- LA Care Health Plan (Los Angeles, CA)
- …or Related Field Experience Required: At least 7 years of experience in healthcare compliance, fraud investigations, law enforcement, or related field. At least ... Preferred And/Or any of the following Licenses/ Certifications: Certified Fraud Examiner (CFE) Certified HealthCare Compliance (CHC) Certified… more
- Experian (Costa Mesa, CA)
- …around the world. We help to redefine lending practices, uncover and prevent fraud , simplify healthcare , create digital marketing solutions, and gain deeper ... money. We operate across a range of markets, from financial services to healthcare , automotive, agrifinance, insurance, and many more industry segments. We invest in… more
- Meta (Sacramento, CA)
- … Compliance, you will provide strategic legal support and guidance on complex healthcare fraud & abuse laws, medical device compliance (FDA) requirements, and ... experience 11. Experience in medical device, life sciences, or healthcare industry 12. In-depth knowledge of fraud ...or healthcare industry 12. In-depth knowledge of fraud & abuse laws, regulations, and enforcement 13. Demonstrate… more
- Executive Office for US Attorneys and the Office of the US… (Sacramento, CA)
- …Affirmative Civil Enforcement: Responsibilities include enforcement investigations and litigation involving healthcare fraud , procurement fraud , grant ... fraud , financial fraud , pharmaceutical diversion, wildlife recovery actions, and civil rights enforcement, among other things. Asset Recovery: The Asset Recovery Unit is comprised of Asset Forfeiture, Financial Litigation, and Bankruptcy.… more
- Genentech (South San Francisco, CA)
- …includes the following: + Providing advice, education, training and legal direction on, healthcare fraud and abuse laws, pricing, FDA labeling and promotional ... **The Position** Genentech's Healthcare Law Group (HLG) seeks a Senior Corporate...regulations, the False Claims Act, and laws related to fraud and abuse in the life science/biotech/pharma industries. +… more
- City National Bank (Los Angeles, CA)
- *PAYMENTS FRAUD ANALYTICS LEAD* WHAT IS THE OPPORTUNITY? The Payments Fraud Analytics Lead, leads the Bank's fraud prevention and risk management activities ... In addition, the manager is responsible for developing and implementing the Bank's Fraud Prevention analytics to support new products such as Zelle, as well as… more
- DoorDash (San Francisco, CA)
- About the Team Our Trust & Safety, Integrity and Fraud Product team is dedicated to ensuring a safe and trusted experience for all customers across our platform, ... Consumers, Merchants, and Dashers. We tackle complex challenges, from preventing fraud and ATO to ensuring authenticity, to building regulatory compliance… more
- DoorDash (Sunnyvale, CA)
- About the Team Emerging Fraud , a specialized pod within the larger fraud organization, is dedicated to safeguarding smaller, growing business lines and strategic ... investments. Our mission is to integrate robust fraud prevention from the outset of a new business line, enabling secure and sustainable growth. About the Role… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The ... Manager, Fraud and Waste works within specific guidelines and procedures;...Clinical Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive ... practices. The Fraud and Waste Professional 2 work assignments are varied...years of investigative and/or claims experience + Knowledge of healthcare payment methodologies + Strong organizational, interpersonal, and communication… more
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