- 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
- CVS Health (Hartford, CT)
- …this role, you will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + ... Conduct high level, complex investigations of known or suspected acts of healthcare fraud , waste and abuse . + Conduct Investigations to prevent payment of… more
- New York State Civil Service (Albany, NY)
- …auditors, detectives, data analysts, and legal support analysts, to conduct complex, long-term healthcare fraud and patient abuse and neglect investigations. ... and reviewing medical records and analyzing medical documentation to identify potential fraud , abuse , mistreatment, and neglect, including testifying as to such… more
- CVS Health (Jefferson City, MO)
- …conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse , to recover lost funds, ... state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters. - Demonstrates high level of knowledge… more
- CVS Health (Annapolis, MD)
- …- Conducts investigations to effectively pursue the prevention, investigation, and prosecution of healthcare fraud and abuse , to recover lost funds, and ... plans and practices. - Conducts investigations of known or suspected acts of healthcare fraud and abuse . - Communicates with federal, state, and local law… more
- Corewell Health (Grand Rapids, MI)
- …experience fraud and abuse experience or equivalent combination of; auditing, healthcare fraud and abuse , compliance, or regulatory (ie, CMS & ... a focus on identifying, investigating, and resolving health insurance fraud , waste, and abuse (FWA). This role...- Manager Special Investigation Unit + Required Bachelor's Degree Healthcare , Nursing or Business + 10 years of relevant… more
- Centene Corporation (Sacramento, CA)
- …fresh perspective on workplace flexibility. **Position Purpose:** Investigate allegations of potential healthcare fraud and abuse activity. Assist in ... claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse . + Conduct investigations of potential waste,… more
- CareFirst (Baltimore, MD)
- …+ Independently or as lead in part of an assigned team develop and conduct healthcare fraud , waste, and abuse investigations of all levels (low to ... of which must be health care specific and includes independently conducting healthcare fraud , waste, and abuse investigations of all levels. **Knowledge,… more
- Robert Half Legal (Westminster, CO)
- …and licensing, operational issues (eg, governance, organizational structure, and compliance programs), healthcare fraud and abuse (eg, anti-kickback, Stark, ... and licensing, operational issues (eg, governance, organizational structure, and compliance programs), healthcare fraud and abuse (eg, anti-kickback, Stark,… more
- New York State Civil Service (Hauppauge, NY)
- …detectives, and analysts to identify and prosecute financial fraud in the healthcare industry and abuse and neglect of residents in healthcare ... Agency Attorney General, Office of the Title Attorney: Investigate/Prosecute Financial Fraud (3789) Occupational Category Legal Salary Grade NS Bargaining Unit M/C… more
- Danaher Corporation (Los Angeles, CA)
- … industry + Drafting, reviewing, and negotiating various types of agreements + US healthcare fraud and abuse laws, rules, regulations, regulatory guidance, ... various legal issues and associated risks, including transactions with healthcare providers, research institutions, and promotional programs. + Provide… more
- Amgen (Thousand Oaks, CA)
- …in healthcare industry is a plus but not required, including counseling on: + Healthcare fraud and abuse matters + OIG compliance guidance and advisory ... price concession strategies and risk mitigation with members of the healthcare community (managed care organizations, hospitals, Group Purchasing Organizations (GPO)… more
- Amgen (IL)
- …+ Experience counseling clients on complex legal and regulatory considerations including: + Healthcare fraud and abuse matters + FDA promotional regulations ... on price concession strategies and risk mitigation with members of the healthcare community, with emphasis on the Anti-Kickback Statute and applicable antitrust laws… more
- Edwards Lifesciences (Irvine, CA)
- …including US and other medical device regulatory landscape, Advertising and promotion, Healthcare fraud and abuse , Antitrust, Anti-corruption and the ... Requirement** Edwards is committed to protecting our vulnerable patients and the healthcare providers who are treating them. As such, all patient-facing and… more
- BeOne Medicines (San Mateo, CA)
- …and commercialization of pharmaceutical products. + Working knowledge and experience with US healthcare fraud and abuse laws (eg, Anti-kickback statute, ... + years of overall experience, 7 + years of combined experience in healthcare compliance, including in-house experience. + Strong expertise in compliance with laws,… more
- State of Georgia (Fulton County, GA)
- …limited to, Analysts, Auditors, and Prosecutors in conducting on-site health care fraud and patient abuse investigations. Develops necessary knowledge and skills ... to assignments and requests for assistance in health care fraud and patient abuse investigations in a...Healthcare Administration, Accounting, Business and Finance. * Certified Fraud Examiner * Digital Forensics Experience * Law enforcement… more
- New York State Civil Service (New York, NY)
- …data analysts, and legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage ... and reviewing medical records and analyzing medical documentation to identify potential fraud , abuse , mistreatment and neglect, including testifying as to such… more
- Elevance Health (Gilbert, MN)
- …responsible for identifying issues and/or entities that may pose potential risks associated with fraud and abuse . **How you will make an impact:** + Performs ... billing and processing guidelines and to identify opportunities for fraud and abuse prevention and control. +...claims and medical records prior to payment. Researches new healthcare -related questions as necessary to aid in investigations. +… more
- Elevance Health (Norfolk, VA)
- …Coding Certificate or Registered Nurse strongly preferred + Law Enforcement dealing with Healthcare Fraud Please be advised that Elevance Health only accepts ... and/or entities that may pose potential risk associated with fraud and abuse . **How you will make...and medical records prior to payment. + Researches new healthcare related questions as necessary to aid in investigations.… more
