- CVS Health (Boston, MA)
- …+ 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 (Boston, 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
- Veterans Affairs, Veterans Health Administration (Jamaica Plain, MA)
- …This position is full-time at 40 hours per week. The Suicide Prevention Case Manager (SPCM) at the Jamaica Plain campus will join an energetic, cross-campus Suicide ... 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
- Point32Health (Canton, MA)
- …**Job Summary** The Investigator I is an essential team member of the Special Investigation Unit ("SIU") responsible for leading complex provider ... will be responsible for conducting high-volume Pre-Payment Fraud Waste & Abuse ("FWA") investigations under the direction of the Manager , FWA Prepayment Review.… more
- Takeda Pharmaceuticals (Boston, MA)
- …to the best of my knowledge. **Job Description** **Title: Senior Manager , Combination Products and Device Manufacturing** **Location: Cambridge, MA** **About the ... role:** As a Senior Manager , Combination Products and Device Manufacturing, you will manage...of manufacturing processes and lead or support deviations and investigations . Additionally, you will serve as a primary technical… more
- Takeda Pharmaceuticals (Boston, MA)
- …future in your hands and become part of our team as a **Senior Manager Clinical Program Quality** You will oversee quality assurance for global clinical research ... actions, tracking effectiveness and regulatory reporting as needed. + Lead investigations into significant quality issues and GCP breaches, ensuring root cause… 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
- 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
- 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
- Point32Health (Canton, MA)
- …safety strategy. The incumbent leads safety and security incident investigations and collaborates with internal and external stakeholders-including corporate ... wellness and safety programs, and serving as a backup to the Senior Manager of Safety & Security. **Job Description** **Key Responsibilities/Duties** **- what you… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …regulatory compliance and service excellence. Reporting to the MAPD, Pharmacy Operations Manager and in partnership with the Clinical Manger, this role will have ... external areas. + Participate and present in leader and staff meetings. + Special projects as needed. Key Qualifications: + Demonstrates a commitment to quality and… more
- State of Massachusetts (Boston, MA)
- …factors. Under the general direction of the Senior Quality Assurance Manager , the*Quality Assurance Clinical Specialist*supports the Quality Assurance team in ... identified policy and practice concerns. In collaboration with the Senior QA Manager , identifies next steps for resolution and/or OCA intervention if required. *… more
- Takeda Pharmaceuticals (Boston, MA)
- …**How You Will Contribute:** Duties will include the following, under the manager 's supervision + Support the collection and processing of safety information + ... A passion for science and an interest in careful investigation and creative, analytical thinking. + Suitable for students...at company volunteer events + Participation at company sponsored special events + Access to on-site fitness center (where… more
- Veterans Affairs, Veterans Health Administration (Jamaica Plain, MA)
- …serves as a Licensed Practical Nurse (LPN) under the direction of the nurse manager of the ambulatory surgery unit . The incumbent performs direct patient care and ... 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
- 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
- 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
- CDM Smith (Boston, MA)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc.. Submits technical papers and designs for publishing ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- Beth Israel Lahey Health (Boston, MA)
- …and transports patients to and from campus, designated areas. 9. Conducts investigation of incidents and writes investigative reports. Attends court when presence is ... At least 21 years old 5. Appointees must be eligible for appointment as a Special State Police Officer in accordance with MGL ch.22 s. 63 Massachusetts Class A… more
- CDM Smith (Boston, MA)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc. Submits technical papers and designs for publishing ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Boston, MA)
- …by developing white papers and technical design documentation of new or special case designs, studies, etc. Submit technical papers and designs for publishing ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more