- Danaher Corporation (Brea, CA)
- …would be a plus if you also possess previous experience in: + Experience with healthcare regulation, including: fraud and abuse (eg, anti-kickback); FDA for ... we've been dedicated to advancing and optimizing the laboratory to move science and healthcare forward. Join a team where you can be heard, be supported, and always… more
- Danaher Corporation (Deer Park, IL)
- …diagnostic/IVD industry. + Experience in the medical device industry. + Experience with healthcare regulation, including fraud and abuse (eg, anti-kickback), ... FDA and CE/IVDR for medical devices, and data use and privacy (eg, HIPAA, GDPR). Key Competencies + Healthy ambition, defined as an innate drive to work hard, take ownership, and be a person of influence in the organization, producing great results and… more
- Molina Healthcare (Bowling Green, KY)
- …investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse . Duties include performing accurate and reliable ... for developing leads presented to the SIU to assess and determine whether potential fraud , waste, or abuse is corroborated by evidence. + Conducts both… more
- Sharp HealthCare (San Diego, CA)
- …+ experience in healthcare operations and related regulatory requirements such as Fraud , Waste, and Abuse , Privacy and Security, Conflict of Interest, and ... Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified in Healthcare Privacy Compliance (CHPC) - Health Care Compliance Association (HCCA); Bachelor's… more
- New York State Civil Service (Albany, NY)
- …and attorneys to identify enforcement opportunities and effective strategies for combatting waste, fraud , and abuse in healthcare programs.* Providing expert ... Zip Code 12224 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Albany-areaDeputy Director, Electronic Investigative Support GroupReference… more
- Molina Healthcare (Cincinnati, OH)
- …insurance company + Minimum of two (2) years' experience working on healthcare fraud related investigations/reviews + Proven investigatory skill; ability to ... The position must have the ability to determine correct coding, documentation, potential fraud , abuse , and over utilization by providers and recipients. The… more
- MyFlorida (Miami, FL)
- …or education requirements of s. 943.135. Preference will be given to candidates with healthcare fraud investigative experience working in a Medicaid Fraud ... the administration of the Medicaid program and/or the alleged abuse or neglect of patients in healthcare ...experience, or five (5) years of work experience conducting healthcare fraud investigations. Note: All newly hired… more
- MyFlorida (Miami, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator; Certified ... is to ensure fewer budgeted dollars are lost to fraud , abuse , and waste. The Bureau of...(MPI) does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging… more
- Highmark Health (Pittsburgh, PA)
- …3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in Financial Analysis ... + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of… more
- MyFlorida (Tallahassee, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator; Certified ... is to ensure fewer budgeted dollars are lost to fraud , abuse , and waste. The Office of...(MPI) does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging… more