- Citizens (Cherry Hill, NJ)
- …team of Risk Managers and/or Senior Risk Managers primarily supporting the Fraud and Claims line of business Qualifications: + 8-12+ years experience in ... new challenges and opportunities to stretch yourself. As the Director of First Line Risk , you will...understanding of regulatory and legislative guidelines, as well as Fraud and Disputes processes + Extensive experience managing projects… more
- Sedgwick (Fort Worth, TX)
- …**Education & Licensing** Bachelor's degree from an accredited college or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Director Complex Claims **PRIMARY PURPOSE** **:** To...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Ankura (Washington, DC)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... nursing, pharmacy, medical science, economics, accounting, and data science. As a Director , you can expect to: + Demonstrate the highest degree of professionalism,… more
- Peak Vista (Colorado Springs, CO)
- …+ Develops and provides training on the Compliance & Risk Management Programs, HIPAA, Fraud and Abuse, FTCA, False Claims , and other compliance and risk ... Program https://www.peakvista.org/resources/benefits-summary Job Summary: Under the direction of the Director of Compliance & Risk Management, the Manager… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …as a result of claims audit or investigation. + Maintains awareness of fraud , waste and abuse laws and regulations and current industry changes that may impact ... review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for the development of...internal monitors and audit protocols and the prevention of fraud , waste and abuse. + Develops compliance monitors and… more
- Otsuka America Pharmaceutical Inc. (Indianapolis, IN)
- Director of Field Reimbursement Management (FRM) Position Overview We are seeking an experienced, transformative leader to serve as the Director of Field ... + Change management and program implementation + Regulatory compliance and risk management Preferred Skills + Comprehensive knowledge of Medicare, Medicaid, and… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Position Summary** The Senior Director , US Commercial Asset Planning is responsible for defining and driving Otsuka's US CNS portfolio strategy, ensuring a ... teams to ensure alignment on asset priorities, investment decisions, and risk mitigation strategies. + **Performance Measurement & Optimization:** Establish KPIs to… more
- Clay Lacy Aviation (Van Nuys, CA)
- …unwavering integrity, and a commitment to excellence. We are seeking a forward-thinking Director of Total Rewards who shares our passion for elevating every detail ... that's redefining what it means to be thoughtfully better. Position Summary The Director of Total Rewards is a strategic leader responsible for the compliant,… more
- Wells Fargo (Chandler, AZ)
- …businesses for Well Fargo's Global Operations: Consumer and Small Business Banking (CSBBO), Fraud & Claims Mgmt (FCMO), Consumer Lending (CLO), Payment Ops, ... this role:** Wells Fargo is seeking a Business Execution Director to lead the Global Operations Resiliency Incident Management...what is right + Identify, review and analyze key risk indicators and develop action plans as needed +… more
- Otsuka America Pharmaceutical Inc. (Annapolis, MD)
- …performance analysis + Change management and program implementation + Regulatory compliance and risk management Join our team to make a significant impact on patient ... contacting Accommodation Request (EEAccommodations@otsuka-us.com) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
- AAA Mid Atlantic (Wilmington, DE)
- …into Workers Compensation and general liability claims , vehicle accidents and fraud with Corporate Legal, Internal Audit, Fleet, Risk Management and Retail ... AAA Club Alliance (ACA) is hiring for a Director , Facilities Operations to join our team! What...+ Establishes, implements, and monitors incident response to theft, fraud , and other criminal behaviour. Provide guidance to the… more
- Mom's Meals (Ankeny, IA)
- Position SummaryThe Director - Compliance and Privacy will manage and direct the day-to-day operations of the Compliance Program, under the leadership of the Chief ... Compliance Officer. The Director - Compliance and Privacy collaborates extensively with management,...an effective compliance program with an emphasis on federal fraud and abuse laws and HIPAA + Responsible for… more
- LifePoint Health (Richlands, VA)
- …care and safety. Serves as a resource for clinical leadership and staff, for risk and quality related issues and information. Ensures, that the offices are in ... with ever-changing legislation and safety regulations. Is a liaison to the Risk Manager/Coordinator, facilities legal team and out-side agencies to mitigate and… more
- NTT America, Inc. (Plano, TX)
- …and value propositions that demonstrate measurable impact for insurance clients-across underwriting, claims , customer experience, fraud , and risk . + ... apply now. We are currently seeking a Global AI Director , Insurance - REMOTE to join our team in...Plano, Texas (US-TX), United States (US). As an AI Director aligned to the Insurance sector, you will play… more
- State of Massachusetts (Boston, MA)
- …oversight and fraud prevention and detection role, members of HCD identify areas of risk and develop program reviews to identify fraud , waste and abuse. As a ... is an independent agency charged with preventing and detecting fraud , waste and abuse in the use of public...healthcare programs. You will review healthcare data and evaluate claims and payment data to identify program performance issues,… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …False Claims Act and anti-kickback statutes. + Support Associate Director , Healthcare Law Auditing & Monitoring with other assignments as needed. ... Summary** This position assists the US Ethics & Compliance (E&C) Governance, Risk Management, and Compliance (GRC) function supporting the Chief Compliance Officer… more
- Lundbeck (Deerfield, IL)
- …of the Lundbeck Compliance Program. Drive results-oriented process improvement. + ** Risk Management:** Support the Director in developing and implementing ... greater United States** **SUMMARY:** This role will report directly to the Director , Compliance Programs and have direct responsibility for and assist with driving… more
- Ascendis Pharma (Princeton, NJ)
- …and review of materials for commercial and medical affairs activities on risk assessments. Contributing to a comprehensive understanding of potential enterprise ... risk , escalation, and resolution while collaborating and integrating with...board proposals, patient support services, and field-based activities for fraud and abuse, FDA, and other regulatory compliance. +… more
- Ascendis Pharma (Princeton, NJ)
- …strategies, government pricing, copay/patient assistance programs, policy development, risk mitigation, and interactions with customers. + Draft, negotiate ... board proposals, patient support services, and market access field-based activities for fraud and abuse, FDA, and other regulatory compliance. + Ensure that clients… more
- Parsons Corporation (Amarillo, TX)
- …and possibly some project management support to the DOE Federal Program Director (s) (FPD) during construction of capital line-item and other construction projects at ... Issues to the FPD + Provide Oversight of project technical, cost, schedule, risk , and quality support + Assist FPD in preparation of any project reporting… more