- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …Experience interacting and working with a Quality Assurance Unit to identify and prevent fraud , waste and abuse . SPECIAL REQUIREMENTS + Incumbents in this class ... this class is accountable for administering health, behavioral health, substance abuse programs and operations for children under supervision, care or custody… more
- UnityPoint Health (Sioux City, 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...and customary equipment used to perform essential functions of the position. + Child and Adult Mandatory Abuse Reporting… more
- UnityPoint Health (Sioux City, 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...and customary equipment used to perform essential functions of the position. + Child and Adult Mandatory Abuse Reporting… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …will help uphold the highest standards in documentation and coding practices-protecting against fraud , waste, and abuse . In this influential role, you'll design ... and motivated individuals who share our vision of transforming healthcare . As a Blue Cross associate, you are joining...programs to improve coding accuracy, reduce errors, and prevent fraud . * Collaborate with Provider Network, Clinical and Care… more
- Experian (Costa Mesa, CA)
- …around the world. We help to redefine lending practices, uncover and prevent fraud , simplify healthcare , create marketing solutions, and gain deeper insights ... into cyber incidents, data breaches, malware infections, unauthorized access, insider threats, fraud and abuse , and employee misconduct. + Analyze digital… more
- State of Montana (Helena, MT)
- …The Compliance Specialist 2 is responsible for identifying and investigating potential fraud , waste, and abuse within Montana Medicaid and Healthy Montana ... applicable state and federal regulations. The position requires interpreting healthcare policy, conducting provider interviews, calculating overpayments, and referring… more
- CVS Health (Hartford, CT)
- …within the Special Investigations Unit (SIU) plays a key role in supporting fraud , waste, and abuse investigations by managing and responding to Requests ... efforts. **Required Qualifications** + 5+ years of experience in healthcare investigations, compliance, or data analysis (or equivalent professional experience)… more
- Cedars-Sinai (Beverly Hills, CA)
- …the development of fraud protection reports that identify possible sources of fraud and abuse . Identifies information relevant to senior management in the ... 10-the most prestigious level of certification-among more than 300 surveyed healthcare organizations. Cedars-Sinai netted high scores across multiple verticals and… more
- UnityPoint Health (Grimes, IA)
- …for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or concerns regarding compliance ... We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our… more
- UnityPoint Health (Waterloo, IA)
- …for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or concerns regarding compliance ... earned us recognition as a Top 150 Places to Work in Healthcare 2022-2025 by Becker's Healthcare and among America's Best Employers By State in Iowa, Illinois… more