- Fujifilm (Holly Springs, NC)
- **Position Overview** The Investigator 2 is responsible to perform major investigations, identify root and contributing causes, contributes to the creation of ... or manufacturing operations * Prior experience leading manufacturing investigations ** Preferred Requirements** * Experience with systematic cause analysis methods… more
- Endo International (Webster Groves, MO)
- …Controlled Substance Compliance in the private sector or as a government investigator /regulator preferred . ** Preferred Skills/Competencies** + Experience in ... data analytics including Excel pivot tables and charts, graphs. + Working knowledge of Word and PowerPoint. + Experience auditing internal processes to ensure compliance with regulations and company policies and procedures. + Self-motivated; able to work with… more
- Elevance Health (St. Louis, MO)
- …of education and experience, which would provide an equivalent background. ** Preferred Qualifications:** + Candidate Must Reside in Missouri + Healthcare experience ... strongly preferred + Fraud certification from CFE, AHFI, AAPC or coding certificates preferred + Knowledge of Plan policies and procedures in all facets of… more
- CDS Life Transitions (Webster, NY)
- …responsibilities. Knowledge, Skills, and Abilities + Associates Degree, Bachelor's Degree preferred . + Knowledge of OPWDD Part 624 Regulations, preferred . ... in Quality Assurance/Quality Improvement within OPWDD, OMH, DOH, OASAS, or OCFS preferred . + Successful completion of OPWDD/NYS Justice Center for the Protection of… more
- Marriott (Bethesda, MD)
- …fraud mitigation or related field BS/BA in accounting, finance, or related field preferred ; or equivalent experience Preferred Loyalty Program experience a plus. ... Experience with Marriott Systems preferred . CORE WORK ACTIVITIES + Timely independent investigation and resolution of reported fraud and abuse incidents. + Research… more
- Edward Jones (St. Louis, MO)
- …and experience in human resources, business, criminal justice or paralegal studies preferred . + 2+ years of industry and/or Compliance experience preferred . ... + Ability to handle high volume of requests in a deadline driven environment while operating within policies and procedures. + The ability to interpret and enforce firm policies and industry rules and regulations. + Detail oriented, able to multi-task and… more
- Exelon (Washington, DC)
- …information and handle sensitive investigations with tact and diplomacy ** Preferred Qualifications** ** PREFERRED QUALIFICATIONS** + Formal training in ... conducting workplace investigations. + Experience interpreting and applying company policies and procedures. **Benefits** + Annual salary will vary based on a candidate's skills, qualifications, experience, and other factors: $82,400.00/Yr. - $113,300.00/Yr. +… more
- Allied Universal (Medford, OR)
- …Inspector training, internal and CMS-required, both Initial and in-service training. ** PREFERRED QUALIFICATIONS (NICE TO HAVE):** + Associate degree or higher, ... Enrollment, or other healthcare profession or facility credentialing, is highly preferred . + Effective public speaking and communication skills. **BENEFITS:** +… more
- Molina Healthcare (Covington, KY)
- …Required License, Certification, Association + Valid driver's license required. ** Preferred Experience** + Healthcare Anti-Fraud Associate (HCAFA), Accredited Health ... Care Fraud Examiner (AHFI) and/or Certified Fraud Examiner (CFE) preferred . To all current Molina employees: If you are interested in applying for this position,… more
- CVS Health (Atlanta, GA)
- …to travel and participate in legal proceedings, arbitrations, depositions, etc. ** Preferred Qualifications** - Knowledge of New Jersey Medicaid - Credentials such ... as a certification from the Association of Certified Fraud Examiners (CFE) - An accreditation from the National Health Care Anti-Fraud Association (AHFI). - Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA) - Knowledge of Aetna's policies… more