- CVS Health (Augusta, ME)
- …of the Triage Manager , effectively initiates the triage of incoming healthcare fraud , waste , and abuse referrals/leads received in the Special ... Investigations Unit (SIU) from various internal and external sources. * Runs initial Case Set Up reports, and gathers additional information relevant to the case * Documents the receipt of new incoming referrals/leads for tracking purposes and prepares… more
- Parsons Corporation (Las Vegas, NV)
- …seeking amazingly talented **Construction Managers with previous experience focused on Water and Waste Water Projects** . In this role, **you'll help to build and ... relocate to construction site locations is expected. The Construction Manager will work on behalf of Parsons and the...to plan, design, build, and modernize infrastructure. We take special pride in projects and solutions that improve communities… more
- Ventura County (Ventura, CA)
- …on compliance-related topics, such as HIPAA, 42 CFR Part 2, and Medicaid/Medicare fraud , waste , and abuse prevention; + Tracks changes in regulations affecting ... Behavioral Health Compliance Manager Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4774428) Apply Behavioral Health Compliance Manager … more
- VNS Health (Manhattan, NY)
- …process optimization. + Develops and implements strategies to recover overpayments, prevent fraud , waste , and abuse. + Collaborates with cross-functional teams ... development of and ensures adherence to department budget. + Participates in special projects and performs other duties as assigned. Qualifications Education: +… more
- Centene Corporation (Harrisburg, PA)
- …Provides direction and guidance to staff who investigate and remediate compliance and fraud , waste , and abuse related matters; while maintaining an investigative ... workload of moderate to high complexity. Assists manager on monitoring team caseload and report on metrics....all regulatory, CMS, and WellCare Corporate guidelines in which special care is required to protect and enhance WellCare's… more
- Elevance Health (South Portland, ME)
- …of 3 years medical coding/auditing experience, including minimum of 1 year in fraud , waste abuse experience; or any combination of education and experience, ... and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**...trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters… more
- Elevance Health (Hanover, MD)
- …of 6 years medical coding/auditing experience, including minimum of 4 years in fraud , waste abuse experience; or any combination of education and experience, ... and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**...trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters… more
- KPH Healthcare Services, Inc. (Lancaster, PA)
- …the specific position **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + HIPPA Privacy CE Mastery Exam + ... Work on-call schedule, where applicable + Interacts with Facility Manager in the appropriate completion of hiring practices, performance...HIPPA Security CE Mastery Exam + Fraud , Waste , and Abuse CE Mastery Exam… more
- Parsons Corporation (Radford, VA)
- …10 years' experience as an Electrical Superintendent or as an Electrical Construction Manager , special consideration will be given to demonstrated experience in ... 15 years' experience as an Electrical Superintendent or as an Electrical Construction Manager . Special consideration will be given to demonstrated experience in… more
- SUNY Morrisville (Morrisville, NY)
- …+ Responsible for appropriate use of facility supplies and equipment to minimize loss, waste , and fraud + Performs various kitchen maintenance tasks such as, but ... 14 2025 Job Description: COOK I REPORTS TO: Chef Manager DEPARTMENT: Dining Services CLASSIFICATION: Hourly | GRADE: 12...use, material, and equipment to avoid unnecessary expense and waste + Follows procedures for the proper storage of… more
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