- 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
- 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
- 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
- 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
- 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 ** _Hybrid 1: This role requires associates to be...potential fraud , waste , and abuse activities pursuant to state and… 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
- 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
- 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