- KPH Healthcare Services, Inc. (Maumee, OH)
- …policies and procedures. + Communicates appropriately with all members of the healthcare team. + Documents appropriately according to AristaCare P&Ps, all activities ... + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste, and Abuse Course + MethGuard Course +...relevant skills, years of experience** **,** **and education.** **KPH Healthcare Services, Inc. is a multistate organization and abides… more
- Molina Healthcare (Columbus, OH)
- …Enforces, as a representative of management, the Compliance Plan, Code of Conduct and Anti- Fraud Plan. * Establishes, at the direction of the AVP of Compliance or ... an active relationship with third parties who have specific experience in conducting fraud and abuse investigations. * Prepares written reports to inform the AVP of… more
- Grant Thornton (Cleveland, OH)
- …for business and IT process optimization, profit improvement, cost reduction, fraud prevention, internal control, and compliance. + Perform engagement management ... 4 years of direct experience with diverse life sciences companies or healthcare providers, including hospitals, academic medical centers, healthcare systems, and… more
- Molina Healthcare (Columbus, OH)
- …operations of the Compliance Program, Compliance Plan, Code of Conduct, and Fraud , Waste and Abuse Plan across the enterprise while ensuring compliance with ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Columbus, OH)
- …Security Professional (CISSP) or Certified Information Security Manager (CISM), Certified Fraud Examiner (CFE), etc. + Professional organization membership such as ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- KPH Healthcare Services, Inc. (Maumee, OH)
- …specific position **Required Training:** + HIPAA Privacy & Security Course + Fraud , Waste, and Abuse Course **Job Skills Required:** + Communicates effectively with ... patients, families and other health care providers + Manages time efficiently and + Thinks and acts calmly and logically to meet unusual occurrences of the job + Maintains confidentiality of necessary + Interfaces with patients, families, and staff to ensure… more
- Elevance Health (Mason, OH)
- …for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + Examines claims for ... compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and conducts analysis… more
- City National Bank (Columbus, OH)
- …handling lender self-reporting requirements, and coordinating regulatory audits and fraud reporting. The ideal candidate brings strong analytical skills, attention ... * Manage the intake, documentation, and submission of suspected or confirmed fraud to the appropriate internal departments and external agencies. * Ensure compliance… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …our platform, connecting people and partners and strengthening our collective impact on total healthcare . Guided by our mission, we think big and dare to do things ... differently to build the future of healthcare we want to experience in our own lives. If you're interested in shaping OPH's approach to health, we want to hear from… more
- Elevance Health (Mason, OH)
- …for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + Examines claims for ... compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and conducts analysis… more