- Herbruck Poultry Ranch (Kendallville, IN)
- …implementation of Food Safety Fundamentals (Prerequisite), Food Safety Plan, Food Defense Fraud Program , and Quality Code. + Review, verify, maintain, enforce, ... Reports to: QA Manager Position Summary: Ensure that processing area operates...HACCP Program , FSP (Preventive Controls), Quality Code, Fraud Program , Food Defense and Prerequisite Programs… more
- Louisiana Department of State Civil Service (LA)
- …Crimes, Violent Crime and Drug Unit, Sexual Predator Apprehension Team, and the Insurance Fraud Unit. The Criminal Division also serves: + Medicaid Fraud Control ... the responsibility to investigate and prosecute all types of fraud perpetrated by providers of medical services in the...perpetrated by providers of medical services in the Medicaid program . The MFCU also investigates and prosecutes allegations of… more
- Centene Corporation (Frankfort, KY)
- …**Position Purpose:** Position acts as a subject matter expert for the Contractor's Program Integrity unit to reduce Fraud , Waste and Abuse of Medicaid ... direction and guidance to staff who investigate and remediate compliance and fraud , waste, and abuse related matters; while maintaining an investigative workload of… more
- TD Bank (New York, NY)
- …We are responsible for the delivery of TD's Payment Modernization Program including regulatory, cybersecurity, payment products, SWIFT, and Correspondent Banking ... related to these areas + Leads capacity analysis for Fraud software to determine appropriate staffing levels + Collects...have regular career, development, and performance conversations with your manager , as well as access to an online learning… more
- TD Bank (Fort Pierce, FL)
- …meeting Operational, Customer and Sales objectives. In the absence of any other manager , the Store Supervisor is expected to manage the Store and have the ... to cash handling, vault management, control of negotiable items, preventing fraud , managing controllable expenses, promoting integrity, Customer privacy and Employee… more
- UPMC (Pittsburgh, PA)
- …management in meetings, training new staff and auditing peers. Collects program data to monitor/ensure compliance requirements and establishes and revises better ... of unlisted codes. Claims analysis and the use of fraud and abuse detection software tools will be an...Coverage Determination (LCD). + Evaluate referrals from Pharmacy Benefit Manager (PBM) by analyzing medical and pharmacy claims and… more
- State of Massachusetts (Boston, MA)
- …*What you'd do:* Claims Examiner/Job Service Representative I, who reports to the Senior Manager of Benefit Operations & Program Integrity is based in Boston, ... Service Representative I| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative I is responsible for supporting… more
- UnityPoint Health (Cedar Rapids, IA)
- …This position receives instructional direction including didactic teaching responsibilities from the Program Manager of the School of Radiologic Technology (the ... + Participates in didactic instruction as assigned by the Program Manager . + Assists in the planning,...funded healthcare programs (e. g. Medicare and Medicaid) regarding fraud , waste and abuse. Brings any questions or concerns… more
- Louisiana Department of State Civil Service (LA)
- …investigative services in cybercrimes, white collar crimes, and public corruption. Medicaid Fraud Control Unit: The Louisiana Medicaid Fraud Control Unit (MFCU) ... investigate and prosecute health care providers who have defrauded the Medicaid program . The MFCU also investigates and prosecutes allegations of abuse, and neglect… more
- RELX INC (New York, NY)
- Senior Product Manager - Generative AI Product Manger About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our ... of Anti-Money Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You… more