- Molina Healthcare (Louisville, KY)
- …and actions. + Works with leadership to maintain and revise policies and procedures, fraud , waste , and abuse plans, annual audit work plans, including department ... License, Certification, Association + Active and unrestricted Accredited Health Care Fraud Investigator (AHFI) designation or Certified Fraud Examiner (CFE)… more
- Molina Healthcare (Covington, KY)
- …delivery systems + Understanding of datamining and use of data analytics to detect fraud , waste , and abuse + Proven ability to research and interpret regulatory ... **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide… more
- UPMC (Pittsburgh, PA)
- …to 4:30 pm This is a remote position. Under the direction of the manager , the Special Investigations Unit (SIU) Investigator is responsible for investigating ... assigned fraud , waste and abuse (FWA) cases, as...cases. This role includes supporting current SIU staff and manager with investigations and special projects. Responsibilities:… more
- Fairview Health Services (Minneapolis, MN)
- …and regulatory compliance **Preferred Experience** + Knowledge of HIPAA privacy and security, Fraud , Waste and Abuse, REMS, DEA ARCOS Reporting, Hazardous ... **Job Overview** The Compliance and Licensing Program Manager is responsible for the development, implementation, and management of the pharmacy licensing program… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …on the specific position **Required Training:** + HIPAA Privacy & Security Course + Fraud , Waste and Abuse Course **Job Skill Requirements:** + Business to ... As the primary point of contact for ProAct clients, the Account Manager is responsible for building relationships with new clients and coordinating internal… more
- Air Combat Command (Tyndall AFB, FL)
- …performance. Administers internal control system to preclude or minimize the potential for fraud , waste , and abuse. Arranges for equipment repairs and other ... at a level that meets current business trends and minimizes waste . Establishes financial goals, prepares budgets, analyzes financial results, maintains solid… more
- Parsons Corporation (Kingsport, TN)
- …possible. **Job Description:** Parsons is looking for an amazingly talented **Construction Quality Manager (** CQC System Manager ) to join our team! In this ... work. + Coordinate and oversee **testing and inspection activities** , including special inspections for structural steel, welding, concrete, and coatings. + Review… more
- SCI Shared Resources, LLC (Whittier, CA)
- …and provide detailed information for analysis as necessary. Establish safeguards against fraud , waste , and inefficiency. + **_Policies & procedures_** - Ensure ... to each area. **Leadership** + Provide leadership to all departments in the Manager of At-Need Operation areas of responsibility by setting the example, providing… more
- NANA Regional Corporation (Fort Gordon, GA)
- …attention to detail. + Maintains sensitivity to, and report on, instances of fraud , waste and abuse. + Demonstrated knowledge of project management processes ... **Responsibilities** + This position is responsible to the company President/General Manager for the direction, safe operation, compliance, quality delivery and… more
- Point32Health (Canton, MA)
- …prevent future loss. This role will be responsible for conducting high-volume Pre-Payment Fraud Waste & Abuse ("FWA") investigations under the direction of the ... Investigation Unit ("SIU") responsible for leading complex provider investigations related to fraud , waste , and abuse, and developing action plans to address… more