- Molina Healthcare (Yonkers, NY)
- …reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse. Duties include performing accurate and reliable medical review ... Counsel, and Medical Officers in order to achieve and maintain appropriate anti- fraud oversight. **Job Duties** + Responsible for developing leads presented to the… more
- CVS Health (Albany, NY)
- …and local law enforcement agencies to ensure compliance and support the prosecution of healthcare fraud and abuse matters. + Demonstrate a high level of ... proceedings. + Deliver presentations to internal and external stakeholders regarding healthcare fraud matters and the organization's approach to combating… more
- CVS Health (Albany, NY)
- …investigators and analysts to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to ... a team in the planning and execution of investigations of acts of healthcare fraud and abuse by both members and providers. Provides direction and counsel on… more
- Amentum (Albany, NY)
- …data analytics. + Support development of internal best practices and workflows for healthcare fraud detection. **Required Qualifications:** + Must be able to ... business entities, and assets. + Analyze large and complex healthcare claims datasets to identify fraud , waste, and abuse patterns. + Design and run SQL… more
- New York State Civil Service (New York, NY)
- …approximately eight to ten investigators assigned to investigate insurance, financial and healthcare fraud across upstate and downstate regions.The duties of ... * Establishes goals and priorities for investigations involving diverse fraud schemes and other emerging criminal activity affecting insurance, financial… more
- Humana (Albany, NY)
- …investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced ... yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud , Waste, and Abuse in a Managed Care setting + Minimum 3 years of proven… more
- Legal Services of the Hudson Valley (Monticello, NY)
- …stake including: eviction and foreclosure prevention, domestic violence, disability, elder law, healthcare , consumer fraud and more. Our services support almost ... 600,000 poor and low-income families and individuals who cannot afford an attorney in our seven-county service area. With the gap separating those who can and cannot afford legal representation widening each day, we work to ensure that everyone has equal… more
- Legal Services of the Hudson Valley (White Plains, NY)
- …stake including: eviction and foreclosure prevention, domestic violence, disability, elder law, healthcare , consumer fraud and more. Our services support almost ... 600,000 poor and low-income families and individuals who cannot afford an attorney in our seven-county service area. With the gap separating those who can and cannot afford legal representation widening each day, we work to ensure that everyone has equal… more
- Legal Services of the Hudson Valley (Yonkers, NY)
- …stake including: eviction and foreclosure prevention, domestic violence, disability, elder law, healthcare , consumer fraud and more. Our services support almost ... 600,000 poor and low-income families and individuals who cannot afford an attorney in our seven-county service area. With the gap separating those who can and cannot afford legal representation widening each day, we work to ensure that everyone has equal… more
- Legal Services of the Hudson Valley (Poughkeepsie, NY)
- …stake including: eviction and foreclosure prevention, domestic violence, disability, elder law, healthcare , consumer fraud and more. Our services support almost ... 600,000 poor and low-income families and individuals who cannot afford an attorney in our seven-county service area. With the gap separating those who can and cannot afford legal representation widening each day, we work to ensure that everyone has equal… more