- Navient (Annapolis, MD)
- …Senior Fraud Risk Manager , you will:** + Develop and execute fraud prevention strategies to minimize risk while supporting business growth. + Partner ... below, and let's build something great together! **The Senior Fraud Risk Manager position will report to...controls. + Lead, mentor, and develop a team of fraud prevention analysts. + Oversee fraud… more
- CVS Health (Annapolis, MD)
- …Will Do** + Lead a team of Quality Reviewers to effectively assess the prevention , investigation, and prosecution of healthcare fraud and abuse, ensuring the ... Assess training needs and collaborate with the SIU Sr. Manager to create development plans for team members. +...+ Minimum of five years of experience managing healthcare fraud , waste, and abuse investigations, Compliance Auditing, Program… more
- CVS Health (Annapolis, MD)
- … Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard the organization's ... every day. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders...Lead and mentor a team certified coders who support fraud detection and prevention efforts. Establish team… more
- Elevance Health (Hanover, MD)
- …errors. Works with health plan leaders, oversees the monitoring and enforcement of the fraud , waste, and abuse compliance program to prevent and detect potential ... **Carelon Medical Coding/Auditing Manager - Behavioral Health** **Supports Payment Integrity &...and substance use disorder management, a comprehensive employee assistance program , work/life support, specialty programs for autism and depression,… more
- Ross Stores, Inc. (Elkton, MD)
- …provides a visible presence at the Store entrances/exits, mitigating theft and fraud and maintaining a safe and secure environment for Associates and Customers\. ... Leadership\. Partners with Store Leadership to ensure compliance with Loss Prevention directives and minimization of operational shortage\. Must embrace Company… more
- Elevance Health (Hanover, MD)
- …for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and conducts ... health and substance use disorder management, a comprehensive employee assistance program , work/life support, specialty programs for autism and depression, and… more
- PNC (Prince Frederick, MD)
- …Addressing Customer Needs, Coaching Others, Digital Awareness, Effective Communications, Fraud Detection and Prevention , Managing Multiple Priorities, Matrix ... skills, transaction handling and problem resolution processes. Assists the Branch Manager in performance management and new hire selection processes. + Coaches,… more