Medical Auditor

Role & responsibilitiesPerform audit reviews of adjudicated health / hospital / medical claims to verify correctness, completeness, and adherence to policy guidelines, contractual terms, and regulatory norms.Use sampling and systematic review techniques (random audits, targeted audits, high-value claims audits) to ensure quality coverage across volumes.Check...

About Lowe'sLowe's is a FORTUNE 100 home improvement company serving approximately 16 million customer transactions a week in the United States. With total fiscal year 2024 sales of more than $83 billion, Lowe's operates over 1,700 home improvement stores and employs approximately 300,000 associates. Based in Mooresville, N.C., Lowe's supports the...

Job Description SummaryJob DescriptionGE HealthCare (GEHC) is a leading global medical technology and digital solutions innovator. Our purpose is to create a world where healthcare has no limits. Unlock your ambition, turn ideas into world-changing realities, and join an organization where every voice makes a difference, and every difference builds a...

Who We Are Looking ForThe IT Auditor – Assistant Vice President position will be part of Corporate Audit's Integrated Audit team, which is responsible for engagements that focus on business risk and related application technology. Team members work with business auditors to understand business risks and related application controls such as interface...

AXISCADESis a leading, end to end engineering solutions and product company. We bring expertise that caters to the digital, engineering, and smart manufacturing needs of large enterprises. With decades of experience in creating innovative, sustainable, and safer products worldwide,AXISCADESdelivers business value across the entire engineering life cycle.Our...

About the TeamThe  Process  Excellence  team  at  Navi  is  focused  on  maintaining  and  elevating  the quality  of  customer  interactions.  As  the quality  audit  function,  the  team  conducts regular  audits  of  agent  communications  across  calls,  chats,  and  other  channels  toensure  accuracy,  consistency,...

DescriptionDeliver 3rd Party audits of SA 8000 on behalf of DNV as an APSCA Part 3 qualified Team LeaderInteract directly with customers at all levels of management in developing timely, complete and accurate reports of their current level of compliance or implementation of their management systemDocument and report audit activities and results, including...

DescriptionPerform 3rd-party audits and trainings according to ISO/IEC 27001, ISO 9001, ISO , ISO 22301 & other IT specific standards/ frameworksProvide timely and accurate reviews of client's corrective action and closure Provide customers with timely, complete, and accurate reports of their current level of conformity / implementation of their management...

Deliver 3 rd Party audits of SA 8000 on behalf of DNV as an APSCA Part 3 qualified Team LeaderInteract directly with customers at all levels of management in developing timely, complete and accurate reports of their current level of compliance or implementation of their management systemDocument and report audit activities and results, including SAI Tool...

Perform 3rd-party audits and trainings according to ISO/IEC 27001, ISO 9001, ISO , ISO 22301 & other IT specific standards/ frameworksProvide timely and accurate reviews of client's corrective action and closureProvide customers with timely, complete, and accurate reports of their current level of conformity / implementation of their management...