• Lead prospective claim review audits related to clinical DRG coding compliance and readmissions programs as well as cross-functional high dollar claim review. • Ensure various payment integrity programs run smoothly and stay compliant with all internal and Medicare guidelines. • Prepare provider responses to clearly and accurately deliver our review decisions to members and/or providers within regulatory timeframes as established by CMS. • Identify potential program efficiencies/opportunities and implement procedural responses. • Continue to analyze existing policies to ensure accuracy and proper execution. • Collaborate with teams across Clover to ensure provider understanding of Payment Integrity recommendations and be prepared to support those recommendations when necessary. • Act as Subject Matter Expert to counsel other team members across Clover on clinical coding guidelines: digest complex concepts and regulations and communicate them effectively to different stakeholders, including senior-level leadership. • Train other members of the team to take on additional responsibilities and help prioritize work functions. • Research and respond to external auditor concerns/questions regarding the completeness and accuracy of data creation and integration. • Incorporate cross-functional perspectives and business needs in solving complex problems. • Communicate effectively both internally and externally to ensure accurate claims adjudication and proper provider notification.

Title: Remote Special Process Auditor Belong, Connect, Grow, with KBR! Program Summary Remote Special Process Quality Auditor will have experience in auditing globally diverse teams, communicating with senior management, managing challenging customer issues, leveraging the larger Aero organization for solutions, and solving complex problems where a degree of ambiguity exists. Job Summary - Position will complete onsite audits and associated pre-audit and post-audit work in the following special process areas; Calibration, Heat Treat, Machining, Chemical Processing/Plating, Thermal Spray, Welding, and Shot Peening. - Position requires travel to conduct audits; audit locations are likely to include US locations, Mexico locations and Europe locations. - This position is remote and requires you to live close to an international airport. Roles and Responsibilities - Responsible for auditing Special Processes at a key Aerospace customer’s manufacturing sites and suppliers. - Requires breadth of technical special process - Knowledge and experience across programs and products to work with our site locations and customers in determining compliance with appropriate special process requirements. - Perform audits per customer requirements using industry/customer specific checklists - Document opportunities and findings against noncompliance’s, work with sites to ensure robust corrective actions are completed on time and effective. - Experience in auditing the following areas/special processes: Conventional Machining, Chemical Processing, Heat Treat, Welding, Coatings, etc. Basic Qualifications - Specific requirements regarding education and experience will prevail. - Education and experience: Bachelor’s or associate’s degree and five (5) years in a technical field that would provide heat treat experience or a High School diploma and ten (10) years heat treating experience in Aerospace Quality or Special Process Experience. (Heat Treating and/or brazing experience = Operator, Supervisor, Technician, or Engineer with direct exposure to heat treating processes qualification, equipment qualification, procedure qualification, or technical problem resolution.) - Exceptions to the minimum Education/Experience requirements shall require approval by the customer’s Special Process Management and/or the applicable CAA (Certified Accessor Auditor). It shall include an assessment of the candidate’s ability to perform the job function. - US Citizenship required based on the nature of the work. - Experience: Demonstration of Special Process family technical knowledge/experience must be validated in writing by the applicable CAA and be based on exam, interview, or documented training/experience. This requirement is not applicable if the candidate is already certified as a SCA (Source Certifying Agent). - Process Training: 40 hours of Quality System training, auditing and use of Acceptance Checklists (AC). - Audit Experience: Complete a minimum of two (T1 & T2) Special Process training audit under the direction of a qualified CAA, CA [Certified Assessor), SCA (if authorized by the CAA) or Aerospace Network Auditor for each Special Process category. Prior audit experience may be accepted at the discretion of the applicable CAA. Preferred Qualifications - PRI Audit experience is highly desirable. - Ability to travel up to 75% of the time - Bachelor’s Degree in Engineering, Business or Technical discipline preferred with applicable experience. - Qualified auditor to industry requirements for AS9100 and two or more special processes - Knowledge of Special Processes applicable to client sites and suppliers. Areas of preferred expertise are: Heat Treat, Welding, Nonconventional Machining, Chemical Processing, and Surface Enhancement. - Working knowledge of aerospace quality practices and industry standards. - Strong computer skills with high level proficiency in Microsoft Office tools such as Excel and PowerPoint as well as comfortability working with virtual communication and meeting tools such as Teams or similar. - Strong communication skills both verbal and written. - Experience with project management and facilitation. - Ability to interface effectively with all levels of leadership. - Ability to identify risks and mitigating actions to achieve positive results. - Effective interpersonal skills to interface within and between culturally diverse organizations, data, define actions, and implement solutions. - Demonstrates good judgment in selecting methods and techniques for implementing solutions. - Knowledge and application of statistical analysis methods is preferred. - Excellent team building skills, creating constructive and open environments for sharing data. - Experience with Aerospace products. - Demonstrated leadership capability to drive step change improvements in quality performance. - Demonstrated ability to lead complex projects and manage the activities of multi-disciplinary teams. - Proven problem-solving skills, including ability to interpret data, define actions, and implement solutions. - Demonstrate good judgment in selecting methods and techniques for implementing solutions. - Adept in soliciting facts and opinions from all team members and creating a constructive and open environment for sharing data. - Capable of making fact-based decisions and communicating to team members as to why certain facts or recommendations prevailed over others. KBR Benefits KBR offers a selection of competitive lifestyle benefits which could include 401K plan with company match, medical, dental, vision, life insurance, AD&D, flexible spending account, disability, paid time off, or flexible work schedule. We support career advancement through professional training and development. Click here to learn more: KBR Benefits Belong, Connect and Grow at KBR At KBR, we are passionate about our people and our Zero Harm culture. These inform all that we do and are at the heart of our commitment to, and ongoing journey toward being a People First company. That commitment is central to our team of team’s philosophy and fosters an environment where everyone can Belong, Connect and Grow. We Deliver – Together. KBR is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, sex, sexual orientation, gender identity or expression, age, national origin, veteran status, genetic information, union status and/or beliefs, or any other characteristic protected by federal, state, or local law.

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. - Proven ability to support coding judgment and decisions using industry standard evidence and tools. - Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting. - Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity. - Identify clinically active vs. historical conditions - Diagnosis codes must be appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. - Utilize medical records to ensure support is documented for etiology and manifestations of disease processes. - Adhere to stringent timelines consistent with project deadlines and directives. - Conducts self- process audits to ensure compliance with internal policies and procedures as well as regulatory guidance from CMS, OIG or other Regulatory body. Required Qualifications - Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding, and/or auditing. - CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) required. - Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications). - Experience with International Classification of Disease (ICD) codes required. Preferred Qualifications - CRC (Certified Risk Adjustment Coder) - Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) preferred. Education - AA/AS or equivalent experience - Completion of AAPC/AHIMA training program for core credential (CPC, CCS-P) with associated work history/on the job experience equal to approximately 1-2 years for CPC. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $18.50 - $38.82 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 05/05/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

• Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback • Validate ICD‑10‑CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines • Conduct medical chart audits of professional services across multiple specialties • Identify coding discrepancies, compliance risks, trends, root causes, and documentation gaps • Support coding education through feedback, targeted training, and reference materials • Prepare clear, defensible audit documentation including rationale and references • Provide actionable recommendations to address audit findings and reduce future risk • Track audit outcomes and trends to support leadership reporting and risk mitigation strategies • Support denial prevention, resolution and appeal strategies • Collaborate across teams to assist with coding support • Maintain confidentiality and comply with HIPAA and organizational policies