- CVS Health (Harrisburg, PA)
- …+ 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
- City National Bank (Newark, DE)
- * MANAGER OF CONTROLS & SURVEILLANCE* WHAT IS THE OPPORTUNITY? City National Bank - Fraud Risk Department is on a mission to establish Modernized, Best-in-class and ... The individual will partner with multiple stakeholders including Operations, Investigations , Business and technology to deliver strong data driven surveillance,… more
- Ryder System (Harrisburg, PA)
- …(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 (Harrisburg, PA)
- …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
- Army National Guard Units (Havre De Grace, MD)
- …32 EXCEPTED SERVICE POSITION. This National Guard position is for a FINANCIAL MANAGER , Position Description Number NGD1015000 and is part of the MD USPFO, National ... detailed risk analysis and vulnerability assessments to determine requirements for special management control studies and operational reviews. Recommends to the… more
- Otis Elevator Company (Harrisburg, PA)
- …Otis safety culture and performance to the next level. As an **EHS Sr. Manager ** you will be responsible for providing strategic leadership to support Otis Midwest ... other EHS performance indicators. + Lead Branch Safety Audits and incident investigations , supporting the development of corrective action plans + Facilitate with… more
- Travelers Insurance Company (Wyomissing, PA)
- …with Unit Manager on use of Claim Coverage Counsel. + Investigation /Evaluation: + Investigates each claim to obtain relevant facts necessary to determine ... handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full… more
- CVS Health (Harrisburg, PA)
- …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
- CSL Plasma (Temple, PA)
- **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
- Travelers Insurance Company (Wyomissing, PA)
- …throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, litigation management, negotiation and resolution) including ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed....take necessary statements, as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engages… more
- Travelers Insurance Company (Harrisburg, PA)
- …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
- Ross Stores, Inc. (Carlisle, PA)
- …re: payroll, benefits, policy, who to contact + Support required HRS investigations ; engage with necessary parties for initial fact\-findings, document findings and ... administer reviews with the assistance of the DC Merchandise Manager \. + Maintain daily paperwork, such as time and...area\. + Miscellaneous functions and responsibilities: + Work on special projects as needed\. + Attend and help plan… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle ... Utilization Review (RUR) Registered Nurse is under the supervision of a Nurse Manager , Assistant Nurse Manager , or designee, who provides the administrative and… more
- BioLife Plasma Services (Camp Hill, PA)
- …customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to ... Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for...a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community… more
- BioLife Plasma Services (Camp Hill, PA)
- …customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to ... Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for...a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community… more
- BioLife Plasma Services (Newark, DE)
- …customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to ... Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for...a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community… more
- Jabil (Hunt Valley, MD)
- …and efficient infrastructure. Under the general supervision of the Site General Manager , the incumbent is responsible for all activities related to Site Engineering, ... and utilities programs; as well as all aspects of engineering with a special focus on GMP Manufacturing equipment uptime, including the routine reporting of… more
- UGI Corporation (Middletown, PA)
- …support assigned geographical territory by assisting in safety committees, incident investigations , safety communications and on average 6-8 field visits per month. ... training. + Write/review/update Company safety and health procedures with Manager oversight. Facilitate procedure implementation planning including training and… more
- TRAX Internation (Aberdeen Proving Ground, MD)
- …of employee morale and motivation.* May participate in the conduct of investigations when employee complaints or concerns are brought forth.* Advises managers and ... by establishing and conducting orientation and training programs, if required.* Consults HR Manager and legal counsel to ensure that policies comply with federal and… more
- Teva Pharmaceuticals (West Chester, PA)
- …method transfer and validation processes. Developing strategies and approaches for special studies, as applicable. Ensuring compliance with applicable ICH, GxP and ... safety regulations as an individual contributor as well as an educator and manager of junior staff. Executional tasks include but are not limited to: * Supporting… more