• 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 ... Hours: 40 Union Position: No Department Details 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
    Upward (07/29/25)
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  • Avamere Health Services (Seattle, WA)
    …payroll taxes, miscellaneous deductions, etc., as directed. Report known or suspected incidents of fraud , waste and or abuse to the Participation in all ... Full-Time Business Office Manager Status: Full-Time Wage: $29.84 - $36.07 /...in-service training programs as scheduled (eg, OSHA, TB, HIPAA, Abuse Prevention, etc.). Follow established safety regulations, to include… more
    Upward (07/11/25)
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  • Morgan Stephens (Columbus, OH)
    …system. Additionally, the RN will be responsible for identifying and reporting suspected fraud , waste , and abuse . Key Responsibilities: Review and validate ... Job Title: Remote Hospice Telephonic Case Manager Pay Rate: $80,000-$90,000 Schedule: Monday - Friday,...pseudo authorizations into the managed care system. Report suspected fraud , waste , and abuse as… more
    Upward (07/27/25)
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  • Abacus Service Corporation (Mason, OH)
    …purposes and 2 for HiTrust / Security requirements: 1. General Compliance 2. HIPAA 3. Fraud , Waste , and Abuse 4. Security Essentials 5. Introduction to ... Phishing In addition; Model of Care, ODAG, FSL Fraud Integral Staff training, CA Fair Claims. Start Time:.../ Security requirements) is required during first 3 weeks and completed passport to be sent to manager , supplier… more
    Upward (07/29/25)
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  • Manager Special Investigation Unit

    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
    Corewell Health (07/19/25)
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  • Carelon Payment Integrity Manager

    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
    Elevance Health (07/29/25)
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  • Carelon Medical Coding/Auditing Manager

    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
    Elevance Health (07/22/25)
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  • Compliance Manager

    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 (07/25/25)
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  • Compliance Manager

    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 (05/19/25)
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  • Manager , Special Investigative…

    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
    Molina Healthcare (07/18/25)
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  • Investigative Audit Services - Staff Auditor 2

    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
    Louisiana Department of State Civil Service (07/21/25)
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  • Mainside Clubs Manager Nf4

    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
    US Marine Corps (06/21/25)
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  • Manager , Clinical Pharmacy Services,…

    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
    Sanford Health (07/16/25)
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  • Program Contract Manager

    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
    NANA Regional Corporation (07/15/25)
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  • Investigative Audit Services - Sr Auditor 1

    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
    Louisiana Department of State Civil Service (07/19/25)
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  • Deputy Program Manager

    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
    NANA Regional Corporation (07/15/25)
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  • Learning and Development Director

    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
    State of Massachusetts (07/15/25)
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  • Hospice Oversight Care Manager (RN)…

    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 (05/26/25)
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  • Compliance Manager - REMOTE (Ohio Plan)

    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
    Molina Healthcare (07/25/25)
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  • Real Estate & Construction Advisory Manager

    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
    Grant Thornton (07/18/25)
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