- Elevance Health (Louisville, KY)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… 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)
- …Medicaid experience is preferred. Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by both members and ... **Required Qualifications** + 2 to 5 years of managing healthcare fraud , waste and abuse investigations and audits. + 3 to 5 years of leadership experience… 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
- 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 ... + Works with leadership to maintain and revise policies and procedures, fraud , waste, and abuse plans, annual audit work plans, including department guidance… 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
- 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
- TreeHouse Foods, Inc. (Princeton, KY)
- …Environmental Health & Safety **Job Posting Title:** Environmental Health & Safety Manager **About Us** **:** TreeHouse Foods (NYSE: THS) is a leading manufacturer ... wellness and employee assistance programs. **Job Description:** **_About the Role:_** As an EHS Manager , you will be a key player in shaping a safe, healthy, and… more