- 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
- Ryder System (Providence, RI)
- …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Senior Manager Environmental Engineering is responsible for ensuring that ... Director, Environmental Engineering and will supervise Project Engineers and Manager , Environmental Engineering staff, manage Company SPCC, Industrial Waste Water… more
- Cardinal Health (Providence, RI)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in ... outcome to de-escalate + Must meet the daily task and benefit investigation goals associated with a high enrollment volume/low patient interaction program. +… 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
- 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
- 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
- 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
- State of Connecticut, Department of Administrative Services (Putnam, CT)
- …provisions of the Americans with Disabilities Act (ADA), please contact Edward Magnano, EEO Manager at (860) 418 - 6148 or ###@ct.gov PURPOSE OF JOB CLASS (NATURE OF ... in the plumbing and steamfitting trade. MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE Two (2) years of the General Experience...of facts stated in the application, a thorough background investigation of each candidate may be made before persons… more
- Travelers Insurance Company (Providence, RI)
- …manage claims by completing essential functions including contacts, investigation , damages development, evaluation, reserving, litigation management, negotiating and ... and stakeholders; take necessary statements, as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the… 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
- Integra LifeSciences (Mansfield, MA)
- …This position is under the direct supervision of the Quality Engineering Manager . Works independently under general supervision, reviewed at project milestone and/or ... the business. + Identifies Noncompliance's, works with complaint handling, and CAPA Investigations . + Organizes and manages the plant internal audit system as the… more
- BD (Becton, Dickinson and Company) (Warwick, RI)
- …facilities. + Conduct other Quality Control Projects as assigned by the Manager of Advanced Quality Engineering. + Support the development and effective ... as warranted. + Support goals of the Quality Assurance Department. + Special projects as assigned. **Education and Experience:** + Bachelor Degree in Engineering… more
- Integra LifeSciences (Mansfield, MA)
- …This position is under the direct supervision of the Quality Compliance Manager . Works independently under general supervision, reviewed at project milestone and/or ... senior management. **Essential Duties and Responsibilities:** + Owns and manages CAPA investigations and actions + Provides CAPA process guidance to other CAPA… more
- CDM Smith (Pawtucket, RI)
- …are used; and that construction conforms to plans, specifications, and special provisions. Use higher-grade of equipment and perform complex calculations to ... 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 (Pawtucket, RI)
- …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 (Pawtucket, RI)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc. Submit technical papers and designs for publishing to ... 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 (Pawtucket, RI)
- …Contribution: Develop white papers and technical design documentation for new or special case designs, and submit technical papers for publication in journals. ... 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 (Pawtucket, RI)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc. Collaborates with sales staff to create proposals in ... 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