. Villanova has been included among the nation’s best colleges and universities. VU’s inclusion again in U.S. News &...

Job Description Are you searching for an exciting career opportunity within a dynamic team? Look no further! Walmart is expanding its workforce across local retail stores and is actively recruiting Low Voltage Technicians. If you have experience in this field, we want you to bring your skills to our fast-paced and welcoming environment! As a Walmart Low-Voltage Technician, you will be responsible for assisting in the operation of multiple facilities by setting up and configuring various low-voltage systems (for example, security systems, fire alarms, CCTV, audio/video systems, and network cabling). Join us and be part of a team that values innovation, teamwork, and excellence. Take the next step in your career with Walmart, where your expertise and dedication will make a real impact! Mon-Fri 8-5pm (OT as needed) Competitive Compensation : Competitive wage of $26-$51 per hour (based on experience) Opportunities for career advancement and salary increases Benefits...

Job Description Are you searching for an exciting career opportunity within a dynamic team? Look no further! Walmart is expanding its workforce across local retail stores and is actively recruiting Low Voltage Technicians. If you have experience in this field, we want you to bring your skills to our fast-paced and welcoming environment! As a Walmart Low-Voltage Technician, you will be responsible for assisting in the operation of multiple facilities by setting up and configuring various low-voltage systems (for example, security systems, fire alarms, CCTV, audio/video systems, and network cabling). Join us and be part of a team that values innovation, teamwork, and excellence. Take the next step in your career with Walmart, where your expertise and dedication will make a real impact! Mon-Fri 8-5pm (OT as needed) Competitive Compensation : Competitive wage of $26-$51 per hour (based on experience) Opportunities for career advancement and salary increases Benefits...

General Purpose The MDS Nurse (LVN/LPN) is responsible for coordinating and completing the Minimum Data Set (MDS) assessments in compliance with federal and state regulations. This role ensures accurate documentation of resident care, supports reimbursement processes, and collaborates with interdisciplinary teams to promote quality outcomes for residents. Essential Duties Complete MDS assessments and care area assessments (CAAs) within required timelines. Ensure accuracy of resident clinical documentation to support care planning and reimbursement. Maintain compliance with CMS, state, and facility guidelines. Collaborate with interdisciplinary team members to develop individualized care plans. Monitor resident progress and update care plans as needed. Participate in resident care conferences and quality improvement initiatives. Ensure MDS submissions meet regulatory requirements for Medicare/Medicaid reimbursement. Assist with audits and surveys by providing...

Peters Township Post Acute is a 140-bed facility located at 113 W. McMurray Rd., Canonsburg. Here, "We Make People Better". We make our patients better with the expert care of our tenured clinical and rehab teams. We make our facility better through our exceptional housekeeping and maintenance departments. We make our staff better by showing our appreciation with: $15/hr. advancement opportunities Additional information about our facility: strong clinical team tenured staff members compassionate leaders excellent culture Successful candidates will have the following: At least 18 years of age Compassion for a vulnerable population high-energy Your day to day: You'll provide assistance in caring for our residents by assisting with planning and execution of enrichment opportunities for our residents. You'll work under supervision of our Activities Director to ensure compliance with current state, federal, and local standards. More about us: As a...