- Humana (Des Moines, IA)
- …approach, resources, schedules and goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation with law enforcement ... of our caring community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of fraudulent… more
- Molina Healthcare (Sioux City, IA)
- …for compliance by overseeing, follow-up and resolution of investigations . **Knowledge/Skills/Abilities** * Assists with implementation and day-to-day operations ... of the Compliance Program, Compliance Plan, Code of Conduct, and Fraud , Waste and Abuse Plan across the enterprise while ensuring compliance with governmental… more
- UnityPoint Health (Anamosa, IA)
- …hospital and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse. Brings any ... emergency and routine requests for service. Documents relevant incidents, conducts investigations as appropriate, monitors security cameras and other equipment as… more
- UnityPoint Health (Sioux City, IA)
- …hospital and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse. Brings any ... Quality Assurance (QA) and Resource Management + Assists and completes investigations involving unexpected or adverse outcomes and keeps documentation according to… more
- Highmark Health (Des Moines, IA)
- …including auditing/monitoring operational processes, conducting or overseeing compliance investigations , and ensuring that adequate training takes place under ... and external audit progress, recurring risk and compliance reporting, mandated training, investigations , and the impacts of new and changing laws, regulations, and… more
- Access Dubuque (Dubuque, IA)
- …regulations/requirements. + Provide compliance review of federal, state, Center for Medicare and Medicaid Services (CMS) and Department of Insurance (DOI) ... issues affecting the healthcare industry, including but not limited to Medicare Cost Plan requirements, Commercial Health Plans, Clinical Quality, Pharmacy and… more