- SMBC (Jersey City, NJ)
- …level controls. **Role Objectives** This role will report and assist the VP of Anti - Fraud Governance , CPAD, with initiatives pertaining to the Internal ... in-scope first line of defense activities and performing second level controls. The Anti - Fraud Compliance Associate functions within the Compliance Anti -… more
- University of Rochester (Brighton, NY)
- …compliance and legal experience. + General familiarity with the following areas: + Fraud and Abuse Laws, including the Anti -Kickback Statute, the Physician ... assisted living communities. This includes, but is not limited to fraud and abuse, billing compliance, corporate transactions, physician employment and compensation,… more
- Atlantic Health System (Morristown, NJ)
- …compliance risk areas: (i) general compliance and compliance program effectiveness; (ii) fraud , waste and abuse and Deficit Reduction Act of 2005 workforce member ... compliance; (iii) patient and employee confidentiality, organizational privacy, information governance , and data risk classification; (iv) accountable care organization… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Services (CMS). Provides routine interaction and coordination with the BCBS Association National Anti - Fraud office, BC/BS Plan SIUs, FEP, CMS, DOH, OMIG, MFCU, ... this position is responsible for the accurate and thorough clinical investigation of potential fraud , waste and abuse (FWA) for all lines of business. The scope of… more
- Regions Bank (Hoover, AL)
- …products and/or capabilities + Manages performance information such as usage, sales, fraud , and other key information to provide forecasts and market evolution ... of those investments to stakeholders, gaining buy-in, securing prioritization through governance processes, and performing post release analysis + Prepares and… more