- Metropolitan Transportation Authority (New York, NY)
- …to deliver an effective and efficient Internal Control Review program that roots out fraud , waste , and abuse . Additionally, this role will be responsible ... Description Position at MTA Headquarters JOB TITLE: Compliance Manager SALARY RANGE: $95,480 - $107,850 HAY POINTS:...efficiency and effectiveness to help safeguard company assets, reduce fraud , waste and abuse , provide… more
- RHA Health Services (High Point, NC)
- …retaliation policies. Directs the confidential and immediate investigation into allegations of abuse , neglect, exploitation, theft, fraud , waste , misconduct, ... We are hiring for: IDD Care Manager / Adult / Guilford and Randolph County...Name checked in the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities)… more
- VetJobs (Fort Sill, OK)
- …skills. Exemplary attention to detail. Maintains sensitivity to, and report on, instances of fraud , waste , and abuse . Proficient at the suite of MS ... the location detailed in the job post. The Business Manager is the senior financial official on site; responsible...business conduct and reporting. Assist and supervise the Procurement Manager to ensure the execution of all procurement activities… 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 ... RN Manager , Clinical Assessment and Care Planning URGENT NEED!...looking for a qualified Clinical Assessment and Care Planning Manager to work for Commonwealth Care Alliance (CCA). The… more
- Nuvem (Bronx, NY)
- …Loss Prevention Workflow Management Keep abreast and stay current with HIPAA and Fraud Waste and Abuse credentialing. Comply with all applicable ... by covering or providing overlap for the current pharmacy manager . Our goal is to make you feel empowered...the pharmacy and personnel in conjunction with the pharmacy manager . This position is for a per-diem pharmacist for… 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 and Quality reporting for CMS quarterly reporting. *Integral part of the CMS/SAA Audit of the PACE program SUPERVISORY RESPONSIBILITIES Supervise Quality team on assigned projects as well as PBP teams to ensure that all are compliant for QAPI purposes… more
- Corewell Health (Grand Rapids, MI)
- …Unit (SIU) with a focus on identifying, investigating, and resolving health insurance fraud , waste , and abuse (FWA). This role provides operational ... Job Summary - Manager Special Investigation Unit The SIU Manager...Unit (SIU), ensuring timely and thorough investigation of potential fraud , waste , and abuse (FWA)… more
- Elevance Health (Pittsburg, KS)
- …errors. Works with health plan leaders, oversees the monitoring and enforcement of the fraud , waste , and abuse compliance program to prevent and detect ... **Carelon Payment Integrity Manager ** **Sign-on Bonus:** **$3,000** _Hybrid 1: This role...potential fraud , waste , and abuse activities pursuant to state… more
- Elevance Health (Hanover, MD)
- …errors. Works with health plan leaders, oversees the monitoring and enforcement of the fraud , waste , and abuse compliance program to prevent and detect ... **Carelon Medical Coding/Auditing Manager - Behavioral Health** **Supports Payment Integrity &...potential fraud , waste , and abuse activities pursuant to state… more
- LEES MARKETPLACE (Mountain Green, UT)
- …a team. + Must complete all required state, federal and company training programs (ie. HIPAA, Fraud Waste and Abuse , I-pledge, etc.) + Must be trained to ... storage of medications and supplies along side the Pharmacy Manager . + Administer immunizations and other clinical services (if...all mandatory training; including but not limited to; Medicare Fraud Waste and Abuse Training,… more
- MTA (New York, NY)
- …to deliver an effective and efficient Internal Control Review program that roots out fraud , waste , and abuse . Additionally, this role will be responsible ... Compliance Manager Job ID: 11531 Business Unit: MTA Headquarters...efficiency and effectiveness to help safeguard company assets, reduce fraud , waste and abuse , provide… more
- MTA (Jamaica, NY)
- …to deliver an effective and efficient Internal Control Review program that roots out fraud , waste and abuse . Additionally, this role will be responsible ... Compliance Manager Job ID: 9516 Business Unit: MTA Headquarters...efficiency and effectiveness to help safeguard company assets, reduce fraud , waste and abuse , provide… more
- Molina Healthcare (Owensboro, KY)
- …steps and actions. + Works with leadership to maintain and revise policies and procedures, fraud , waste , and abuse plans, annual audit work plans, including ... License, Certification, Association + Active and unrestricted Accredited Health Care Fraud Investigator (AHFI) designation or Certified Fraud Examiner (CFE)… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …are professional employees with a good working knowledge of investigations of complaints of fraud , waste and abuse involving state and local public funds. ... Auditors will generally be assigned to investigate complaints of fraud , waste , and abuse of...+ Participate in team meetings. + Keep AIC and/or Manager informed of relevant information. + Assis in the… more
- US Marine Corps (Twentynine Palms, CA)
- …of funds, merchandise, supplies and equipment to preclude or minimize the potential for fraud , waste and abuse . Provides World Class Customer Service with ... requisitioning, training, directing and assisting staff. Coordinates with catering manager regarding parties, banquets, and protocol functions for kitchen… more
- Sanford Health (Sioux Falls, SD)
- …activities to sustain high quality performance. Oversees pharmacy department participation in the VIPS fraud , waste , and abuse process and the Health Plan ... Schedule:** Full time **Weekly Hours:** 40.00 **Job Summary** The Manager works closely with Health Plan providers and staff...Special Investigative Unit team to reduce waste and ensure member safety. Serves on integrated health… more
- State of Michigan (Lansing, MI)
- …(OIG). MDHHS OIG is a criminal justice agency housed within MDHHS charged with investigating fraud , waste and abuse in programs administered by MDHHS and ... increasing program integrity and accountability. This position assists the manager of the Managed Care Oversight Unit to manage...have experience using data analytics to identify health care fraud , waste , and abuse and/or… more
- NANA Regional Corporation (Mechanicsburg, PA)
- …+ Exemplary attention to detail + Maintains sensitivity to, and report on, instances of fraud , waste and abuse + Demonstrated knowledge of project management ... This position is responsible to the company President/General Manager for the direction, safe operation, compliance, quality...modified budgets, strategic plans, or policies. The PM Contract Manager is responsible for work efforts focused on five… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …for Investigations. Investigative Auditors will generally be assigned to investigate complaints of fraud , waste , and abuse of public funds and resources. ... supervision from an Investigative Senior Auditor 2, Investigative Audit Manager or the Executive Counsel/Assistant Legislative Auditor for Investigations....grammar and spelling. + Take and document complaints of fraud , waste and abuse by… more
- NANA Regional Corporation (Chambersburg, PA)
- …+ Exemplary attention to detail + Maintains sensitivity to, and report on, instances of fraud , waste and abuse + Demonstrated knowledge of project management ... AFO has an opening for a dynamic Deputy Program Manager / Business Analyst (DPM) to support the Letterkenny Army Depot in Chambersburg PA. As the DPM, you will… more
