- Humana (Annapolis, MD)
- … leads and monitors investigations of allegations of fraudulent and abusive practices. The Manager , Fraud and Waste works within specific guidelines and ... goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation with law enforcement authorities. Leads...Medicare experience + Minimum 3 years of experience with Fraud , Waste , and Abuse in either a… more
- ICF (Baltimore, MD)
- …of healthcare data systems, Medicare and Medicaid claims, and the government's healthcare fraud , waste , and abuse workflow. Job Location- Primarily remote within ... of the award. ICF is currently seeking a Data Manager to lead and oversee program integrity data analysis...Conduct analysis of health care claims data to detect fraud , waste , and abuse, and in support… more
- Elevance Health (Hanover, MD)
- …errors. Works with health plan leaders, oversees the monitoring and enforcement of the fraud , waste , and abuse compliance program to prevent and detect potential ... **Carelon Medical Coding/Auditing Manager - Behavioral Health** **Supports Payment Integrity &... fraud , waste , and abuse activities pursuant to... fraud , waste , and abuse activities pursuant to state and federal… more
- Marriott (Hunt Valley, MD)
- …on property GSS scores and comments. * Acts as a project manager for the execution of capital improvements (eg, renovations, reinventions, refreshes, signage, ... Food and Beverage forecasting and par levels to reduce waste and maximize Food and Beverage profit margins. *...Accounting Scorecard, Banking Report and Statistics, PACE, credit card fraud report). * Reviews property performance on period basis… more
- Elevance Health (Hanover, MD)
- …of 4 years medical coding/auditing experience, including minimum of 1 year in fraud , waste abuse experience; or any combination of education and experience, ... and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more