- Highmark Health (Pittsburgh, PA)
- …professional within one year of employment **Preferred** + 3+ years experience with Fraud , Waste and Abuse + 3+ years Patient legal resolution + Healthcare ... research and resolution + Regulatory, Managed Care and Reimbursement **SKILLS** + Strong written and oral communication skills + Strong relationship building skills + Client focused with strong business acumen + Self-starter with the ability to work under… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste, and Abuse Course + MethGuard Course + HIPPA Privacy CE Mastery ... Exam + HIPPA Security CE Mastery Exam + Fraud , Waste, and Abuse CE Mastery Exam + MethGuard...such as relevant skills, years of experience,and education. **KPH Healthcare Services, Inc. is a multistate organization and abides… more
- KPH Healthcare Services, Inc. (Saranac Lake, NY)
- …skills **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste, and Abuse Course + MethGuard Course + HIPPA Privacy CE Mastery ... Exam + HIPPA Security CE Mastery Exam + Fraud , Waste, and Abuse CE Mastery Exam + MethGuard...as relevant skills, years of experience and education. KPH Healthcare Services, Inc. is a multistate organization and abides… more
- Louisiana Department of State Civil Service (LA)
- …approach to uncover abuse and neglect of residents and complex financial fraud committed by healthcare providers, including hospitals, nursing homes, pharmacies, ... in cybercrimes, white collar crimes, and public corruption. Medicaid Fraud Control Unit: The Louisiana Medicaid Fraud ...Medicaid Fraud Control Unit: The Louisiana Medicaid Fraud Control Unit (MFCU) is a state law enforcement… more
- Molina Healthcare (Milwaukee, WI)
- …* Assists IRIS consultants with difficult situations and messaging, (ie fraud and conflict of interest), and maintains strictest confidentiality regarding all ... for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Genesis Healthcare (PA)
- …of pertinent Federal and State Standards to reduce the company's vulnerability to fraud , abuse and waste audits; 8. Identifies providers not meeting applicable pass ... environment Posted Salary Range USD $75,000.00 - USD $75,000.00 /Yr. Genesis HealthCare , Inc. and all affiliated entities (collectively "Genesis") has a strong… more
- KPH Healthcare Services, Inc. (Maumee, OH)
- …specific position **Required Training:** + HIPAA Privacy & Security Course + Fraud , Waste, and Abuse Course **Job Skills Required:** + Communicates effectively with ... patients, families and other health care providers + Manages time efficiently and + Thinks and acts calmly and logically to meet unusual occurrences of the job + Maintains confidentiality of necessary + Interfaces with patients, families, and staff to ensure… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …throughout the school. + Oversee and have responsibility for the prevention of fraud , abuse, or financial conflict of interests within the school. + Communicates ... pertinent University-defined accounting structure, policies, procedures, and other financial developments to the school. Collaboration & Communication: + Collaborates with the Office of the Provost and with financial and operational colleagues throughout Emory… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …the specific position **Required Training:** + HIPAA Privacy & Security Course + Fraud , Waste and Abuse Course **Job Skill Requirements:** + Business to business ... experience required + Superior communication skills, both verbal and written + Superior organizational skills + Ability to multi-task and prioritize + Coordinate and lead others in process improvement and change + Flexibility and ability to work under and meet… more
- KPH Healthcare Services, Inc. (Eau Claire, WI)
- …test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste, and Abuse Course + MethGuard Course **Behavioral Traits Required:** + ... Cooperation: Must work harmoniously and effectively with fellow employees, supervisors and other in contact with + Initiative: Must work within supervision guidelines and assume additional responsibilities + Flexibility: Must be willing to work variable work… more