- KPH Healthcare Services, Inc. (Maumee, OH)
- …policies and procedures. + Communicates appropriately with all members of the healthcare team. + Documents appropriately according to AristaCare P&Ps, all activities ... + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste, and Abuse Course + MethGuard Course +...relevant skills, years of experience** **,** **and education.** **KPH Healthcare Services, Inc. is a multistate organization and abides… more
- Arup (San Francisco, CA)
- …members and to the clients and communities we serve. Our West Coast healthcare team is looking for a **Senior Mechanical Engineer** to join our multi-disciplinary ... sometimes globally. You will work on projects within the Healthcare industry and beyond. Your projects will offer the...a protected veteran, or disability. Stay safe online. Recruitment fraud is on the rise, and Arup's name, logo,… more
- Maxim Healthcare (Sacramento, CA)
- Maxim Healthcare is hiring for a Client Relations Specialist to work with clients, patients and active caregivers to monitor program participants' ability to manage ... any concerns relating to each client including allegations of fraud , misuse of services and/or other relevant issues EOR...*Benefit eligibility is dependent on employment status. About Maxim Healthcare Maxim Healthcare has been making a… more
- Molina Healthcare (Bellevue, NE)
- **JOB DESCRIPTION** **Job Summary** The Molina Healthcare Internship Program shares an objective to create a stepping stone for students who aim to be professionals ... and future leaders in the healthcare business profession. Interns are assigned special projects and...include: + Economics/Finance + Data Analysis / Science + Fraud , Waste, and Abuse (FWA) + Other data intensive… more
- General Dynamics Information Technology (Fairfax, VA)
- …information at various provider associations meetings + Provide testimony for Medicaid fraud legal proceedings + Travel quarterly/yearly to the Albany, NY area for ... independently or as a part of a group + Preferred Qualifications: + Healthcare billing and claims experience + Teaching/training experience + Experience with Zoom,… more
- 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. (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
- KPH Healthcare Services, Inc. (Gouverneur, 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...as relevant skills, years of experience and education. KPH Healthcare Services, Inc. is a multistate organization and abides… 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
- Molina Healthcare (Syracuse, NY)
- …coordinating data extractions, gathering requirements, supporting payment integrity teams, primarily fraud , waste and abuse. + Experience working on SQL, PowerBI, ... databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent… more