- Mission Support and Test Services (North Las Vegas, NV)
- …of government operations, the audit function (CIA Certified Internal Auditor), and of waste , fraud , and abuse investigations. This position will be responsible ... audit leader for the position of Internal Audit Senior Manager ( Manager II) in Las Vegas, NV....production, and execution of an annual audit plan and waste , fraud , and abuse investigations. Conducts and/or… more
- Winland Foods (Kenosha, WI)
- The Production manager provides overall leadership for manufacturing departments in the areas of safety, productivity, quality, cost, equipment, and engagement. ... to optimize product yields, equipment operation and process control while reducing waste . Engages all employees in continuous improvement and fosters a positive work… more
- Commonwealth Care Alliance (Boston, MA)
- …policies and procedures + Promptly, in good faith, report any instances of suspected fraud , waste , or abuse; suspected privacy and/or security incidents; or any ... and/or the Doula Program. The CHW reports to the Community Health Services Manager . **Supervision Exercised:** - No, this position does not have direct reports.… more
- Stanford Health Care (Palo Alto, CA)
- …detailed healthcare corporate compliance functions and audits to identify and eliminate waste , fraud and abuse, and inefficiencies in conformance with prescribed ... + Collaboration with Management: Identify and escalate denial patterns to the Manager of Government Audits and Appeals, providing detailed information for follow-up… more
- Exelon (Chicago, IL)
- …the opportunity to build a rewarding career. Are you in? **Primary Purpose** The Manager , Audit Services, Fraud , is responsible for leading and overseeing the ... Anti- Fraud , Waste , and Abuse program across Exelon's footprint, encompassing four...recommendations to enhance operational efficiency and mitigate risks. The Manager , Audit Services, Anti- Fraud will also play… more
- MyFlorida (Tallahassee, FL)
- …Analyst I and will assist with performing activities related to data analytics to identify fraud , waste , or abuse in claims data. The Program Integrity Unit was ... established to detect and prevent fraud , waste and abuse related to the...Health Insurance Fraud Analyst III, Health Insurance Fraud Analyst II, Audit Manager , and the… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Investigations or prepayment team. This position reports directly to the Data Science Fraud Manager and assists in the development of investigation targets, ... proposes new methods of data analytics and healthcare informatics to discover Fraud , Waste and Abuse activities as well as provide program-wide trend analysis.… more
- Blue KC (Kansas City, MO)
- …Unit (SIU), the Fraud Investigator conducts reviews to identify potential fraud , waste , and abuse (FWA) and claim overpayments. Assigned cases and ... peers and clinical standards, etc. In conjunction with the Manager and/or Senior Investigator, evaluate FWA risks and prioritize...resources for potential FWA schemes. + Conduct investigations of fraud , waste and abuse in accordance with… more
- CVS Health (Salem, OR)
- …federal and state audits. **Required Qualifications** + 2 to 5 years of managing healthcare fraud , waste and abuse investigations and audits. + 3 to 5 years of ... activities related to the prevention, investigation, and prosecution of health care fraud to recover lost funds. Responsible for compliance with state and federal… more
- LEES MARKETPLACE (North Salt Lake, UT)
- …up to date on all mandatory training; including but not limited to; Medicare Fraud Waste and Abuse Training, HIPAA Training, and Federal Combat Methamphetamine ... in the communities in which we serve. The Pharmacy Manager oversees the daily operations of the pharmacy, ensuring...required state, federal and company training programs (ie. HIPAA, Fraud Waste and Abuse, I-pledge, etc.) +… more
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