Performance Auditor jobs in Nassau, NY

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Performance Quality Auditor I
  • The Elevance Health Companies, Inc.
  • LATHAM, NY FULL_TIME
  • Anticipated End Date:

    2024-12-16

    Position Title:

    Performance Quality Auditor I

    Job Description:

    Location: Virtual; within 50 miles of any Elevance Health Pulse Point office

    Shift: Monday – Friday; 1st shift/Day shift hours

    The Performance Quality Auditor I is responsible for evaluating the quality of services and interactions provided by organizations within the enterprise.  Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. 

    How you will make an impact: 

    • Evaluates the quality and accuracy of transactions and/or communications with providers, groups, and/or policyholders. 
    • Identifies, documents, and reports any transaction errors or communications issues in a timely manner to ensure prompt resolution. 
    • Tracks and trends audit results, providing feedback to management. 
    • Identifies and reports on systemic issues which create ongoing quality concerns. 
    • Generates monthly reports of audit findings, supports clients with issues identified and develops reports to assist management with information requested. 
    • Produces other ad hoc reports as requested by internal and/or external clients. 
    • Associates at this level conduct routine audits, generally related to a single function on a single systems platform for a single line of business. 

    Minimum Requirements:

    • Requires high school diploma or equivalent (GED); minimum 2 years experience with the company in an enrollment and billing, claims and/or customer contact automated environment (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background.

    Preferred skills, capabilities, and experiences:

    • Working knowledge of insurance industry and medical terminology and relevant systems and proven understanding of processing principles, techniques and guidelines strongly preferred.
    • Ability to acquire and perform progressively more complex skills and tasks in a production environment strongly preferred.
    • Proficient in MS Office preferred.
    • Prior experience processing claims strongly preferred.
    • Experience with CAS and FlexCare systems preferred.

    For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $42,435 to $63,642 or $20.40 to $30.60 hourly

    Locations: New York

    In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company.  The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

    * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

    Job Level:

    Non-Management Non-Exempt

    Workshift:

    Job Family:

    QLT > Audit

    Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

    Who We Are

    Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

    How We Work

    At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

    Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

    The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

    Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

  • 1 Day Ago

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Fitness and Performance Trainer
  • Corvino Performance
  • Latham, NY FULL_TIME
  • Corvino Performance is looking to hire a personal trainer (s) (Full-time or Personal Training) to have an immediate positive impact on Athletes and Fitness clients . We are seeking qualified trainers ...
  • 7 Days Ago

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Sports Performance Coach
  • PWR Performance Wellness Recovery
  • Menands, NY FULL_TIME
  • About UsWhat started in 2015 as HiiT it with Britt has evolved into PWR Performance Wellness Recovery, a state-of-the-art 8,000 sq ft facility in downtown Albany. At PWR, we focus on empowering indivi...
  • 3 Days Ago

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Office Manager
  • True Building Performance
  • Albany, NY FULL_TIME
  • True Building Performance is seeking a well-organized and personable Office Manager to join the team and provide outstanding customer service to clients within the Capital Region. This is a full time ...
  • 14 Days Ago

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Night Auditor
  • Hampton Inn Albany Western Ave-University Area, NY...
  • Albany, NY FULL_TIME
  • We are looking for people that have a passion to serve and lead others! Working at the front desk means you are at the hub of the hotel with the most interaction with our guests. Your role is key to t...
  • 6 Days Ago

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Energy Auditor
  • Albany Community Action Partnership
  • Albany, NY FULL_TIME
  • DescriptionDo you want to join a team building a greener future for your community? Are you looking for a career path in energy services with advancement opportunities?Join an organization which works...
  • 9 Days Ago

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0 Performance Auditor jobs found in Nassau, NY area

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Quality Assurance Specialist I
  • Curia
  • Rensselaer, NY
  • Position overview The Quality Assurance (QA) Specialist I is responsible for maintaining Quality databases and providing...
  • 12/13/2024 12:00:00 AM

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Account Manager
  • Marshall & Sterling Inc
  • WEST SAND LAKE, NY
  • Description: Manage independently designated accounts and/or Sales Executive's book of business by providing, with a pos...
  • 12/12/2024 12:00:00 AM

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QA Specialist (Drug Product)
  • BioSpace
  • East Greenbush, NY
  • Job Details We are currently looking to fill multiple Quality Assurance Specialist (Drug Product) positions. These posit...
  • 12/11/2024 12:00:00 AM

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Senior UNIX Administrator
  • New York ISO
  • Rensselaer, NY
  • The New York Independent System Operator (NYISO) manages the efficient flow of electricity on more than 11,000 circuit-m...
  • 12/11/2024 12:00:00 AM

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QA Specialist (MES)
  • BioSpace
  • Rensselaer, NY
  • Job Details We are currently looking to fill a Quality Assurance Specialist position to support the Manufacturing Execut...
  • 12/11/2024 12:00:00 AM

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Associate Director, Environmental Health and Safety
  • Curia, Inc.
  • Rensselaer, NY
  • Job Description Curia provides global contract research and manufacturing services to the pharmaceutical and biotechnolo...
  • 12/11/2024 12:00:00 AM

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Senior Oracle Database Administrator
  • New York ISO
  • Rensselaer, NY
  • The New York Independent System Operator (NYISO) manages the efficient flow of electricity on more than 11,000 circuit-m...
  • 12/11/2024 12:00:00 AM

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Sr. Finance Analyst (Remote)
  • CBRE
  • Albany, NY
  • Sr. Finance Analyst (Remote) Job ID 190094 Posted 23-Oct-2024 Service line GWS Segment Role type Full-time Areas of Inte...
  • 12/9/2024 12:00:00 AM

Nassau, the name of several places in New York State, may refer to: Nassau (village), New York Nassau (town), New York Nassau County, New York Nassau Island, former name of Long Island...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Performance Auditor jobs
$57,062 to $70,935
Nassau, New York area prices
were up 1.5% from a year ago

Performance Auditor
Develops a general understanding of government, the legislative process, and current governmental issues.
October 27, 2022
Collects and analyzes data to measure program impact, effectiveness, and efficiency, as well as compliance with statutory and regulatory requirements.
December 26, 2022
Maintains desk level procedures for assigned audits.
January 05, 2023
Reviewing audit reports and supporting work papers for content, accuracy and completeness.
January 27, 2023
Provides assistance to external auditors during their interim and/or year-end audit financial and for the SOC audit.
March 09, 2023
Audit teams and topics change regularly, so ideal candidates should also be adaptable to changing environments and enjoy learning about a variety of topics.
April 01, 2023
Compiles and maintains audit documentation in appropriate files, databases, and systems to support audit work performed, conclusions/issues identified, and recommendations/action plans.
April 05, 2023
Interview agency officials and others.
May 12, 2023
Assistance in completing the application is available for applicants with disabilities.
May 20, 2023