46 audit specialist jobs found

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Client Audit Specialist - Remote Job Description As a member of the Client Audit Management (CAM) team, the Client Audit Specialist is accountable for independently, or in collaboration with senior staff or compliance leader, managing regulatory and/or client-initiated audits. The Specialist is responsible for evaluating and understanding the purpose of various audit types and the related deliverables, developing a holistic understanding of the audit management process, and managing the end-to-end audit activities. This position seeks and obtains additional expertise as indicated from respective Compliance and Operational subject matter experts to meet applicable regulatory, client, and/or functional audit expectations....

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Molina Healthcare. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Job Description Job Summary The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care. This position will be supporting our Appeals and Grievances department. We are seeking a Registered...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Molina Healthcare. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Job Description Job Summary The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and requirements pertaining to delegation agreements. Contributes to overarching strategy to provide...

Job Description Oracle Health is transforming its development and regulatory processes to meet heightened FDA, MDR, and ISO 14155 standards and address ongoing patient safety, compliance, and product certification needs. As a clinical leader with patient safety and compliance expertise, you will provide organization-wide clinical leadership and strategic oversight, ensuring our product development teams integrate clinical context, manage patient safety risks, and maintain robust compliance across the entire portfolio-legacy and new. This role is essential in modernizing our clinical risk management and regulatory practices in partnership with AI-driven process improvements. Qualifications · Medical degree (MD, DO, or equivalent) required; board certification or clinical specialty training preferred. · Minimum 7 years' experience in clinical leadership roles within medical device, digital health, or regulated healthcare software sectors. · Extensive experience in...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Put your passion where it meets purpose! Evolent attracts some of the brightest minds in health care. Surround yourself with talented, driven colleagues who share a passion for...

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. Job Title CAPA Specialist, Operations Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You'll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for?free medical coverage in our?Health Investment Plan (HIP) PPO?medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution Tuition reimbursement, the Freedom 2 Save...

Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each day to foster an inclusive workplace culture where all of our employees feel respected, valued and have an opportunity to contribute to the company's success. As a Lending Transaction Specialist within PNC's ABF Servicing organization, you will be based in Brecksville, OH, Dallas, TX, Kalamazoo, MI, or Pittsburgh, PA. This position is primarily based in a PNC location. Responsibilities require time in the office or in the field on a regular basis. Some responsibilities may be performed remotely, at manager's discretion. Lending Transaction Specialist is the highest frontline position within the line of business. They will help lead projects, help lead initiatives, must be able to assist and train others, and must be able to also reconcile their own work. They...

About Us SolomonEdwardsGroup, LLC ("SolomonEdwards") is a full-service professional services firm offering financial, operational, and technology consulting and operations support. We work with some of the world's most prominent companies to help them envision and achieve a better future. We know that our consulting services are only as meaningful as the people and talent behind them, and we are committed to recruiting incredibly talented, committed, and collaborative individuals who can help us deliver exceptional client service. For more information, visit SolomonEdwards Position Summary: We are seeking a Sr. Payroll Specialist to join a leading global services firm headquartered in the Mid-Atlantic region. This fully remote consulting engagement will support U.S. corporate payroll operations, processing high-volume, multi-cycle payrolls for a diverse workforce. The ideal candidate has deep hands-on experience with Workday and ADP and thrives in a fast-paced,...

Who is Cameron Ashley Building Products? Cameron Ashley is a wholesale distributor of roofing, insulation, gypsum, siding, and other specialty building products. We deliver an industry leading portfolio of marquee brands to customers in the lumber and building materials industry. Cameron Ashley operates a physical network of more than 65 distribution centers stocking large quantities of building materials locally throughout the United States. We feature a variety of customer-focused delivery options under the same day or next day F^ST delivery banner. Our relationship-based approach rewards customers with their PLUS® Points loyalty program, FREE merchandising, as well as purchasing and show incentives. Customers can order 24/7 online through either our CONNECT customer portal or mobile phone app. Online they will find a complete set of digital tools and resources including product availability, pricing, previous and pending orders, invoices along with secure payment options,...

About Pratt Miller, an Oshkosh company Pratt Miller is a product development company in motorsports, defense, and mobility industries providing clients with product engineering and low-volume production solutions. Our range of research & development, engineering, prototype manufacturing, test & validation, and low-rate production capability help our customers bring their high-quality products to market faster. JOB SUMMARY: The Talent Acquisition Specialist is responsible for deploying the full life-cycle of talent acquisition and recruitment activities. This role will source, interview, and fill exempt and non-exempt positions; develop new strategies and programs to attract candidates; work closely with Talent Acquisition Specialists and Managers in other regions to share best practices; provide assistance on critical needs; coordinate on national-level initiatives; build relationships with hiring managers, HR partners, diverse recruitment sources; coordinate...

About Pratt Miller, an Oshkosh company Pratt Miller is a product development company in motorsports, defense, and mobility industries providing clients with product engineering and low-volume production solutions. Our range of research & development, engineering, prototype manufacturing, test & validation, and low-rate production capability help our customers bring their high-quality products to market faster. JOB SUMMARY: The Talent Acquisition Specialist is responsible for deploying the full life-cycle of talent acquisition and recruitment activities. This role will source, interview, and fill exempt and non-exempt positions; develop new strategies and programs to attract candidates; work closely with Talent Acquisition Specialists and Managers in other regions to share best practices; provide assistance on critical needs; coordinate on national-level initiatives; build relationships with hiring managers, HR partners, diverse recruitment sources;...

Every day at Disney Cruise Line we take pride in bringing the magic of Disney to life. We find joy in creating cherished memories and form genuine connections with our guests. We hold each other to the highest degree and always act responsibly while ensuring the safety of fellow crew and guests. United by our Disney values, we work toward excellence in all we do. As a part of our team, you can live and work in a diverse and inclusive environment amidst a professional and supportive community. If you are ready to create unforgettable experiences and grow as a person and as a professional, apply today. Responsibilities : Serve as onboard public health specialist; responsible for training ship/island department Managers and Crew on public health Monitor DCL policies, procedures, and record keeping to ensure the operation is in compliance with all applicable national (USPHS) and international laws Coordinate US port's and Captain's weekly Food Safety and...

Job Description Oracle Customer Solutions for Industries delivers Oracle solutions to customers in multiple industries. This includes the Utilities, Construction and Engineering and Communications Business Unit that delivers proven industry software applications that help companies of all types and sizes achieve competitive advantage, business performance excellence and a lower total cost of technology ownership. Oracle Utilities integrates industry-specific customer care and billing, network management, work and asset management, mobile workforce management and meter data management applications with the capabilities of Oracle's industry-leading enterprise applications, business intelligence tools, middleware, database technologies, as well as servers and storage. The software enables customers to adapt more nimbly to market deregulation, meet ever-evolving customer demands and deliver on environmental conservation commitments. Oracle Utilities delivery team enhances the...

Job Description About the Role Oracle Health Data Intelligence (HDI) is entering a critical phase of regulatory and security modernization across our global health analytics and AI-enabled population health platform. As HDI accelerates readiness for MDR (Medical Device Regulation), AI regulatory requirements, and emerging global security standards, we are expanding our Security Architecture team with specialists who bring deep technical expertise, cloud security experience, and strong regulatory awareness. We are hiring Security Architecture Specialists who can design, review, and validate secure architectures across cloud-native healthcare systems, AI/ML pipelines, and distributed data platforms. This role is ideal for someone with experience performing CSSAP-style reviews , cloud security assessments, threat modeling, and providing technical guidance that aligns engineering execution with security and regulatory expectations. You will play a key role in ensuring...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Billing Specialist - Remote Job Description The Billing Specialist is responsible for ensuring the accuracy and completeness of billing data, supporting payment reconciliation processes, and maintaining thorough documentation of billing-related activities. This role plays a critical part in the financial operations of the organization by validating billing inputs, assisting with adjustments and re-billings, and ensuring all records are properly maintained for audit and reporting purposes. Responsibilities Validate billing data to ensure accuracy and completeness Assist in reconciling payments, adjustments, and re-billings Maintain detailed and organized documentation of billing, payment, and related...

Job Description About the Role Oracle Health Data Intelligence (HDI) is entering a critical phase of regulatory and security modernization across our global health analytics and AI-enabled population health platform. As HDI accelerates readiness for MDR (Medical Device Regulation), AI regulatory requirements, and emerging global security standards, we are expanding our Security Architecture team with specialists who bring deep technical expertise, cloud security experience, and strong regulatory awareness. We are hiring Security Architecture Specialists who can design, review, and validate secure architectures across cloud-native healthcare systems, AI/ML pipelines, and distributed data platforms. This role is ideal for someone with experience performing CSSAP-style reviews , cloud security assessments, threat modeling, and providing technical guidance that aligns engineering execution with security and regulatory expectations. You will play a key role in ensuring...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for PwC. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Specialty/Competency: Platform Engineering & Architecture Industry/Sector: Not Applicable Time Type: Full time Travel Requirements: Up to 80% At PwC, our people in integration and platform architecture focus on designing and implementing seamless integration solutions and robust platform architectures for clients. They enable efficient data flow and optimise technology infrastructure for enhanced business performance. Those in cloud and network architecture at PwC will...

POSITION SUMMARY: The Gun Vault Specialist is responsible for backroom maintenance of all processes pertaining to Firearms. This role has the ability to safely handle firearms and adhere to all company, state, and federal firearms regulations. This position will be responsible for acquiring and disposing firearms and the integrity of the ATF required ARMS, and maintaining a complete, thorough and accurate firearms inventory in accordance with all company, local, state, and federal firearm regulation/policy. This position provides counter Sales and Customer Service for Firearms along with Floor and Counter Sales of other Hunting Merchandise. They perform various selling/customer service activities, to include greeting and acknowledging all customers in a prompt and friendly manner, handling merchandise with care, providing information, assistance and direction to customers. ESSENTIAL FUNCTIONS: Physically and systematically receives/acquires incoming firearms and using...

Starting Hourly Rate / Salario por Hora Inicial: $18.25 USD per hour ALL ABOUT TARGET As part of our collaborative and guest-obsessed team, you help us create an experience that makes guests say, “I love Target!” When you work at Target, you’re helping every family discover the joy in everyday life. You’re working alongside an enthusiastic, dedicated team that brings their passion and pride to all that they do. You will deliver a destination shopping experience by providing a safe and secure environment for our guests and mitigate shortage risks in order to drive sales. ALL ABOUT ASSETS PROTECTION AP teams function to provide a safe and secure environment for our team members and guests, and meet financial goals of shortage and profitability in a Target store. AP teams will do this by leading a physical security and safety culture and responding to crisis events, investigating and resolving theft, and creating awareness and educating team members on operational shortage...

Job Title: Generative AI Associate – Cybersecurity Specialist Team Lead Locations: Fully Remote within the U.S. (excluding California, Washington, Alaska, Colorado, Montana, New York, Puerto Rico, Nevada, Nebraska) Employment Type: Full-Time (40 hours per week) Fixed Term (4-5 weeks with potential Extension) Language: English At Innodata, we’re working with the world’s largest technology companies on the next generation of generative AI and large language models (LLMs). We’re looking for smart, savvy, and curious Quality Assurance experts to join our team. This is the role that writers and hackers dream about: you’ll be challenging the next generation of LLMs to ensure their robustness and reliability. We’re testing generative AI to think critically and act safely, not just to generate content. This isn’t just a job: it’s a once-in-a-lifetime opportunity to work on the frontlines of AI safety and security. There’s nothing more cutting-edge than this. Joining...

Customer Experience Specialist - Part Time (20-25 Hrs/Wk) Location: 1140 West Washington Street, Marquette, MI, 49855, United States Employee Type: PT Regular Non-Exempt Contact Information Name: brittney bierman Email: bbierman@incrediblebank.com Description We know what you're thinking. "What kind of name is IncredibleBank?" Well, we're glad you asked. With a name like IncredibleBank, we have a lot to live up to. Our name is a promise we make every day to our customers and to our team members (and hey, that could be you!). A promise that we strive to be incredible in everything we do. A promise that will help our customers, fellow team members, and our communities to do the incredible. At IncredibleBank, we're all about ICE. What's ICE? ICE stands for Incredible Customer ExperienceTM (that's right - an experience so good and so important we trademarked it). ICE illustrates the core values that drive everything we do - how we conduct business, how...

Customer Experience Specialist - Full Time (40 Hrs/Wk) Location: 1140 West Washington Street, Marquette, MI, 49855, United States Employee Type: FT Regular Non-Exempt Contact Information Name: brittney bierman Email: bbierman@incrediblebank.com Description We know what you're thinking. "What kind of name is IncredibleBank?" Well, we're glad you asked. With a name like IncredibleBank, we have a lot to live up to. Our name is a promise we make every day to our customers and to our team members (and hey, that could be you!). A promise that we strive to be incredible in everything we do. A promise that will help our customers, fellow team members, and our communities to do the incredible. At IncredibleBank, we're all about ICE. What's ICE? ICE stands for Incredible Customer ExperienceTM (that's right - an experience so good and so important we trademarked it). ICE illustrates the core values that drive everything we do - how we conduct business, how we...

Please send your application to: balanx25@gmail.com Applications through Wellfound will NOT be considered Cybersecurity Job Description: We’re seeking a motivated Cybersecurity Intern to join our Security team for a hands-on internship experience. This role offers exposure to AI-specific security challenges, such as protecting machine learning models from adversarial attacks, securing AI infrastructure, and implementing AI-enhanced threat detection. You’ll work alongside experienced cybersecurity professionals and AI engineers on real-world projects that blend cybersecurity with AI/ML techniques. This internship is ideal for students passionate about the intersection of AI and security, providing opportunities to build skills, network, and potentially transition to full-time roles. Key Responsibilities Assist in monitoring and analyzing security alerts, vulnerabilities, and potential threats to AI systems and infrastructure. Support the development and testing of AI/ML...

Why UKG: At UKG, the work you do matters. The code you ship, the decisions you make, and the care you show a customer all add up to real impact. Today, tens of millions of workers start and end their days with our workforce operating platform. Helping people get paid, grow in their careers, and shape the future of their industries. That's what we do. We never stop learning. We never stop challenging the norm. We push for better, and we celebrate the wins along the way. Here, you'll get flexibility that's real, benefits you can count on, and a team that succeeds together. Because at UKG, your work matters-and so do you. About the Role: The Sr HR Technology Coordinator will be responsible for leading efforts to maintain, support, and optimize our HR technology solutions. This role will lead day to day operations to ensure the system runs smoothly, technical issues are resolved timely, while providing support to COE stakeholders and employees. The Sr HR Technology...