- New York State Civil Service (Albany, NY)
- …auditors, detectives, data analysts, and legal support analysts, to conduct complex, long-term healthcare fraud and patient abuse and neglect investigations. ... and reviewing medical records and analyzing medical documentation to identify potential fraud , abuse , mistreatment, and neglect, including testifying as to such… more
- CVS Health (Albany, NY)
- …state, and local law enforcement agencies to ensure compliance and support the prosecution of healthcare fraud and abuse matters. + Demonstrate a high level ... **Education** + A Bachelors degree or three years of experience in healthcare fraud , waste, and abuse investigations and audits. **Anticipated Weekly Hours**… more
- CVS Health (Albany, NY)
- …of investigators and analysts to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse , to recover lost funds, and ... Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by both members and providers. Provides direction and… more
- New York State Civil Service (Hauppauge, NY)
- …detectives, and analysts to identify and prosecute financial fraud in the healthcare industry and abuse and neglect of residents in healthcare ... Agency Attorney General, Office of the Title Attorney: Investigate/Prosecute Financial Fraud (3789) Occupational Category Legal Salary Grade NS Bargaining Unit M/C… more
- Molina Healthcare (Yonkers, NY)
- …investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse . Duties include performing accurate and reliable ... for developing leads presented to the SIU to assess and determine whether potential fraud , waste, or abuse is corroborated by evidence. + Conducts both… more
- New York State Civil Service (New York, NY)
- …data analysts, and legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage ... and reviewing medical records and analyzing medical documentation to identify potential fraud , abuse , mistreatment and neglect, including testifying as to such… more
- New York State Civil Service (New York, NY)
- …the unit's New York City office. The selected attorney will lead complex civil fraud investigations in the healthcare industry, as well as litigate such matters ... Agency Attorney General, Office of the Title Attorney: Lead Complex Civil Fraud Investigations (3788) Occupational Category Legal Salary Grade NS Bargaining Unit M/C… more
- Humana (Albany, NY)
- …3 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 ... investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …drug screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste, and Abuse Course + MethGuard Course + HIPPA Privacy CE ... Mastery Exam + HIPPA Security CE Mastery Exam + Fraud , Waste, and Abuse CE Mastery Exam...such as relevant skills, years of experience,and education. **KPH Healthcare Services, Inc. is a multistate organization and abides… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …drug screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste, and Abuse Course + MethGuard Course + HIPPA Privacy CE ... Mastery Exam + HIPPA Security CE Mastery Exam + Fraud , Waste, and Abuse CE Mastery Exam...as relevant skills, years of experience and education. KPH Healthcare Services, Inc. is a multistate organization and abides… more