- 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
- State of Minnesota (St. Paul, MN)
- …Internal Controls Director who is the Agency's key risk management, internal control and fraud / waste / abuse of funds expert and internal advisor. The Director ... and Internal Controls Director** **Job Class: State Program Administrator, Manager Senior** **Agency: Housing Finance Agency** + **Job ID**...Serve as the Agency's risk management, internal control and fraud / waste / abuse of funds expert and… 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
- 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
- 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
- State of Massachusetts (Boston, MA)
- …public money and property. The OIG is an independent agency charged with preventing and detecting fraud , waste and abuse in the use of public funds and ... and is responsible for educating individuals to help prevent fraud , waste and abuse of...support. Additionally, the successful candidate will be a strong manager and a strategic leader with the ability to… more
- Molina Healthcare (Carson, CA)
- …and managed care. Previous work experience reviewing and managing hospice case records Fraud , waste and abuse auditing experience Exceptional knowledge of ... **HOSPICE OVERSIGHT CASE MANAGER (REGISTERED NURSE)** California residents preferred** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works… more
- Molina Healthcare (Warren, MI)
- …and day-to-day operations of the Compliance Program, Compliance Plan, Code of Conduct, and Fraud , Waste and Abuse Plan across the enterprise while ensuring ... experience in health plan setting in government programs management (Contract Manager ) **Preferred Experience** 7-9 years To all current Molina employees: If… more
- Grant Thornton (San Francisco, CA)
- …funding and/or pertinent to tax credit incentives. + Assisting in matters involving fraud , waste , and abuse , including allegations of bribery, collusion, ... As a Real Estate/Construction Advisory Manager , you will get the opportunity to grow and contribute to our clients' business needs and be responsible for all phases… more
- UnityPoint Health (Des Moines, IA)
- …compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or ... position also serves as a member of the substance abuse counselor team, provides assistance to the Manager... abuse counselor team, provides assistance to the Manager , and participates in the multidisciplinary team planning to… more