- Rock Family of Companies (Detroit, MI)
- …procedures for loss of hotel assets and ensure compliance with policies + Conduct special investigations and surveillance in areas such as internal and external ... theft + Effectively monitor and control access to the property + Patrol public areas to detect fires, unsafe conditions, security issues, and damaged or inoperative safety equipment + Log activities and events occurring on shift + Be responsible for the safety… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit (SIU), Provider Relations (PR), or Sales & ... Marketing. + Ensuring all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects of the Case Management department functions including quality, productivity,… more
- Blue KC (MO)
- …including but not limited to Sales and Marketing, Job_Family_ID_Underwriting, PHP, Special investigations Unit (fraud and abuse), Legal, Product Development, ... and Provider Services. + Provides medical leadership and advice for conformance with standards and guidelines for NCQA, URAC, state and federal regulators, and other accrediting bodies. + Acts as liaison for communication with physicians, hospitals, and other… more
- Planate Management Group LLC (San Antonio, TX)
- …standards to minimize risks to human life and property damage + Supervise special investigations of serious accidents, provide written reports and accident ... analysis + Recommend methods of alleviating unsatisfactory or unsafe conditions + Study and evaluate proposed projects, work locations, equipment and operations, methods of safety and health training and protective equipment devices + Support periodic… more
- Blue KC (MO)
- …areas within the company, including but not limited to Sales and Marketing, Special investigations Unit (fraud and abuse), Legal, Product Development, Compliance ... and Provider Services. + Provides medical leadership and advice for conformance with standards and guidelines for NCQA, URAC, state and federal regulators, and other accrediting bodies. + Acts as liaison for communication with physicians, hospitals, and other… more
- Centene Corporation (Indianapolis, IN)
- …against the potential for fraud, waste and abuse and coordinate with, the Special Investigations Unit and state agencies to promptly investigate reports of, ... suspected fraud and abuse by employees, subcontractors, providers, and others with whom the health plan does business + Serve as the health plan's primary fraud, waste and abuse subject matter expert + Coordinate audit documentation, develop internal and state… more
- City of Stockton, CA (Stockton, CA)
- …committees, community groups and boards of other governmental agencies. + Makes special investigations of a technical nature regarding planning projects; reports ... conclusions and recommendations in technical report form, or in form for publication. + Directs the preparation and design of maps, charts, models, sketches and other graphic presentations; prepares reports, presentations, correspondence and other written… more
- South County Hospital (Wakefield, RI)
- …in a hospital/clinic setting and workman's compensation law. + Ability to conduct special investigations , organize results and present them orally and in ... writing. + Ability to prepare instructional materials and present them effectively, utilizing various computer programs/software. + Ability to work with administrative staff, physicians, nurses, support staff, patients, community members and various regulatory… more
- Wellington (Boston, MA)
- …Advising forensic and compliance testing teams on areas of focus, testing design, special investigations and findings + Responding to regulatory inquiries and ... examinations + Developing and conducting regulatory training, where appropriate Qualifications + 5+ years of compliance or asset management experience (experience supporting and/or working with capital markets and/or trading processes is preferred) +… more
- Amentum (Dahlgren, VA)
- …meetings with software development team + Maintain status accounting records + Conduct special investigations to include periodic reports from the CM database + ... Provide summary impact statements as required + Receive, edit, and distribute reports to/from Requirements: + Bachelor's Degree or 3 years of job-related experience. + Excellent technical acumen with analytical ability, and written communication skills;… more