- MyFlorida (Tallahassee, FL)
- … Fraud Analysts and will perform data mining and investigative activities to identify fraud , waste , or abuse in claims data within our program. ... Analysts will identify outliers and trends based on relevant fraud , waste , and abuse topics;...sets. + Proactively identify new and emerging medical & pharmacy fraud schemes through research and use… more
- CVS Health (Hartford, CT)
- …the prevention, investigation and prosecution of Fraud Waste and Abuse . - Collaboration with Pharmacy Benefit Manager, providing meaningful evidence of ... Fraud , Waste and Abuse to support Pharmacy Audit activities. - Routinely handles cases that are sensitive or high profile, those that are national in… more
- KPH Healthcare Services, Inc. (Lancaster, PA)
- …drug screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + HIPPA Privacy CE Mastery Exam ... the HealthDirect team has been dedicated to the unique pharmacy needs of individuals residing in Long-Term Care (LTC)...+ HIPPA Security CE Mastery Exam + Fraud , Waste , and Abuse CE… more
- KPH Healthcare Services, Inc. (Rochester, NY)
- …drug screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + MethGuard Course + HIPPA Privacy ... the HealthDirect team has been dedicated to the unique pharmacy needs of individuals residing in Long-Term Care (LTC)...Mastery Exam + HIPPA Security CE Mastery Exam + Fraud , Waste , and Abuse CE… more
- KPH Healthcare Services, Inc. (Latrobe, PA)
- …drug screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + MethGuard Course + HIPPA Privacy ... the HealthDirect team has been dedicated to the unique pharmacy needs of individuals residing in Long-Term Care (LTC)...Mastery Exam + HIPPA Security CE Mastery Exam + Fraud , Waste , and Abuse CE… more
- Kinney Drugs (North Syracuse, NY)
- …drug screening test Required Training: + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + MethGuard Course + HIPPA Privacy ... the HealthDirect team has been dedicated to the unique pharmacy needs of individuals residing in Long-Term Care (LTC)...Mastery Exam + HIPPA Security CE Mastery Exam + Fraud , Waste , and Abuse CE… more
- Kinney Drugs (Williston, VT)
- …drug screening test Required Training: + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + MethGuard Course + HIPPA Privacy ... the HealthDirect team has been dedicated to the unique pharmacy needs of individuals residing in Long-Term Care (LTC)...Mastery Exam + HIPPA Security CE Mastery Exam + Fraud , Waste , and Abuse CE… more
- KPH Healthcare Services, Inc. (Lancaster, PA)
- …drug screening test **Required Training:** + HIPAA Privacy Course + HIPAA Security Course + Fraud , Waste , and Abuse Course + MethGuard Course + HIPAA Privacy ... the HealthDirect team has been dedicated to the unique pharmacy needs of individuals residing in Long-Term Care (LTC)...CE Mastery Exam + Fraud , Waste , and Abuse CE...CE Mastery Exam + Fraud , Waste , and Abuse CE Mastery Exam +… more
- SSM Health (Mount Vernon, IL)
- …quantity, MME, source and DAW to avoid audit charge backs and ensure compliance with Fraud Waste and Abuse (FWA) Laws. + Contributes to zero medication ... is a PRN (as needed) position working variable shift in our Retail Pharmacy . Join our exceptional team! **Job Summary:** Assures the appropriate selection, dosing,… more
- KPH Healthcare Services, Inc. (Flowood, MS)
- …drug screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + MethGuard Course + HIPPA Privacy ... + Minimum: High School Diploma or GED + Preferred: Pharmacy technician or related certification **Experience:** + Past experience...Mastery Exam + HIPPA Security CE Mastery Exam + Fraud , Waste , and Abuse CE… more
- Veterans Affairs, Veterans Health Administration (North Chicago, IL)
- …trending and analysis is necessary to ensure that problems associated with discrepancies in waste , fraud , diversion or abuse are identified quickly and ... Summary GS-7 Pharmacy Technicians function in various areas of the outpatient pharmacy (East and West campuses). Pharmacy Technicians are under the… more
- Veterans Affairs, Veterans Health Administration (Crown Point, IN)
- …distribution patterns to identify questionable circumstances or unusual trends (such as waste , fraud , diversion or abuse ). Communicates potential problems ... Summary The Pharmacy Technician (Outpatient) is located at Adam Benjamin...(ABJ) CBOC and function in various areas of the pharmacy , eg outpatient pharmacy , and can involve… more
- Elevance Health (Altamonte Springs, FL)
- …+ NPI profile updates (NPPES). URAC, ACHC, NABP support during accreditation renewals. + Fraud , Waste and Abuse annual attestation submission to health ... a check, or ask you for payment as part of consideration for employment. ** Pharmacy Credentialing Analyst** + Job Family: PND > Credentialing & Licensing + Type:… more
- Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
- …a supervisor immediately. In addition identifies and reports any potential problem(s) of waste , fraud , diversion, and/or abuse to appropriate supervisors. ... Summary The Outpatient Controlled Substance Pharmacy Technician is responsible for assuring facility compliance...general and specialized technical and clerical support functions in Pharmacy Service and enhance the efficiency and effectiveness of… more
- Baptist Memorial (Covington, TN)
- …billing guidelines and complete required training pursuant to BSP policies and procedures (eg, fraud , waste , and abuse training) + Answer insurance and ... to ensure patients are getting the most out of their specialty pharmacy services. The Pharmacy Technician - Specialty Pharmacy is responsible for dispensing… more
- Omnicell, Inc. (Fort Worth, TX)
- …Billing and coding process compliance + Healthcare fraud , waste and abuse compliance + 340B Program compliance + Pharmacy and pharmacist licensing + ... **Sr. Manager, Pharmacy Operations Compliance - Remote ** The Sr.... Operations Compliance - Remote ** The Sr. Manager, Pharmacy Operations Compliance is responsible for tracking, monitoring, reviewing,… more
- KPH Healthcare Services, Inc. (Concord, NH)
- …screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + MethGuard Course **Behavioral Traits ... For over 50 years, the HealthDirect team has been dedicated to the unique pharmacy needs of individuals residing in Long-Term Care (LTC) facilities such as nursing… more
- The Cigna Group (Bloomfield, CT)
- …Opioid Edits, Pharmacy & Therapeutics (P&T), End Stage Renal Disease (ESRD/ Hospice, Fraud , Waste and Abuse (FWA,) and Clinical Decision Making_ **Role ... Summary** The Medicare Part D Legal Compliance Advisor is responsible for compliance support of service operations with specific focus on Medicare clinical programs. The Advisor will ensure operational compliance with all regulatory requirements and standards… more
- AmeriHealth Caritas (Washington, DC)
- …+ Ensures compliance with all requirements related to Special Investigation Units and fraud , waste and abuse investigations. + Conducts investigations of ... integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services....potential fraud , waste and / or abuse with a… more
- Corewell Health (Grand Rapids, MI)
- …include members, providers, employer group agents etc. to determine validity of allegations of fraud waste and abuse . May include conversations with law ... abuse within Priority Health. Assists with internal and external education on fraud , waste , abuse , billing and documentations requirements. Essential… more