- CVS Health (Frankfort, KY)
- …+ A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong ... Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud to recover...Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by… more
- Molina Healthcare (Lexington, KY)
- …accountability for compliance by overseeing, follow-up and resolution of investigations . **KNOWLEDGE/SKILLS/ABILITIES** + Provides oversight and review of the SIU ... referral intake and investigation process while giving guidance and direction to team...while giving guidance and direction to team on case investigation steps and actions. + Works with leadership to… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- Summary The Home Based Primary Care (HBPC) Registered Nurse Care Manager (RNCM) is a Special Population Patient Aligned Care Team (PACT) team member who provides ... is required for males born after 12/31/1959. Subject to background/security investigation . Selected applicants will be required to complete an online onboarding… more
- Thorntons LLC (Lexington, KY)
- The Store Manager (SM) is responsible for managing all aspects of the business, with minimal direct supervision from the General Manager (GM), to ensure that ... is followed relating to safety, accidents, and incidents including reporting, investigations , and documentation *Create a place of welcoming and belonging for… more
- Thorntons LLC (Lexington, KY)
- The General Manager (GM) is responsible for managing all aspects of the business to ensure that Guests are delighted with a fast, friendly, fresh, clean, and ... is followed relating to safety, accidents, and incidents including reporting, investigations , and documentation *Create a place of welcoming and belonging for… more
- Justice, Bureau of Prisons/Federal Prison System (Lexington, KY)
- …basis. Requirements Conditions of Employment US Citizenship is Required. See Special Conditions of Employment Section. Career Transition Programs (CTAP): These ... rate for this position is $115,922 per annum ($55.54 per hour). Special Conditions of Employment Section: Initial appointment to a supervisory/managerial position… more
- Travelers Insurance Company (Lexington, KY)
- …external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. + Identifies and refers ... handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full… more
- CSL Plasma (Lexington, KY)
- **The Opportunity** This position provides immediate support to the Assistant Manager of Quality in monitoring plasma center processes to ensure overall compliance ... the development and implementation of continuous improvement plans + Collaborate with Assistant Manager of Quality (AMQ), to be able to represent the center during… more
- Justice, Bureau of Prisons/Federal Prison System (Lexington, KY)
- …Requirements Conditions of Employment US Citizenship is Required. See Special Conditions of Employment Section. Selective Service Requirement: www.sss.gov Career ... this level are required to have a knowledge of special and modified diets such as high protein, low...Selective Factor: Applicant must possess an approved Food Protection Manager Certification from a provider accredited by the American… more
- CDM Smith (Lexington, KY)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc. Submit technical papers and designs for publishing to ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Lexington, KY)
- …Contribution: Develop white papers and technical design documentation for new or special case designs, and submit technical papers for publication in journals. ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Lexington, KY)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc. Collaborates with sales staff to create proposals in ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Lexington, KY)
- …are used; and that construction conforms to plans, specifications, and special provisions. Use higher-grade of equipment and perform complex calculations to ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more