- Centene Corporation (Sacramento, CA)
- …fresh perspective on workplace flexibility. **Position Purpose:** Investigate allegations of potential healthcare fraud and abuse activity. Assist in ... claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse . + Conduct investigations of potential waste,… more
- AbbVie (Irvine, CA)
- …legal issues, including advertising, promotion, antitrust, market access, pricing, reimbursement, healthcare fraud , abuse , and anti-bribery, for both ... on-market and pipeline products. The primary focus is on international strategic priorities, and this role reports directly to the Senior Counsel for IMCO and IMAP. Key Responsibilities Include: + Serve as the strategic and legal lead counsel for… more
- Danaher Corporation (Los Angeles, CA)
- … industry + Drafting, reviewing, and negotiating various types of agreements + US healthcare fraud and abuse laws, rules, regulations, regulatory guidance, ... various legal issues and associated risks, including transactions with healthcare providers, research institutions, and promotional programs. + Provide… more
- Amgen (Thousand Oaks, CA)
- …in healthcare industry is a plus but not required, including counseling on: + Healthcare fraud and abuse matters + OIG compliance guidance and advisory ... price concession strategies and risk mitigation with members of the healthcare community (managed care organizations, hospitals, Group Purchasing Organizations (GPO)… more
- Elevance Health (Costa Mesa, CA)
- …preferred. + Marketing experience preferred. + Medicare Part D experience preferred. + Fraud waste and abuse experience preferred. For candidates working in ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
- Elevance Health (Costa Mesa, CA)
- …responsible for identifying issues and/or entities that may pose potential risks associated with fraud and abuse . **How you will make an impact:** + Performs ... billing and processing guidelines and to identify opportunities for fraud and abuse prevention and control. +...claims and medical records prior to payment. Researches new healthcare -related questions as necessary to aid in investigations. +… more
- DoorDash (San Francisco, CA)
- …DoorDash's platform by building scalable systems that detect and prevent fraud , account takeovers, and identity abuse -without compromising user experience. ... is more important than ever. That's why we're investing in industry-leading fraud defenses to ensure a safe, seamless experience for every customer, Dasher,… more
- Danaher Corporation (Brea, CA)
- …would be a plus if you also possess previous experience in: + Experience with healthcare regulation, including: fraud and abuse (eg, anti-kickback); FDA for ... we've been dedicated to advancing and optimizing the laboratory to move science and healthcare forward. Join a team where you can be heard, be supported, and always… more
- Danaher Corporation (Brea, CA)
- …would be a plus if you also possess previous experience in: + Experience with healthcare regulation, including: fraud and abuse (eg, anti-kickback); FDA for ... we've been dedicated to advancing and optimizing the laboratory to move science and healthcare forward. Join a team where you can be heard, be supported, and always… more
- Highmark Health (Sacramento, CA)
- …3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in Financial Analysis ... + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of… more