- CVS Health (Richmond, VA)
- …Python who can transform complex healthcare data into actionable insights to support fraud , waste, and abuse (FWA) detection and Medicaid regulatory & compliance ... develop, and maintain complex data analyses to support investigations of potential fraud , waste, and abuse in Medicaid claims and provider activity. + Prepare… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- …a focus on optimizing payment accuracy, detecting improper payments, identifying potential fraud , and enhancing overall revenue cycle management. This is a full-time ... specialists, and other stakeholders to analyze healthcare claims for accuracy, coding compliance , and adherence to insurance policies. * Apply data mining techniques… more
- System One (Ashburn, VA)
- …related to Client Identity Access, Authorization, and Authentication (IAM) and Fraud prevention technologies. Provide technical direction and engineering support for ... * Ability to administer and provide support for IAM and Fraud prevention applications such as ForgeRock, ThreatMetrix, FeatureSpace, components policy servers,… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …sample distribution. The role ensures vendor performance, operational reliability, and compliance while collaborating closely with the Field Strategy & Operations ... to ensure the fleet program supports field deployment needs. **Samples Management & Compliance ** + Ability to operate independently in the management of the Sample… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …inside and outside the department. All members of OPH Legal and Compliance must exemplify collaborative culture and drive joint accountabilities across multiple ... Expert knowledge of medical device and consumer protection (eg, FDA, FTC), healthcare compliance (eg, FCA, AKS), and privacy (eg, GDPR, HIPAA, CRPA) regulations. +… more
- TD Bank (Vienna, VA)
- …in financial crime risk topics, including AML, sanctions, anti-bribery & corruption, fraud , and other regulatory requirements. In this role, you will ensure the ... on financial crime risk topics, including AML, sanctions, anti-bribery & corruption, fraud , and other regulatory requirements. + Customize content based on audience,… more
- Bechtel Corporation (Reston, VA)
- …+ Providing assurance about the effectiveness of internal controls. + Testing compliance with policies and procedures. + Reviewing financial processes that could ... systems and transactions to reduce the risk of theft, fraud or corruption. + Evaluating aspects of risk management....Internal Audit and audit management, and execute it in compliance with the company's policies and procedures + Execute… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …Oversee the day-to-day operations of the specialty pharmacy network, ensuring compliance with regulations, industry standards, and best practices. + Implement ... + Deep knowledge of specialty pharmacy processes, reimbursement structures, and compliance requirements. **Skills & Competencies:** + Strong strategic thinking and… more
- HomeSafe Alliance (Arlington, VA)
- …and optimizing query execution. **Data Governance and Security:** + Ensure compliance with data governance and security policies, including user access control, ... privilege of serving you in return. **A** **t HomeSafe,** **We Deliver.** ** Fraud Alert** Fraud has infiltrated the job placement market via the internet, email… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …compelling manner. + Ensure alignment with commercial strategy and compliance with industry best practices. **Qualifications/ Required** Knowledge/ Experience and ... contacting Accommodation Request ([email protected]) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
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