- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- …the specific position **Required Training:** + HIPPA Privacy & Security Course + Fraud , Waste, and Abuse Course **Job Skills Required:** + Exceptional attention ... to detail, strong customer service, interpersonal and communication skills + Must be able to effectively communicate internally and externally, via phone and through email + Strong PC skills required with a focus on Excel proficiency + Must be able to work… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …on 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… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …activities 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… 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
- Elevance Health (Norfolk, VA)
- …responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse . **How you will make an Impact:** + Examines ... relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. +...next step in the claims lifecycle. + Researches new healthcare related questions as necessary to aid in investigations… more
- Elevance Health (MD)
- …responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse . **How you will make an impact:** + Examines ... relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. +...next step in the claims lifecycle. + Researches new healthcare related questions as necessary to aid in investigations… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …US Ethics & Compliance (E&C) processes in furtherance of US and global fraud and abuse risk mitigation, financial transparency, and Otsuka ethical standards. ... representative licensure and disclosure requirements. + Tracks and logs federal and state fraud and abuse enforcement activities. + Develops and maintains E&C's… more
- University of Rochester (Rochester, NY)
- …II conducts investigations, risk assessments, and regulatory monitoring to prevent and detect fraud , waste, and abuse , specifically addressing the DRA, NY SSL | ... such as coding, compliance with Medicare, Medicaid, and third-party payer billing regulations, and fraud , waste, and abuse prevention. + Serves as a resource and… more
- Option Care Health (Bannockburn, IL)
- …key risk areas such as regulatory changes, billing and coding, privacy and security, and fraud and abuse . + Perform data analysis and review of documentation to ... related to billing and coding, privacy and security, and fraud , waste and abuse , including but not...Healthcare Compliance (CHC), Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), or similar certification preferred. + Direct… more
- University of Rochester (Brighton, NY)
- …and assisted living communities. This includes, but is not limited to fraud and abuse , billing compliance, corporate transactions, physician employment and ... Counsel for Health Sciences, researches, analyzes, and provides regulatory compliance advice on the Fraud and Abuse + Laws, including, but not limited to, the… more