- Elevance Health (Louisville, KY)
- …prior to payment. Researches new healthcare-related questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other ... clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims...including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any… more
- Molina Healthcare (KY)
- …Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM), Certified Fraud Examiner (CFE), etc. + Professional ... (PSOC) Team. Responsible for the monitoring and intelligence, incident response, and investigations programs which are in place to avoid business disruption, threats… more
- CVS Health (Frankfort, KY)
- …Job Description **A Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud to recover lost ... of investigators and analysts to effectively pursue the prevention, investigation and prosecution of healthcare fraud and...Leads a team in the planning and execution of investigations of acts of healthcare fraud and… more
- CVS Health (Frankfort, KY)
- …do it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations ... reviews for medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in determining correct… more
- Molina Healthcare (Covington, KY)
- …accountability for compliance by overseeing, follow-up and resolution of investigations . **KNOWLEDGE/SKILLS/ABILITIES** + Provides oversight and review of the SIU ... referral intake and investigation process while giving guidance and direction to team...with leadership to maintain and revise policies and procedures, fraud , waste, and abuse plans, annual audit work plans,… more
- EFI Global (Frankfort, KY)
- …A PLACE FOR YOU HERE EFI Global is a full-service engineering, fire investigation , environmental, health and safety, and specialty consulting services firm serving a ... decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global… more
- Target (Louisville, KY)
- …profitable sales by mitigating shortage risks, preventing, investigating and resolving theft and fraud to ensure product is available for our guest. **At Target, we ... your team + Experience identifying strategic resolutions of external theft and fraud and apprehending individuals attempting to cause a loss, in accordance with… more
- Jabil (Florence, KY)
- …and responsibilities, personal development goals). + Solicit ongoing feedback from Workcell Manager (WCM), Business Unit Manager (BUM), peers and team member ... + Provide regular updates to BUM, WCM, and Operations Manager on the execution of the strategy. Cost Management:...combination of education, experience and/or training. BE AWARE OF FRAUD : When applying for a job at Jabil you… more
- Jabil (Florence, KY)
- …roles and responsibilities, personal development goals).. Solicit ongoing feedback from Workcell Manager (WCM), Business Unit Manager (BUM), peers and team ... Control.. Provide regular updates to BUM, WCM, and Operations Manager on the execution of the strategy.Cost Management:. Identify...combination of education, experience and/or training. BE AWARE OF FRAUD : When applying for a job at Jabil you… more
- Jabil (Florence, KY)
- …healthcare, mobility, packaging and printing. Jabil is adding a Test Engineering Manager to our team in Northern Kentucky who will directly contribute to ... overseeing all aspects of test engineering, the Test Engineering Manager will champion innovative solutions to improve product quality...Merit Increases + Community Volunteer Opportunities BE AWARE OF FRAUD : When applying for a job at Jabil you… more