- Humana (Oklahoma City, OK)
- …into allegations of fraud , waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud ... first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid...transparency and accountability. You will report to the SIU Director and work closely with Humana's Oklahoma Market. **Key… more
- American Medical Association (Chicago, IL)
- Director of Administrative Operations (Hybrid) Chicago, IL (Hybrid) The American Medical Association (AMA) is the nation's largest professional Association of ... opportunity at our corporate offices in Chicago for a Director of Administrative Operations (Hybrid) on our... management team and their customer service (call center), claims , and operations teams + Facilitate and… more
- Otsuka America Pharmaceutical Inc. (Montgomery, AL)
- …CoE's established "white glove" service standards. This role supports the Associate Director in maintaining the integrity of the centralized system and achieving ... audit-readiness. This position reports directly to the Associate Director , R&D HCP Engagement Center of Excellence (CoE). **Job Description** **Key Responsibilities… more
- Sacramento County (Sacramento, CA)
- …1/29/26 (Final) Under direction, the Workers' Compensation Examiner performs specialized claims service in the administration of the County's self-insured Workers' ... relating to workers' compensation matters + Methods of evaluating workers' compensation claims and computing benefits Ability to + Read, interpret, and apply… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …address important business questions and opportunities. You will report into the Director of Brand Analytics and support OAPI's pipeline asset(s). The Senior ... a complex matrix environment that includes areas in marketing, sales, sales operations , senior leadership among others. This position is based in Princeton, New… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …the Business Solutions & Analytics Lead who reports into the Executive Director , Medical Excellence and Operations . **Job Description** **Key Responsibilities:** ... The Manager, Data Analytics is an important role within the Medical Excellence & Operations team within Global Medical Affairs. This role will serve as the data and… more
- Otsuka America Pharmaceutical Inc. (Montpelier, VT)
- …the Vendor Contracts and Management Lead who reports into the Executive Director , Medical Excellence and Operations . **Job Description** **Key Responsibilities ... Contracts (Non-HCP SOWs) is an important role within the Medical Excellence & Operations team within Global Medical Affairs. This role is responsible for end-to-end… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …As the Senior Manager of Process, Policy & Governance reporting to the Senior Director , Procurement Operations ; your primary focus will be the maintenance and ... enhancement of Otsuka's Procurement operations , processes and policies in support of Otsuka's North America portfolios. This role will have responsibility for… more
- Genesis Healthcare (PA)
- …will be key in assisting with the LTC ACO HCC program ensuring that claims are coded and documented accurately and completely, helping to identify remediation needs ... and vision of the organization by working with the Director of Quality Coding and Provider Compliance in identifying...and Ethics Program, Standard code of Conduct, Federal False Claims Act and HIPAA. 2. Assist in the maintenance… more
- City of New York (New York, NY)
- …ELIGIBLE FOR 6.1.9 TITLE CHANGE. The Office of Child Support Services, Fiscal Operations which handles all fiscal related activities is responsible for ensuring that ... for ensuring the fiscal integrity of OCSE by preventing fraud throughout the collection and disbursement process. It prepares...III to function as a Disbursement Supervisor within Fiscal Operations who will: - Prepare and distribute work schedules… more
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