- Capgemini (New York, NY)
- …testing + Contribute to the design and enhancement of compliance programs covering fraud , market abuse , and insider trading **Required Skills and Experience** + ... and career. For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being programs + Financial well-being… more
- Scripps Health (San Diego, CA)
- …through to the highest level of appeals while adhering to all policies on fraud / abuse and providing excellent customer service to patients and other customers * ... diversity, and as an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to… more
- State of Colorado (Grand Junction, CO)
- …only a strong desire to learn! Are you looking for a rewarding career in healthcare ? Do you enjoy helping people reach their full potential? Are you interested in ... + Provide Infection Control, Safety, and emergency procedures + Prevent and report abuse and/or neglect + Apply knowledge and techniques in residential areas of… more
- CVS Health (Springfield, IL)
- …opportunities for providers, vendors and peers. + Expertise in medical documentation, fraud , abuse and penalties for documentation and coding violations based ... medical codes for diagnoses as documented for physicians and other qualified healthcare providers in the office and/or facility setting. + Thorough knowledge of… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- …and monitors expenditures to support recurring budget forecasts and identify potential fraud , waste and abuse based on procurement history and purchase ... Agent for the Supply Chain Management Service in the Southern Arizona Healthcare System and supported catchment area. Responsibilities This position serves as a… more
- Walgreens (Memphis, TN)
- …with policies and procedures (eg, HIPAA guidelines/regulations, insurance, and fraud abuse guidelines, required productivity levels, timeliness expectations, ... Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Managed Care Entity (MCE) compliance with contract deliverables. + Reviews and assess fraud , waste, and abuse (FWA) investigation reports, referrals, and tips ... + Minimum 1 year professional experience in government programs, healthcare , criminal justice, or accounting. + Experience writing and conducting… more
- Walgreens (Orlando, FL)
- …with policies and procedures (eg HIPAA guidelines/regulations, insurance and fraud abuse guidelines, required productivity levels, timeliness expectations, ... Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for… more
- CVS Health (Harrisburg, PA)
- …to coding questions, state and federal policies. - Identify potential billing errors, abuse , and fraud . - Identify opportunities for savings related to potential ... through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct… more
- Bluepath Labs (Reston, VA)
- …will support their mission to identify and address vulnerabilities, preventing waste, fraud , and abuse , and ensuring compliance with laws and regulations. ... benefits package. Benefits include, but are not limited to: healthcare reimbursement, lifestyle & wellness reimbursement, Flexible Spending Account (FSA),… more