- Louisiana Department of State Civil Service (LA)
- …to uncover abuse and neglect of residents and complex financial fraud committed by healthcare providers, including hospitals, nursing homes, pharmacies, ... investigative services in cybercrimes, white collar crimes, and public corruption. Medicaid Fraud Control Unit: The Louisiana Medicaid Fraud Control Unit (MFCU)… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …of Audit manager, will collaborate with a variety of business units including Fraud and Abuse , Medical Management, Medical Directors, Network Management, and our ... Ready to help us transform healthcare ? Bring your true colors to blue. About...risk. Identifies potential quality of care issues and potential fraud , waste, or abuse . Makes referrals for… more
- Atlantic Health System (Morristown, NJ)
- …following compliance risk areas: (i) general compliance and compliance program effectiveness; (ii) fraud , waste and abuse and Deficit Reduction Act of 2005 ... minimum of health care compliance experience, health care administration, legal, fraud , waste, and abuse ; internal audit, organizational compliance, regulatory… more
- Henry Ford Health System (Troy, MI)
- …and beyond), using data analytics to identify potential indicators for non-compliance, fraud , waste, and abuse . This role supports the Corporate Integrity ... controls, to identify instances of non-compliance, ineffective or inefficient operations, potential fraud , waste, and abuse . In carrying out this role, you… more
- Philips (Malvern, PA)
- …using the seven elements of an effective compliance program to detect and prevent fraud , waste and abuse . **Your role:** + Develop, implement, and maintain ... healthcare program requirements, independent diagnostic testing facility regulations, and fraud and abuse laws, including the Anti-Kickback Statute and the… more
- Sanofi Group (Cambridge, MA)
- …legal matters, particularly in the area of advertising and promotion, fraud and abuse and other applicable healthcare laws. We are an innovative global ... legal issues (focusing on promotional matters, regulatory issues and fraud and abuse ) as well as proposed...companies on FDA or other relevant governmental agencies on healthcare matters + Experience with US and/or global legal… more
- UnityPoint Health (Cedar Rapids, IA)
- …for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or concerns regarding compliance ... for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or concerns regarding compliance… more
- Centene Corporation (Tallahassee, FL)
- …& tools to explore financial performance trends and/or reconciling financial data preferred. ** Fraud , Waste & Abuse :** Experience in fraud /waste/ abuse ... outcomes. + Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data. + Support execution of large-scale… more
- UnityPoint Health (Anamosa, IA)
- …for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or concerns regarding compliance ... recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in...+ Is aware of hospital and department compliance regarding fraud , waste and abuse . Brings any questions… more
- UnityPoint Health (Anamosa, IA)
- …for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or concerns regarding compliance ... recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in.... Is aware of hospital and department compliance regarding fraud , waste and abuse . Brings any questions… more