- Highmark Health (Tallahassee, FL)
- …**EXPERIENCE** **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + ... This job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training...1 year in Financial Analysis in an acute care hospital or health insurance setting +… more
- City of New York (New York, NY)
- …found to be eligible can use coverage provided to access doctors, medication and other health care services at little or no cost. The Medical Assistance Program ... the three divisions keep pace with changes relating to health care reform and anticipated program growth...responsibility areas. - Identify areas of vulnerability for committing fraud , and program changes through the monthly statistics and… more
- LA Care Health Plan (Los Angeles, CA)
- …Range: $45,760.00 (Min.) - $45,760.00 (Mid.) - $52,024.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state ... time. Mission: LA Care 's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents… more
- CVS Health (Sacramento, CA)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...protect patient well-being. As the Medical Director of Healthcare Fraud Investigations, you'll lead our efforts to detect, prevent,… more
- Option Care Health (Phoenix, AZ)
- …home infusion provider, there is no limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate site infusion ... Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion ...with a strong focus on preventing, detecting, and addressing fraud , waste and abuse (FWA). This leader promotes a… more
- LA Care Health Plan (Los Angeles, CA)
- …Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state ... time. Mission: LA Care 's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents… more
- McLaren Health Care (Indianapolis, IN)
- …leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high ... Michigan-based health plan dedicated to meeting the health care needs of each of our...for conducting comprehensive investigations of reported, alleged or suspected fraud involving the full range of products for assigned… more
- State of Nevada (NV)
- HEALTH CARE COORDINATOR 2 - NURSE...generated reports in order to identify abuse and potential fraud and to ensure claims were paid properly by ... location. Department: Health and Human Services (http://dhhs.nv.gov/) Division: Health Care Financing & Policy Location: Carson, Minden, Gardnerville,… more
- State of Colorado (Denver, CO)
- Paralegal (Legal Assistant I) - Health Care , State Services Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4966256) Apply Paralegal ... (Legal Assistant I) - Health Care , State Services Salary $57,708.00 -...federal level when faced with provider terminations due to fraud or abuse. For the State Health … more
- Umpqua Bank (Lakewood, WA)
- Customer Care Agent Retail Banking Group Lakewood, Washington **Description** **About Us:** At Umpqua, we create a great place to work by offering a unique brand of ... digital, or contact channels. You will assist customer with reporting fraud , filing disputes, resolving issues, providing information, and looking for opportunities… more