- Meta (Trenton, NJ)
- … 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
- Humana (Trenton, NJ)
- …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 (Trenton, NJ)
- …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
- Arup (Newark, NJ)
- …clients and communities we serve. **The Role** Arup's East Geography is seeking a ** Healthcare Principal** to lead the growth of our healthcare business across ... management, and work winning, while providing strategic oversight of healthcare project delivery. Based in the NY Tri-State area,...a protected veteran, or disability. Stay safe online. Recruitment fraud is on the rise, and Arup's name, logo,… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …to better deliver on patient, caregiver, and HCP needs in an evolving healthcare environment. The new model is built around where patients get their care-locally, ... with the intent to better serve patients, caregivers, and healthcare providers, delivering a higher quality experience that ultimately is focused on improving… more
- Atlantic Health System (Morristown, NJ)
- …compliance risk areas: (i) general compliance and compliance program effectiveness; (ii) fraud , waste and abuse and Deficit Reduction Act of 2005 workforce member ... Medicare C & D/Medicare Advantage compliance program requirements; (vi) Federal healthcare program compliance; and (vii) other assigned risk areas identified through… more
- Sanofi Group (Morristown, NJ)
- …and wide-ranging legal matters, particularly in the area of advertising and promotion, fraud and abuse and other applicable healthcare laws. **About Sanofi:** ... to identify potential legal issues (focusing on promotional matters, regulatory issues and fraud and abuse) as well as proposed solutions to mitigate risk is… more
- Zelis (NJ)
- …So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more ... top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across… more
- Zelis (NJ)
- …So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more ... top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …economics research, programming and data analysis, focusing on leveraging large healthcare datasets, including claims, electronic health records (EHR), and clinical ... potential value and real-world impact of Otsuka products for payers, healthcare providers, patients, and caregivers. Job Description: + **Strategic Leadership:**… more
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