- Molina Healthcare (Columbus, OH)
- …to the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations . ... necessary. * Enforces, as a representative of management, the Compliance Plan, Code of Conduct and Anti- Fraud ...with third parties who have specific experience in conducting fraud and abuse investigations . * Prepares written… more
- Allied Universal (Fargo, ND)
- … or adjusting complex claims + Working knowledge and understanding of anti- fraud laws, insurance regulations, and compliance rules and standards in ... near you, please visit: www.aus.com/offices. **Job ID:** 2025-1428824 **Location:** United States-North Dakota-Fargo **Job Category:** Compliance & Investigations… more
- BioFire Diagnostics, LLC. (Durham, NC)
- …company policies, and ethical standards. They will oversee the end-to-end investigations process globally, ensuring consistency, fairness, and compliance with ... As a senior-level investigator, the Director will personally lead complex, high-risk investigations , while also coaching and guiding regional compliance teams… more
- Highmark Health (Montgomery, AL)
- …years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in Financial Analysis in ... project, potential fraud , waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to fraud , waste… more
- Jabil (West Chester, PA)
- …diverse communities around the globe. Are you experienced in Medical Device Regulatory Compliance ? Jabil is seeking a qualified Quality Systems & Compliance Lead ... West Chester, PA site. As the Quality Systems & Compliance Lead for Medical Device , you will manage,...actions for external audit observations related to site, including investigations , monitor and drive on-time completion of CAPA plans,… more
- Highmark Health (Austin, TX)
- … Program including auditing/monitoring operational processes, conducting or overseeing compliance investigations , and ensuring that adequate training takes ... but not limited to internal and external audit progress, recurring risk and compliance reporting, mandated training, investigations , and the impacts of new and… more
- American Express (Sunrise, FL)
- …Surveillance Unit (GFCSU) is part of the broader Global Risk & Compliance organization, operating within Global Financial Crimes Compliance (GFCC), provides ... end-to-end oversight and support of global financial crimes investigations . In partnership with broader GFCC teams, GFCSU supports the development, testing,… more
- Insight Global (Charlotte, NC)
- …https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements * 3+ years in financial investigations with a concentration in TMS compliance * ... Job Description An employer is seeking a TMS Compliance Analyst to join their team. This role...their team. This role will be responsible for completing investigations for transaction monitoring and potentially submitting a SAR.… more
- Philips (Malvern, PA)
- …BioTel AM&D's compliance program, using the seven elements of an effective compliance program to detect and prevent fraud , waste and abuse. **Your role:** ... As the **Business Compliance Officer** , you will oversee the Company's...healthcare program requirements, independent diagnostic testing facility regulations, and fraud and abuse laws, including the Anti-Kickback Statute and… more
- Capital One (Richmond, VA)
- …on the following areas within the Retail Bank: Customer Protection to include Fraud Strategy and Prevention, Fraud Investigations , Claims and Disputes. ... Senior Manager, Compliance Advisor - Retail Bank The Senior Manager, Compliance Advisor - Retail Bank performs a key risk management role (second line of… more