- Molina Healthcare (Davenport, IA)
- …reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse. Duties include performing accurate and reliable medical review ... Counsel, and Medical Officers in order to achieve and maintain appropriate anti- fraud oversight. **Job Duties** + Responsible for developing leads presented to the… more
- Molina Healthcare (Sioux City, IA)
- …operations of the Compliance Program, Compliance Plan, Code of Conduct, and Fraud , Waste and Abuse Plan across the enterprise while ensuring compliance with ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- CVS Health (Des Moines, IA)
- …investigators and analysts to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to ... the planning and execution of investigations of acts of healthcare fraud and abuse by both members... Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong verbal and… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …therapeutic areas. This role operates as a crucial liaison between healthcare providers (HCPs), internal teams, and external stakeholders to facilitate appropriate ... requirements + Analyze payer criteria and provide product access expertise to healthcare offices + Coordinate with Hubs on individual patient cases, including… more
- Access Dubuque (Dubuque, IA)
- …Oversight + Be informed of current legislation and enforcement issues affecting the healthcare industry, including but not limited to Medicare Cost Plan ... combined with a growing health insurance company. Our 1,100 healthcare and health insurance professionals lead the way in...+ Provide compliance review of federal, state, Center for Medicare and Medicaid Services (CMS) and Department of Insurance… more
- UnityPoint Health (Cedar Rapids, IA)
- …and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse. Brings any ... recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in...of commercial and worker's compensation insurance. Extensive knowledge of Medicare , Medicaid, ICD-10, CCI edits, local payer coding and… more
- UnityPoint Health (Des Moines, IA)
- …and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse. Brings any ... recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in...to bill for government payers (ie, not on the Medicaid/ Medicare exclusion list.) . Document services accurately and timely… more
- UnityPoint Health (Waterloo, IA)
- …knowledge of compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse. Brings any ... earned us recognition as a Top 150 Places to Work in Healthcare 2022-2025 by Becker's Healthcare and among America's Best Employers By State in Iowa, Illinois… more
- Access Dubuque (Dubuque, IA)
- …and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse. Brings any ... been named a Top 150 Place to Work in Healthcare 2022 (https://www.unitypoint.org/press-releases-article.aspx?id=5d699a8a-8983-4b72-a5d2-8965fe05e15c&UnityPoint+Health+Named+Among+150+Top+Places++to+Work+in+ Healthcare ) by Becker's Healthcare… more
- Access Dubuque (Dubuque, IA)
- …and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse. Brings any ... been named a Top 150 Place to Work in Healthcare 2022 (https://www.unitypoint.org/press-releases-article.aspx?id=5d699a8a-8983-4b72-a5d2-8965fe05e15c&UnityPoint+Health+Named+Among+150+Top+Places++to+Work+in+ Healthcare ) by Becker's Healthcare… more