- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- The Manager , Fraud , Waste & Abuse (FWA) provides leadership and oversight of the FWA area. The position involves the management of the FWA Program in ... and work plan + Lead special investigations + Research, investigate and report fraud , waste and abuse cases + Utilize internal system, external platforms and… more
- MyFlorida (Tallahassee, FL)
- …a broad scope of data analytics to proactively identify qualified leads for potential fraud , waste , and abuse (FWA) investigations. The selected candidate ... collaboration with the team and the Program Integrity Unit Manager , draft investigative work plans and develop case strategies...reports and statistical/financial analysis to support findings of potential fraud , waste , and abuse . +… more
- Centene Corporation (Jefferson City, MO)
- …related to program integrity and disclosure requirements. Develop, implement and manage strategic fraud , waste and abuse activities by maintaining state and ... and monitoring trends and schemes. + Safeguard against the potential for fraud , waste and abuse and coordinate with, the Special Investigations Unit… 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 ** _Hybrid 1: This role requires associates to be...potential fraud , waste , and abuse activities pursuant to state and… 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
- 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
- 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
- Navy Exchange Services (NEX) (Portsmouth, VA)
- …all internal and external theft investigations, suspected unethical conduct, accidents, workplace violence, fraud , waste or abuse and ensure that activities ... Title: Asset Protection/Safety Manager (22-36.9M) Location: United States-Virginia-Portsmouth Job Number: 2500021K...to departmental standards. Works as a collateral duty Safety Manager to provide a safe and secure working and… 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
- US Marine Corps (Oceanside, CA)
- …security for funds, merchandise, supplies and equipment to preclude or minimize the potential for fraud waste and abuse . Must be alert to alcohol abuse ... and take appropriate action. Provides World Class Customer Service with an emphasis on courtesy. Assists customers and communicates positively in a friendly manner. Asks questions to determine, verify and solve problems. Checks for satisfaction with the… more
- Nexteer Automotive (Auburn Hills, MI)
- …stakeholders to drive timely resolution. + Identifying, investigating, and reporting on cases of potential fraud , waste , or abuse + Ability to travel up to ... Position: Internal Audit Manager At Nexteer, our strength lies in the...the role Nexteer is looking for an Internal Audit Manager . The individual will work closely with the Executive… 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
- 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
- Highmark Health (Indianapolis, IN)
- …that encourage managers and employees to report Medicaid/CHIP program noncompliance and suspected fraud , waste , and abuse (FWA) and other misconduct without ... growing number of laws and regulations governing managed care organizations. The Manager , Medicaid Compliance & Operations acts as a trusted business partner,… more
- MyFlorida (Tallahassee, FL)
- …the Division of Public Assistance Fraud is to aggressively identify and eliminate fraud , waste , and abuse to safeguard the integrity of taxpayer funded ... EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY: TALLAHASSEE COUNTY: LEON The Criminal Investigations Division… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …the development of compliance internal monitors and audit protocols and the prevention of fraud , waste and abuse . + Develops compliance monitors and audit ... and operational excellence. **Summary** Works collaboratively with the Compliance Manager on creating auditing protocols which align with Bon...of claims audit or investigation. + Maintains awareness of fraud , waste and abuse laws… more
- SSM Health (Jefferson City, MO)
- …quantity, MME, source and DAW to avoid audit charge backs and ensure compliance with Fraud Waste and Abuse (FWA) Laws. + Contributes to zero medication ... in Charge (PIC) in the absence of the Pharmacy Supervisor/ Manager . **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Verifies prescription… more
- UnityPoint Health (Sioux City, IA)
- …compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or ... + Cooks using standardized recipes. + Creatively utilizes leftovers to minimize waste and decrease food cost. + Prepares quantities indicated on computerized… more