- Amazon (New York, NY)
- …- 5+ years of legal experience - Healthcare regulatory experience, eg fraud waste and abuse laws, telehealth regulations, direct primary care, value-based ... Description We are looking for a talented healthcare transactions counsel to help reinvent primary care for customers. This role supports the strategic growth… more
- Molina Healthcare (Albany, NY)
- …SIU an active relationship with third parties who have specific experience in conducting fraud and abuse investigations. * Prepares written reports to inform the ... 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… more
- Molina Healthcare (Yonkers, NY)
- …standards and requirements contained in the Molina Medical Compliance and Fraud , Waste and Abuse Program. **KNOWLEDGE/SKILLS/ABILITIES** + Coordinates, conducts, ... 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. (East Syracuse, NY)
- …on the specific position **Required Training:** + HIPAA Privacy & Security Course + Fraud , Waste and Abuse Course **Job Skill Requirements:** + Business to ... business experience required + Superior communication skills, both verbal and written + Superior organizational skills + Ability to multi-task and prioritize + Coordinate and lead others in process improvement and change + Flexibility and ability to work under… more
- University of Rochester (Rochester, NY)
- …II conducts investigations, risk assessments, and regulatory monitoring to prevent and detect fraud , waste, and abuse , specifically addressing the DRA, NY SSL | ... such as coding, compliance with Medicare, Medicaid, and third-party payer billing regulations, and fraud , waste, and abuse prevention. + Serves as a resource and… more
- University of Rochester (Brighton, NY)
- …and assisted living communities. This includes, but is not limited to fraud and abuse , billing compliance, corporate transactions, physician employment and ... Counsel for Health Sciences, researches, analyzes, and provides regulatory compliance advice on the Fraud and Abuse + Laws, including, but not limited to, the… more
- Cardinal Health (Albany, NY)
- …firm or in-house healthcare experience preferred, including commercial transactions and fraud and abuse compliance expertise + Experience working with Group ... to pharmaceutical distribution and services and group purchasing organizations, specifically AKS/ Fraud & Abuse + Identify opportunities for process improvements… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …this position is responsible for the accurate and thorough clinical investigation of potential fraud , waste and abuse (FWA) for all lines of business. The scope ... + Prepares recommendations on preventive/corrective measures for the deterrent of future fraud . + Supports other SIU investigators and analysts with their cases by… more
- Ultimate Care Inc (Brooklyn, NY)
- …in promoting adherence to state regulations and internal policies-particularly related to fraud , waste, and abuse . This role involves conducting investigations, ... thorough investigations into reported violations, paraprofessional conflicts, and potential fraud or abuse . + Identify risks and...of two (2) years of administrative experience in a healthcare setting. + 1-3 years of experience working with… more
- New York State Civil Service (Albany, NY)
- … compliance, complex healthcare transactions, matters involving state and federal fraud and abuse compliance, general health law and regulatory issues, ... will serve as the primary attorney for the OGC in providing comprehensive healthcare legal services and guidance to the State University and its State-operated… more
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