- Harris Teeter (Cary, NC)
- …Adhere to all company, local, state and federal laws and guidelines, including HIPAA and fraud , waste and abuse Comply with state and federal laws in ... and accuracy when handling patient needs. Function as the pharmacy manager by carrying out supervisory responsibilities including training of associates, planning,… more
- Public Health Trust of Dade Co (Miami, FL)
- …through an anonymous hotline which serves as one of several mechanisms for reporting suspected fraud , waste and/or abuse , as well as other compliance related ... quality assessment/improvement program. Works with the Education and Quality Manager to carry out a program of quality improvement...anonymous hotline, supervisor, Compliance Officer) any suspected health care fraud , waste and/or abuse as… more
- Nuvem (Bronx, NY)
- …Loss Prevention Workflow Management Keep abreast and stay current with HIPAA and Fraud Waste and Abuse credentialing. Comply with all applicable ... by covering or providing overlap for the current pharmacy manager . Our goal is to make you feel empowered...the pharmacy and personnel in conjunction with the pharmacy manager . This position is for a per-diem pharmacist for… more
- Kroger (Lake Mary, FL)
- …- Adhere to all company, local, state, and federal laws and guidelines, including HIPAA Fraud , Waste and Abuse , and DEA Procedures - Work collaboratively ... with team members to promote teamwork and align the goals of the organization - Promote trust and respect among the team - Participate in the orientation and training of new pharmacists and associates - Must be able to perform the essential job functions of… more
- Corewell Health (Grand Rapids, MI)
- …Unit (SIU) with a focus on identifying, investigating, and resolving health insurance fraud , waste , and abuse (FWA). This role provides operational ... Job Summary - Manager Special Investigation Unit The SIU Manager...Unit (SIU), ensuring timely and thorough investigation of potential fraud , waste , and abuse (FWA)… more
- Elevance Health (Hanover, MD)
- …errors. Works with health plan leaders, oversees the monitoring and enforcement of the fraud , waste , and abuse compliance program to prevent and detect ... **Carelon Medical Coding/Auditing Manager - Behavioral Health** **Supports Payment Integrity &...potential fraud , waste , and abuse activities pursuant to state… more
- MTA (New York, NY)
- …to deliver an effective and efficient Internal Control Review program that roots out fraud , waste , and abuse . Additionally, this role will be responsible ... Compliance Manager Job ID: 11531 Business Unit: MTA Headquarters...efficiency and effectiveness to help safeguard company assets, reduce fraud , waste and abuse , provide… more
- MTA (Jamaica, NY)
- …to deliver an effective and efficient Internal Control Review program that roots out fraud , waste and abuse . Additionally, this role will be responsible ... Compliance Manager Job ID: 9516 Business Unit: MTA Headquarters...efficiency and effectiveness to help safeguard company assets, reduce fraud , waste and abuse , provide… more
- US Marine Corps (Oceanside, CA)
- …of funds, merchandise, supplies and equipment to preclude or minimize the potential for fraud , waste or abuse . Plan, organizes work, and manages internal ... funds, merchandise, supplies and equipment to preclude or minimize the potential for fraud , waste and abuse . Provides World Class Customer Service with an… more
- Molina Healthcare (Owensboro, KY)
- …steps and actions. + Works with leadership to maintain and revise policies and procedures, fraud , waste , and abuse plans, annual audit work plans, including ... License, Certification, Association + Active and unrestricted Accredited Health Care Fraud Investigator (AHFI) designation or Certified Fraud Examiner (CFE)… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …are professional employees with a good working knowledge of investigations of complaints of fraud , waste and abuse involving state and local public funds. ... Auditors will generally be assigned to investigate complaints of fraud , waste , and abuse of...+ Participate in team meetings. + Keep AIC and/or Manager informed of relevant information. + Assis in the… more
- US Marine Corps (Twentynine Palms, CA)
- …of funds, merchandise, supplies and equipment to preclude or minimize the potential for fraud , waste and abuse . Provides World Class Customer Service with ... requisitioning, training, directing and assisting staff. Coordinates with catering manager regarding parties, banquets, and protocol functions for kitchen… more
- Sanford Health (Sioux Falls, SD)
- …activities to sustain high quality performance. Oversees pharmacy department participation in the VIPS fraud , waste , and abuse process and the Health Plan ... Schedule:** Full time **Weekly Hours:** 40.00 **Job Summary** The Manager works closely with Health Plan providers and staff...Special Investigative Unit team to reduce waste and ensure member safety. Serves on integrated health… more
- NANA Regional Corporation (Mechanicsburg, PA)
- …+ Exemplary attention to detail + Maintains sensitivity to, and report on, instances of fraud , waste and abuse + Demonstrated knowledge of project management ... This position is responsible to the company President/General Manager for the direction, safe operation, compliance, quality...modified budgets, strategic plans, or policies. The PM Contract Manager is responsible for work efforts focused on five… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …for Investigations. Investigative Auditors will generally be assigned to investigate complaints of fraud , waste , and abuse of public funds and resources. ... supervision from an Investigative Senior Auditor 2, Investigative Audit Manager or the Executive Counsel/Assistant Legislative Auditor for Investigations....grammar and spelling. + Take and document complaints of fraud , waste and abuse by… more
- NANA Regional Corporation (Chambersburg, PA)
- …+ Exemplary attention to detail + Maintains sensitivity to, and report on, instances of fraud , waste and abuse + Demonstrated knowledge of project management ... AFO has an opening for a dynamic Deputy Program Manager / Business Analyst (DPM) to support the Letterkenny Army Depot in Chambersburg PA. As the DPM, you will… more
- State of Massachusetts (Boston, MA)
- …public money and property. The OIG is an independent agency charged with preventing and detecting fraud , waste and abuse in the use of public funds and ... and is responsible for educating individuals to help prevent fraud , waste and abuse of...support. Additionally, the successful candidate will be a strong manager and a strategic leader with the ability to… more
- Molina Healthcare (Carson, CA)
- …and managed care. Previous work experience reviewing and managing hospice case records Fraud , waste and abuse auditing experience Exceptional knowledge of ... **HOSPICE OVERSIGHT CASE MANAGER (REGISTERED NURSE)** California residents preferred** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works… more
- Molina Healthcare (Warren, MI)
- …and day-to-day operations of the Compliance Program, Compliance Plan, Code of Conduct, and Fraud , Waste and Abuse Plan across the enterprise while ensuring ... experience in health plan setting in government programs management (Contract Manager ) **Preferred Experience** 7-9 years To all current Molina employees: If… more
- Grant Thornton (Phoenix, AZ)
- …funding and/or pertinent to tax credit incentives. + Assisting in matters involving fraud , waste , and abuse , including allegations of bribery, collusion, ... As a Real Estate/Construction Advisory Manager , you will get the opportunity to grow and contribute to our clients' business needs and be responsible for all phases… more
