- CVS Health (Woonsocket, RI)
- …+ A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong ... Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud to recover...Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by… more
- The Hartford (Norwood, MA)
- …presentations, working with claims and underwriting, etc. + Work with Risk Engineering Manager on special projects and developing reports to support Regional ... and file reviews, coaching, etc. + Active participation in special projects that could be technical in nature (ie)...the demonstration of operational loss analysis reports and accident investigations used to direct services that would eliminate or… more
- The Hartford (Boston, MA)
- …presentations, working with claims and underwriting, etc.* Work with Risk Engineering Manager on special projects and developing reports to support Regional ... include conducting report and file reviews, coaching, etc.* Active participation in special projects that could be technical in nature (ie) Biotech, Technology,… more
- PPL Corporation (Providence, RI)
- …generations by helping to build and maintain strong, diverse communities today. Overview The Manager of Safety - RI is responsible for leading a team of safety ... initiatives. *Supervise a team of safety professionals that support incident investigations , safety committee meetings, field observations, and other on-going safety… more
- Republic Services (Norfolk, MA)
- …and general direction from an Area Director, Human Resources, the Human Resources Manager acts as a business partner with the local management team to effectively ... within the division. + Assists in conducting and resolving investigations regarding employee complaints and concerns. + Participates in...directly applicable experience as an HR Generalist or HR Manager who was involved in all aspects of HR.… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- … or prepayment team. This position reports directly to the Data Science Fraud Manager and assists in the development of investigation targets, proposes new ... + Facilitate requests for ad hoc reports required to support investigations . + Conduct special assignments as needed. Qualifications… more
- JPMorgan Chase (Boston, MA)
- …leading global financial institutions on behalf of our clients. As a Supervisory Manager in JP Morgan Advisors, you will exhibit leadership and operational expertise ... Review client inquiries, issues, and complaints and complete a thorough investigation and provide resolution. This involves Compliance, Legal, Portfolio Management… more
- ASM Research, An Accenture Federal Services Company (Boston, MA)
- …designs content, oversees processing of daily escalations, research requests, special projects, and contact center focused operational activities; interface with ... Subject Matter Experts (SMEs) to discuss and present resolutions for multiple special interests; attend meetings to contribute to the internal branding and universal… more
- State of Massachusetts (Boston, MA)
- …prosecution in connection with the DFML programs and operations. * Works on special investigation projects and other related projects that support the goals ... Medical Leave* The Compliance Officer is responsible for conducting investigations for compliance with MGL Chapter 175M and 458...** The Compliance Officer II,who reports to the Senior Manager of Benefit Operations & Program Integrity is based… more
- State of Massachusetts (Boston, MA)
- …oversight of specific agencies (both statutory and OIG - created divisions), special government funding (like pandemic relief), and more broadly, procurement, state ... abuse in public benefits programs. BPI performs its work through reviews, investigations , and other activities and works collaboratively with EOHHS and its agencies.… more
- CVS Health (Woonsocket, RI)
- …are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is ... datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider… more
- Eversource Energy (Westwood, MA)
- …as assigned, serve as team or project leader for unique / special engineering assignments\. **Essential Functions:** + Serve as technical specialist to Substation ... design, long range system planning, system analysis, site / safety investigations , structural / material analysis, equipment qualification, code assessment /… more
- BioLife Plasma Services (Attleboro, MA)
- …customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to ... Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for...a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community… more
- BioLife Plasma Services (Attleboro, MA)
- …customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to ... Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for...a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community… more
- Travelers Insurance Company (West Bridgewater, MA)
- …handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full ... of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim through prompt… more
- Marriott (Boston, MA)
- …property reports/documents; release information only to authorized individuals. Conduct investigations and gather evidence. Conduct interviews with relevant parties. ... procedures; report accidents, injuries, and unsafe work conditions to manager ; complete safety training and certifications; ensure uniform and...Every day, we set the standard for rare and special luxury service the world over and pride ourselves… more
- Synchrony (Boston, MA)
- …developing, and implementing solutions. + Perform other duties and/or special projects as assigned. **Qualifications/Requirements:** + Bachelor's degree with a ... to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding...consistently meet performance expectations and have approval from your manager to post (or the approval of your … more
- Veterans Affairs, Veterans Health Administration (West Roxbury, MA)
- …to ensure proper processing of tissue samples, especially those requiring special handling. Monitors workflow, designs and implements new processes and procedures, ... inventory and reports items to be ordered to the anatomic pathology manager . Develops, reviews and revises procedures in anatomic pathology. Ensures that anatomic… more
- Veterans Affairs, Veterans Health Administration (West Roxbury, MA)
- …Cath and Electrophysiology (EP) Lab. This position will report directly to the Nurse Manager of the Cath Lab and will support daily functions and operations of the ... appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time… more
- CDM Smith (Boston, MA)
- …and drives the technical vision of the project working closely with the Project Manager (PM), and reports directly to the PM. The PTL is responsible for coordination ... white papers and technical design documentation of new or special case designs, studies, etc. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more