- Health Care Service Corporation (Chicago, IL)
- …for fraud. **JOB REQUIREMENTS:** + Bachelor's Degree + 5 years law enforcement experience (local, state, or federal) **OR** 3 years healthcare fraud investigative ... **PREFERRED REQUIREMENTS:** + Accredited Health Care Fraud Investigator + Certified Professional Coder + Certified Fraud Examiner + Knowledge of health care claims… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …in the law, regulations and industry standards relating to compliance with and enforcement of applicable law and report impactful developments. . + Performs other ... Licenses/Certifications Required:Certified Professional Medical Auditor ( CPMA ), Certified Professional Coder ( CPC ) or Certified Billing and Coding Specialist (… more
- Centene Corporation (Frankfort, KY)
- …partners, and representatives from regulatory agencies and law enforcement regarding investigations **Education/Experience:** Bachelor's Degree in Business, Criminal ... claims processing, and data mining preferred. **Licenses/Certifications:** Certified Professional Coder preferred Pay Range: $68,700.00 - $123,700.00 per year… more
- Ankura (New York, NY)
- …who tailor financial, operational, and compliance solutions to complex litigation, enforcement , and regulatory challenges. Role Overview The Senior Director will ... knowledge of Risk Adjustment coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to work in California,… more
- The County of Los Angeles (Los Angeles, CA)
- …in charge of a district office or specialized unit by performing lead enforcement and administrative functions to enforce the quality of total patient care in ... or a specialized unit. These positions are responsible for performing lead enforcement field evaluations of subordinate staff when assigned to a district office,… more
- The County of Los Angeles (Los Angeles, CA)
- …in response to inquiries from members of the medical profession, law enforcement and other government agencies, mortuaries, cemeteries, and the general public. + ... AND EXPERIENCE: Option I: Two year's field investigative experience* with a law enforcement or governmental regulatory agency Option II: A Bachelor's degree from an… more
- US Capitol Police (Washington, DC)
- …and develop and employ risk mitigation, Member protection, and enforcement strategies. Specialty Units include Investigations, Intelligence and Interagency ... ID is responsible for investigating violations of the DC Code and Title 18 of the US Code...as a liaison with local, state, and Federal law enforcement agencies; Conduct surveillance, surveillance detection, and counter surveillance… more
- City of Columbus (Columbus, OH)
- …the community by performing crime prevention, criminal investigations, and law enforcement activities; performs related duties as required. Please follow the link ... and complaints to resolve situations and to provide law enforcement services; Responds to calls for police service by...violations of law by referring to the Ohio Revised Code or City Code to reflect accurate… more
- The County of Los Angeles (Los Angeles, CA)
- …CA Job Type Full time Job Number J2749F Department SHERIFF'S LAW ENFORCEMENT Opening Date 01/09/2025 + Description + Benefits + Questions Position/Program ... Type l jail, receive immediate supervision from sworn law enforcement personnel, assist sworn staff in observing inmates and...+ Ensures compliance with Title 15 of the California Code of Regulations and/or other legislative or judicial compliance… more
- Justice, Bureau of Prisons/Federal Prison System (Washington, DC)
- …requirements to publish rules and regulations in the Federal Register and the Code of Federal Regulations for new systems of records. Collects and disseminates BOP ... Parole Commission, US Marshals, and US Immigration and Customs Enforcement (ICE). Requirements Conditions of Employment US Citizenship is...apply. See 5 CFR part 11. Current Federal Law Enforcement Employees: A prerequisite of the secondary law … more
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