- Unknown (Madison, WI)
- …background in securities law, corporate governance, mergers and acquisitions, and healthcare fraud and abuse compliance, preferably with NASDAQ experience. ... Experience in the medical device industry or a highly regulated life sciences sector is essential. The ideal candidate will have a proven track record in managing a global intellectual property portfolio, international experience, and proficiency in global… more
- Unknown (Kansas City, KS)
- Associate Vice President, Account Management & Fraud Special Implementations About the Company Rapid-growing financial services organization Industry Financial ... and Heating Credit Cards & Transaction Processing Dayton General Electric Healthcare Financing Medical Financing My Synchrony Mysynchrony Personal Finance Pet Care… more
- Unknown (Phoenix, AZ)
- …law experience in the medical device or life sciences industry. Experience in healthcare regulation, including fraud and abuse, FDA for medical devices, data ... Technology Life Sciences Medical Diagnostics Water Management Research Services Healthcare Products Environment Process Improvement Business Growth Leadership Development… more
- Unknown (Chaska, MN)
- …privacy, and litigation matters. The ideal candidate will have experience in healthcare regulation, including fraud and abuse, FDA for medical devices, ... Technology Life Sciences Medical Diagnostics Water Management Research Services Healthcare Products Environment Process Improvement Business Growth Leadership Development… more
- Unknown (Washington, DC)
- …Certified Internal Auditor, Certified in Compliance and Ethics Professional, Certified in Healthcare Privacy Compliance, or Certified Fraud Examiner. The ideal ... Care Type Privately Held Founded 1862 Employees 1001-5000 Categories Health Care Specialties healthcare About the Role The Company is in need of a Deputy Chief… more
- Unknown (Newtown, PA)
- Associate Vice President, Internal Audit About the Company Large integrated healthcare system Industry Hospital & Health Care Type Non Profit Founded 1985 Employees ... 10,001+ Categories Association Fitness Health Care Non Profit Healthcare Hospitals & Clinics Lower Merion Specialties imaging & diagonistic radiology… more
- Unknown (Madison, WI)
- Chief Compliance and Privacy Officer (CCO) About the Company Highly regarded integrated healthcare system Industry Hospital & Health Care Type Non Profit About the ... as a Chief Compliance Officer in a complex, multi-location healthcare system. The role requires a leader with a...in areas such as Medicare and Medicaid billing, anti-kickback, fraud and abuse, and managed care compliance. The ideal… more
- Midland States Bank (Greenville, IL)
- …long-term incentives (ie stock awards). Benefits for this role include comprehensive healthcare , well-being benefits, paid family leave as well as generous paid time ... long-term incentives (ie stock awards). Benefits for this role include comprehensive healthcare , well-being benefits, paid family leave as well as generous paid time… more
- Sanford Health (Fargo, ND)
- …insurance investigation/audit. - Master's Degree preferred - Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) ... package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies. Respond to subpoenas and requests for… more
- Zelis (Boston, MA)
- … Fraud in prevention, detection, reporting, and monetary recovery related to financial fraud and healthcare fraud , waste, and abuse. What You'll Do ... it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare...interests that shape who you are. Position Overview The Fraud Investigation Analyst, Enterprise Fraud , will contribute… more
- Humana (Oklahoma City, OK)
- …**Required Qualifications** + **Must be an Oklahoma resident** + 2+ years of healthcare fraud investigations and auditing experience + Knowledge of healthcare ... help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of… more
- New York State Civil Service (New York, NY)
- …detectives, data analysts, and legal support analysts, to conduct complex, long-term healthcare fraud and patient abuse and neglect investigations. The Medicaid ... Agency Attorney General, Office of the Title Medical Analyst: Legal Nurse, Fraud /Patient Abuse (6413) Occupational Category Legal Salary Grade NS Bargaining Unit M/C… more
- Humana (Dayton, OH)
- …**Required Qualifications** + Must reside in Ohio + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare ... part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will… more
- New York State Civil Service (New York, NY)
- …data analysts, nurses, and legal support analysts to conduct complex, long-term healthcare fraud investigations.The Medicaid program provides health coverage to ... General, Office of the Title Forensic Auditor: Investigate Complex Medicaid Fraud (6414) Occupational Category Financial, Accounting, Auditing Salary Grade NS… more
- State of Georgia (Fulton County, GA)
- …or more items below: + Attorneys with civil litigation experience, with an emphasis on healthcare or fraud matters. + Demonstrated ability to work in a team is ... Assistant Attorney General 1 - Medicaid Fraud -Civil Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/72524/other-jobs-matching/location-only)… more
- LA Care Health Plan (Los Angeles, CA)
- …or Related Field Experience Required: At least 7 years of experience in healthcare compliance, fraud investigations, law enforcement, or related field. At least ... Preferred And/Or any of the following Licenses/ Certifications: Certified Fraud Examiner (CFE) Certified HealthCare Compliance (CHC) Certified… more
- The Cigna Group (Bloomfield, CT)
- …active participation in industry and trade associations, including the National Healthcare Anti- Fraud Association (NHCAA). **Qualifications** + Law degree ... ** Fraud Senior Advisor - Special Investigations Unit (SIU)...(SIU) Matter Resolution** Our organization is a leader in healthcare services, committed to integrity, innovation, and excellence. We… more
- General Dynamics Information Technology (Fairfax, VA)
- …**Public Trust/Other Required:** None **Job Family:** Ancillary Health **Skills:** Healthcare Fraud (Inactive),Insurance Fraud Investigations,Insurance ... for Medicare and Medicaid (CMS), you will be trusted to research healthcare fraud trends and draft supporting documenting for cross payer analytics for the… more
- Molina Healthcare (Covington, KY)
- …insurance company + Minimum of two (2) years' experience working on healthcare fraud related investigations/reviews + Proven investigatory skill; ability to ... Certification, Association + Valid driver's license required. **Preferred Experience** + Healthcare Anti- Fraud Associate (HCAFA), Accredited Health Care Fraud… more
- Zelis (Somo, WI)
- …prevention, investigations, or risk management - preferably in payments, fintech, or healthcare . + Proven expertise in fraud detection tools, behavioral ... So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more… more
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