- CVS Health (Raleigh, NC)
- …+ 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
- Elevance Health (Durham, NC)
- …eliminate and prevent unnecessary medical-expense spending. **Staff Vice President (VP), Special Investigations Unit (SIU)** **Location:** May be located in ... and/or teams across the national SIU. + Functions within the SIU include investigations , case intake and assignment, and data analysis. + Hires, trains, coaches,… more
- Applied Research Associates, Inc. (Raleigh, NC)
- …programs. The AFSO collaborates closely with the Information System Security Manager (ISSM), Contractor Special Security Officer (CSSO), program managers, ... Manual (NISPOM). Working under the direction of the IMS-Raleigh Security Operations Manager , the AFSO plays a key role in maintaining security compliance, managing… more
- Endo International (Raleigh, NC)
- …+ **Acts as a liaison between the lab and manufacturing/ R&D for investigations and to implement special projects, assist with validations, method transfers, ... we serve live their best life. **Job Description Summary** The Quality Control (QC) Manager serves as a Quality Control technical resource to the plant. She/he is… more
- Ryder System (Raleigh, NC)
- …(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
- Cardinal Health (Raleigh, NC)
- …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
- Elevance Health (Durham, NC)
- …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
- Novo Nordisk (Clayton, NC)
- …establishment & oversight of all health & safety programs. Relationships Reports to Manager / Senior Manager . Essential Functions + Communicate effectively to ... + Serve as an SME on various levels of safety audits & incident investigations + Support areas with execution of OSHA process safety management (PSM) regulations +… more
- CVS Health (Raleigh, NC)
- …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 (Raleigh, NC)
- …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
- Gilead Sciences, Inc. (Raleigh, NC)
- …the world. You will also have opportunities to participate in special events including professional development and leadership presentations, social/network building ... & Analytics DevOps: Assist the team in adhoc DevOps manager tasks + GenAI: Lead Innovation POCs with GenAI-first...formal complaint or charge, (b) in furtherance of an investigation , proceeding, hearing, or action, including an investigation… more
- City of Durham (Durham, NC)
- …staff, ensuring compliance with applicable regulations, policies, and procedures. Manages special projects when assigned, including providing guidance to staff and ... assigned to Transportation may be responsible for: + Serving as Project Manager of consultant engineering design services. + Developing operational policies and… more
- North Carolina Central University (Durham, NC)
- **Posting Details** Position Information **Position/Classification Title** Business Manager II **Working Title** Facilities Management Budget Director **Position ... difficult employees, how to evaluate performance and to conduct investigations and participate in disciplinary actions. + Ensure that...department. Act as a Financial Adviser and Legal Affairs Manager to the AVC. Plan and monitor expenditures to… more
- HNTB (Raleigh, NC)
- …as roadway projects. Responsibilities: * Serves as support to Discipline Task Manager for Track and Civil Design components. * Responsible for engineering designs ... for utility occupancy agreements. * Develops detailed typical sections. * Develops special trackwork details. * May occasionally supervise and schedule work of other… more
- CDM Smith (Raleigh, NC)
- …and drives the technical vision of the project working closely with the Project Manager (PM), and reports directly to the PM. The PTL is responsible for coordination ... white papers and technical design documentation of new or special case designs, studies, etc.. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- CDM Smith (Raleigh, NC)
- …design activities in client-facing role, with ability to function as Task Manager or Project Technical Leader. Contributes to firm's Technical Knowledge Management ... white papers and technical design documentation of new or special case designs, studies, etc. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- CDM Smith (Raleigh, NC)
- …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
- CDM Smith (Raleigh, NC)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc. - Submits technical papers and designs for publishing ... 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 (Raleigh, NC)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc.. Submits technical papers and designs for publishing ... 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 (Raleigh, NC)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc.. - Submits technical papers and designs for ... 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