- Novo Nordisk Inc. (Plainsboro, NJ)
- …Advising on interactions with health care providers, patients, and payors in compliance with fraud and abuse laws such as the US Anti-Kickback Statute and ... ready to realize your potential? The Position Provide legal counsel to global healthcare company on relevant issues involving application of US law, regulations, and… more
- Eisai, Inc (Nutley, NJ)
- …in good standing of a state bar. Strong knowledge of FDA regulatory and fraud and abuse laws and/or pharmaceutical government price reporting laws. Ability to ... At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care… more
- StateJobsNY (Hauppauge, NY)
- …detectives, and analysts to identify and prosecute financial fraud in the healthcare industry and abuse and neglect of residents in healthcare ... Duties Description Criminal Justice Division Medicaid Fraud Control Unit-Hauppauge (Suffolk County) Special Assistant Attorney General Reference No.… more
- Vensure Employer Services (Mount Juliet, TN)
- …governing accidents and incidents. Report known or suspected incidents of fraud to the Administrator. Ensure that departmental computer workstations left unattended ... annual facility in-service training programs as scheduled (eg, OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). Attend and participate in advance… more
- Children's National Hospital (Silver Spring, MD)
- …and has knowledge about various federal and state regulatory requirements (eg HIPAA, fraud and abuse , Stark analysis), the contract management and administration ... The Contract Review Attorney with corporate or operational healthcare experience handles corporate transactions and regulatory matters...and local laws, including but not limited to HIPAA, Fraud and Abuse , Anti-Kickback Statute and Stark… more
- Advanced Urology Institute (Oxford, FL)
- …HIPAA & CMS guidelines for Parts C & D on General Compliance and Fraud , Waste & Abuse . Complies with HR confidentiality standards. Requirements EDUCATION ... using computer programs and applications including Microsoft Office. Knowledge in healthcare systems operations and experience in navigating EMRs. Ability to answer… more
- Direct Counsel (Washington, DC)
- …and other healthcare -related transactions Counsel clients on compliance with HIPAA, fraud and abuse laws, and corporate practice of medicine restrictions ... work schedule available) Direct Counsel is seeking a Junior Healthcare Regulatory Associate to join a nationally recognized Am...on regulatory and compliance matters. This includes knowledge of fraud and abuse laws, HIPAA, corporate practice… more
- RHA Health Services (High Point, NC)
- …policies. Directs the confidential and immediate investigation into allegations of abuse , neglect, exploitation, theft, fraud , waste, misconduct, and violations ... to optimize individual education around self-management, disease management, and integrated healthcare planning. Quality Assurance and Use Of Data - Implements the… more
- GoFundMe (Chicago, IL)
- …protect donors, fundraiser organizers, beneficiaries, and our company from financial crimes and abuse . As a member of the Risk Identity team, you will be responsible ... campaign organizers, and beneficiaries, as well as analyzing fundraisers for fraud and money laundering schemes, verifying identities and KYC/B information, and… more
- LCG Boston (Boston, MA)
- …CCA's Policy & Procedures Promptly, in good faith, report any instances of suspected fraud , waste and abuse ; suspected privacy and/or security incidents; or any ... Group has become a leader in Nurse Staffing Solutions and community-based healthcare operations in Massachusetts. As a nurse-led organization, we have established a… more
- The Christ Hospital (Cincinnati, OH)
- …compliance issues facing the hospital industry, including fraud and abuse issues resulting from interactions with healthcare professionals, and reimbursement ... job. YEARS OF EXPERIENCE: At least 5 years preferred; healthcare accounting/cost reporting/reimbursement experience desired. REQUIRED SKILLS AND KNOWLEDGE: Superior,… more
- Advanced Urology Institute (Oxford, FL)
- …OSHA, HIPAA & CMS guidelines for Parts C & D on General Compliance and Fraud , Waste & Abuse . Performs other position related duties as assigned. CERTIFICATIONS, ... records are accurate and complete for all patients. Ensures compliance of healthcare regulations, medical laws and high ethical standards. Regularly adheres and… more
- CommuniCare Family of Companies (Akron, OH)
- …as assigned or requested. Promptly reports any suspected resident financial abuse or billing fraud to supervisor immediately. QUALIFICATIONS/EXPERIENCE ... term care setting. Prior work/life experiences, preferably in a healthcare setting. Prior experience preferably with related software applications.… more
- Signature Healthcare (Portland, OR)
- …rules, and standards. Reports, as appropriate, actual or suspicious activity related to fraud and/or operational abuse of laws, regulations and standards. The ... of emergency procedures. Standards: Supports mission, philosophy, and goals of Signature Healthcare at Home. Meets Signature Healthcare at Home standards for… more
- Chapters Health System (Largo, FL)
- …all State, federal and local government regulations, maintaining a strong position against fraud and abuse . Comply with Company policies, procedures and standard ... will be required to obtain certification by June 10, 2025. Active BLS for healthcare professionals from the American Heart Association or Red Cross. For current Hope… more
- A-Line Staffing Solutions (Harrisburg, PA)
- …generated through PROMISe' for accuracy and compliance. Identify and address provider/recipient fraud or abuse within the Medical Assistance Program. Conduct ... Office. Minimum of three years of professional experience in medical assistance healthcare services or human services. At least three years of recent (within… more
- TulaRay (Harrisburg, PA)
- …through the analysis of paid claims, itemized bills, and computer reports through the Fraud Abuse Detection System(FADS). This includes but is not limited to ... Hotline, OMAPTips web site, letters, e-mail and phone. Prepare potential cases of fraud according to established procedures for referral to the Office of Attorney… more
- Chapters Health System (Orlando, FL)
- …State, federal and local government regulations, maintaining a strong position against fraud and abuse . *Comply with Company policies, procedures and standard ... of the job with or without reasonable accommodation *Active BLS for healthcare professionals from the American Heart Association or Red Cross. Employees hired… more
- Concordia Lutheran Ministries and Affiliates (Ligonier, PA)
- …information; has a duty to report compliance concerns, significant legal risk questions, fraud , abuse , suspected or actual misconduct to the Executive Director ... cottages, 72 personal care units and 96 skilled nursing units. We offer MANY healthcare careers - from nursing to operations support and everything in between - you… more
- MorseLife Health Systems (West Palm Beach, FL)
- …Manager and Quality Associate *Oversee Part-D regulatory compliance as well as Medicare Fraud , Waste, and Abuse *Completion of Level II reporting as needed ... quality projects, training, education, and compliance activities *Understand the evolving healthcare regulatory and policy environment and identify and assess the… more
