- State of Minnesota (St. Paul, MN)
- **Working Title: Medicaid Provider Audits and Investigations Manager** **Job Class: Human Services Manager 2** **Agency: Human Services Dept** + **Job ... The incumbent manages anti-fraud, waste, and abuse efforts, including provider investigations , prevention, education, and enforcement activities.… more
- State of Minnesota (St. Paul, MN)
- … Medicaid misbilling, overpayments, and fraud -Principles and practices of provider audits , program integrity initiatives, health care delivery systems, ... The Department of Human Services (DHS) is unable to provide sponsorship for work visas. Applicants must be eligible...the scope of the RAC, UPIC, and other contractor audits ._ + _Serve as liaison on contractor matters with… more
- CVS Health (St. Paul, MN)
- …accreditation from the National Health Care Anti-Fraud Association (AHFI) + Experience In Medicaid Compliance, Medicaid Investigations , MCO Medicaid FWA ... comply with state regulations mandating fraud plans and reporting; Medicaid experience is preferred. Leads a team in the...5 years of managing healthcare fraud, waste and abuse investigations and audits . + 3 to 5… more
- State of Minnesota (St. Paul, MN)
- …: Yes The Department of Human Services (DHS) is unable to provide sponsorship for work visas. Applicants must be eligible to work in ... include but are not limited to: + DirectandmanagethescopeoftheRAC, UPIC,andothercontractor audits . + Actasliaisononcontractormatterswithproviders,providerassociations,other Department of Human Services (DHS) divisions… more
- Cardinal Health (St. Paul, MN)
- …policies, educates and trains employees across the organization, and conducts investigations to resolve ethics and compliance issues. **Compliance Audit Manager** ... to the Compliance Director, this position supervises and manages compliance audits to determine organizational integrity of billing for professional (physician)… more
- Highmark Health (St. Paul, MN)
- …policies, and procedures of governmental, contractual, and/or corporate entities. Provide consultation and analytic support to assigned functional areas. ... of rules, regulations, policies, and procedures and assist with appropriate audits , as applicable. Contacts may include legislators, consumers, special interest… more