- Chewy (Boston, MA)
- …to join our team in Bellevue, WA, Boston, MA, or Plantation, FL. Reporting to the Director of Payments and Fraud you will spearhead Fraud & Abuse ... will have a proven track record of launching effective fraud policies and products, excel in stakeholder management... fraud policies and products, excel in stakeholder management , and is a strong advocate for customers. **What… more
- Nationwide IT Services, Inc. (Boston, MA)
- Management Analyst lll Health Care Fraud Boston, MA Apply Now Nationwide IT Services, NIS, Is seeking a Management Analyst lll to support Health and Human ... Services, (HHS) Office of Civil Rights, (OCR) Health Care Fraud and Abuse Control Program. + Provides consultation and...policy, and regulatory impact analysis (RIA) to the OCR Director and Division Directors on issues of policy, impact… more
- State of Massachusetts (Boston, MA)
- The Deputy Program Integrity Director is a policy, people and operational leader within the Program Integrity Unit of MassHealth. The Program Integrity Unit is a ... of MassHealth members. The team is led by the Director of Program Integrity, who reports to the Deputy... is responsible for leading MassHealth's efforts to control fraud , waste and abuse ("FWA") across the agency's programs.… more
- Lincoln Financial Group (Boston, MA)
- …supporting Workplace Solutions in a remote environment. _Background Details_ As the Director of Consulting Practice Absence Management , you will provide ... 73204 **The Role at a Glance** We are excited to bring on a ** Director of Consulting Practice Absence Managemen** t to join our Group Protection Distribution Team… more
- HomeSafe Alliance (Boston, MA)
- **Title:** Director of Operations Excellence **HomeSafe Alliance** is the single global household goods movement manager of over 300,000 Military Household Goods ... Department of Defense civilians, US Coast Guard, and their families. ** Director of Operations Excellence** is responsible for HomeSafe Alliance Global Household… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Senior Director , Third Party Compliance Oversight reports directly to the SVP, Corporate Compliance & Ethics and Risk ... Develops clear, effective, and timely reports and updates for senior management and/or the Board regarding Third-party Oversight Compliance Program effectiveness,… more
- Santander US (Boston, MA)
- Senior Director , Model Validation - Compliance Models Boston, United States of America The Senior. Director , Model Validation for SHUSA Compliance models ... (Transaction Monitoring, Sanctions Screening, Fraud Risk, etc) will be responsible for leading the...their communications with risk committees, auditors, regulators, and senior management regarding model risk and its potential effects on… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Senior Director , Corporate Compliance & Ethics reports directly to the SVP, Corporate Compliance & Ethics and Risk ... clear, effective and timely updates for compliance committees, senior management and/or the Board, regarding compliance effectiveness, initiatives and issues,… more
- Takeda Pharmaceuticals (Boston, MA)
- …**Job Description** **About the role:** We are seeking an experienced and strategic risk- management professional to join the Global Ethics and Compliance Team as the ... Global Director of Anti-Bribery and Anticorruption (ABAC). You will also...relationships and safeguard the organization against potential risks and fraud . As part of the Global Ethics & Compliance… more
- Commonwealth Care Alliance (Boston, MA)
- …Investigator works with a growing team conducting and managing Health Care Fraud , Waste and Abuse investigation and prevention activities under the general direction ... of the Director or designee. **Supervision Exercised:** No **What You'll Be...data analysis to identify, evaluate and measure potential healthcare fraud and abuse to determine valid cases for appropriate… more
- Commonwealth Care Alliance (Boston, MA)
- …& Abuse (FWA) Special Investigation Unit (SIU). The position reports directly to the Sr. Director , Fraud , Waste & Abuse. This position utilizes a variety of FWA ... case updates on progress of investigation, and coordinate with management recommendations and further actions and/or resolutions. + Maintain...of federal and state laws and regulations pertaining to fraud , waste and abuse. + Desire to work in… more
- CACI International (Boston, MA)
- …The position supports the investigations of the Securities, Financial, and Cyber Fraud Unit. The Unit investigates and prosecutes complex financial and cyber ... fraud cases including but not limited to bank ...trial and during the proceedings. Experience with databases, document management systems and Excel preferred, but not required. More… more
- Chewy (Boston, MA)
- …join our team in Bellevue, WA, Boston, MA, or Plantation, FL. Reporting to the Director of Payments and Fraud , you will drive our payments roadmap, support ... Practices:** Apply your skills to support the Payments and Fraud team, sharing product management best practices...the Payments and Fraud team, sharing product management best practices and aiding in implementation execution. **What… more
- Pine Street Inn (Boston, MA)
- …accurately entering guest information into the Pine Street Inn-s approved Homeless Management Information System (HMIS) and Carelogic data for those guests who are ... PSI credentialing process. Additionally an annual CORI review and OIG Medicaid Fraud checks to be conducted for the Housing Stabilization Specialist. Acceptable… more
- Pine Street Inn (Boston, MA)
- …accurately entering guest information into the Pine Street Inn Homeless Management Information System (HMIS). The Housing Placement and Stabilization Specialist will ... PSI credentialing process. Additionally an annual CORI review and OIG Medicaid Fraud checks will be conducted for the Housing Placement and Stabilization Specialist.… more
- Beth Israel Lahey Health (Boston, MA)
- …**Work Shift:** Day (United States of America) The Supervisor will report to the director of pharmacy shared services and will be responsible for the supervision of ... and pharmacy technicians. This individual will also work closely with the director of pharmacy shared services on various projects, implementation and management… more
- Ascensus (Boston, MA)
- …will manage all aspects of marketing including planning, budgeting, project management , creation, distribution, and measurement, analysis, and vendor management . ... solve for departmental processes and standards improvements + Collaborate with the Director to distribute work among available resources + Schedule and traffic… more
- RELX INC (Cambridge, MA)
- …primary responsibility is to provide deep technical expertise on all aspects of tax management . It is part of a global tax team which is headquartered in London ... As a Manager - Compliance & Tax Reporting, you will report to the Director - Federal Tax. You will oversee compliance, manage and develop staff, collaborate with… more
- Beth Israel Lahey Health (Burlington, MA)
- …Analyst serves as a primary point of contact for Billing Director , Service Line Directors, Managers, Finance Directors, clinical support staff, Physicians, ... related to denial initiatives and complex investigations into allegations of billing fraud or abuse, as necessary. Provides support for projects in which Senior… more
- Beth Israel Lahey Health (Burlington, MA)
- …making a difference in people's lives.** Under the managerial oversight of the Director , Senior Manager, or Manager of Revenue Cycle, the Revenue Cycle Analyst ... related to denial initiatives and complex investigations into allegations of billing fraud or abuse, as necessary. Provides support for projects in which Senior… more