- Meta (Richmond, VA)
- … 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
- CACI International (VA)
- Fraud Analyst Job Category: Finance and Accounting Time Type: Part time Minimum Clearance Required to Start: DOJ MBI Employee Type: Regular Percentage of Travel ... Required: Up to 25% Type of Travel: Local * * * **The Opportunity:** The Fraud Analyst position is a great opportunity for analysts to further their career path… more
- Humana (Richmond, VA)
- …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 (Richmond, VA)
- …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
- General Dynamics Information Technology (Fairfax, VA)
- …information at various provider associations meetings + Provide testimony for Medicaid fraud legal proceedings + Travel quarterly/yearly to the Albany, NY area for ... independently or as a part of a group + Preferred Qualifications: + Healthcare billing and claims experience + Teaching/training experience + Experience with Zoom,… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …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
- Otsuka America Pharmaceutical Inc. (Norfolk, VA)
- **Job Summary** Otsuka America Pharmaceutical Inc. is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better ... In its evolved customer engagement model, a Hospital Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, offering expertise… more
- Elevance Health (Richmond, VA)
- …record review. **How you will make an impact:** + Investigates potential fraud and over-utilization by performing medical reviews via prepayment claims review and ... + BA/BS preferred + Medical claims review with prior health care fraud audit/investigation experience preferred + Knowledge of Provider Manuals and Reimbursement… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …or health-related field. + 10+ years of experience in pharmaceutical, biotech, or healthcare consulting, with a strong focus on HEOR, RWE, and market access ... Deep understanding of global HTA and payer requirements, regulatory frameworks, and healthcare systems. + Deep understanding of industry best practices + Exceptional… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …enhance communication strategies, ensuring seamless and personalized interactions with healthcare professionals (HCPs) and key opinion leaders (KOLs). **Job ... ensuring optimized performance. + Agile skills and experience + Experience in Healthcare (esp. US) industry is a plus. **Competencies** **Accountability for Results… more
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