- CVS Health (Boston, MA)
- …+ 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
- State of Massachusetts (Boston, MA)
- …effort toward the improvement of monitoring systems and overall practices for the Special Investigations Unit. This strategic manager collaborates with the ... individual to fill the role of Director for the Special Investigations Unit. In this role, the...for statistical record keeping. * Hold responsibility for protective investigation services for "conflict of interest" situations (DCF staff… more
- The Hartford (Boston, MA)
- …presentations, working with claims and underwriting, etc. + Work with Risk Engineering Manager on special projects and developing reports to support Regional ... and file reviews, coaching, etc. + Active participation in special projects that could be technical in nature (ie)...the demonstration of operational loss analysis reports and accident investigations used to direct services that would eliminate or… more
- Tufts Medicine (Boston, MA)
- …Military or Law Enforcement experience or ability to become licensed as a Special State Police Officer pursuant to MGL 22c Section 63. **Duties and ... 12. Collaborates with the department's Investigator on conducting follow up investigations of criminal activity and/or policy violations. 13. Collaborates with the… more
- Ryder System (Boston, MA)
- …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Senior Manager Environmental Engineering is responsible for ensuring that ... Director, Environmental Engineering and will supervise Project Engineers and Manager , Environmental Engineering staff, manage Company SPCC, Industrial Waste Water… more
- Takeda Pharmaceuticals (Boston, MA)
- …to the best of my knowledge. **Job Description** **Title: Senior Manager , Combination Products and Device Manufacturing** **Location: Cambridge, MA** **About the ... role:** As a Senior Manager , Combination Products and Device Manufacturing, you will manage...of manufacturing processes and lead or support deviations and investigations . Additionally, you will serve as a primary technical… more
- Cardinal Health (Boston, MA)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in ... outcome to de-escalate + Must meet the daily task and benefit investigation goals associated with a high enrollment volume/low patient interaction program. +… more
- Point32Health (Canton, MA)
- …**Job Summary** The Investigator I is an essential team member of the Special Investigation Unit ("SIU") responsible for leading complex provider ... will be responsible for conducting high-volume Pre-Payment Fraud Waste & Abuse ("FWA") investigations under the direction of the Manager , FWA Prepayment Review.… more
- GE Aerospace (Lynn, MA)
- …- Edison Works in Lynn, MA is seeking an Information System Security Manager (ISSM) in support of US Government (USG), Department of Defense (DoD) activities. ... industry implementations. **Job Description** **Job Title:** Information Systems Security Manager (ISSM) **Company Intro/About Us:** GE Aerospace is a world-leading… more
- MIT Lincoln Laboratory (Lexington, MA)
- …fully integrated IT security program* Coordinate and participate in the investigation and mitigation of information system incidents* Assume ISSO responsibilities in ... * Experience: Minimum of six (6) years' experience within DoD cybersecurity, Special Access Programs (SAP), and Sensitive Compartmented Information (SCI) Programs *… more
- JPMorgan Chase (Boston, MA)
- …leading global financial institutions on behalf of our clients. As a Supervisory Manager in JP Morgan Advisors, you will exhibit leadership and operational expertise ... Review client inquiries, issues, and complaints and complete a thorough investigation and provide resolution. This involves Compliance, Legal, Portfolio Management… more
- Elevance Health (Woburn, MA)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- State of Massachusetts (Boston, MA)
- …prosecution in connection with the DFML programs and operations. * Works on special investigation projects and other related projects that support the goals ... Medical Leave* The Compliance Officer is responsible for conducting investigations for compliance with MGL Chapter 175M and 458...** The Compliance Officer II,who reports to the Senior Manager of Benefit Operations & Program Integrity is based… more
- Parker Hannifin Corporation (Woburn, MA)
- …orders from shipping. + Troubleshoot shipping and receiving issues and escalate to manager as needed. + Document and maintain special customer label/ packaging ... and managing inventory through regular cycle counts and discrepancy investigations . The role requires strong problem-solving skills, attention to detail,… more
- Point32Health (Canton, MA)
- …safety strategy. The incumbent leads safety and security incident investigations and collaborates with internal and external stakeholders-including corporate ... wellness and safety programs, and serving as a backup to the Senior Manager of Safety & Security. **Job Description** **Key Responsibilities/Duties** **- what you… more
- CVS Health (Boston, MA)
- …are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is ... datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider… more
- Travelers Insurance Company (Canton, MA)
- …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
- Travelers Insurance Company (Boston, MA)
- …manage claims by completing essential functions including contacts, investigation , damages development, evaluation, reserving, litigation management, negotiating and ... and stakeholders; take necessary statements, as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the… more
- Eversource Energy (Westwood, MA)
- …as assigned, serve as team or project leader for unique / special engineering assignments\. **Essential Functions:** + Serve as technical specialist to Substation ... design, long range system planning, system analysis, site / safety investigations , structural / material analysis, equipment qualification, code assessment /… more
- GE Aerospace (Lynn, MA)
- …drive HR functional excellence and process improvement. Serve as the Human Resources Manager for hourly, unionized employees and their leadership team in Lynn, MA. ... Career development, Talent assessment, acquisition, and retention, and Workplace investigations , as appropriate + "Go to Genba," and be...Genba," and be visible and available for employee & manager needs + Ensure that all employee relations issues… more