- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- The Manager , Fraud , Waste & Abuse... special investigations + Research, investigate and report fraud , waste and abuse cases + Utilize internal ... Advantage, CMS and AHCA regulatory requirements + Expertise in FWA, Special Investigations, claims processing, coding and medical terminology + Outstanding… more
- MyFlorida (Tallahassee, FL)
- …broad scope of data analytics to proactively identify qualified leads for potential fraud , waste , and abuse (FWA) investigations. The selected candidate will be ... concise investigatory reports and statistical/financial analysis to support findings of potential fraud , waste , and abuse. + Present case to agency leadership,… more
- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager Special Investigation Unit The SIU Manager is responsible for leading and managing the Special Investigation Unit (SIU) with a ... bodies, law enforcement agencies, and other external stakeholders. Essential Functions - Manager Special Investigation Unit + Effectively manage the day-to-day… more
- Molina Healthcare (Owensboro, 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
- Parsons Corporation (Humble, TX)
- …for. **Job Description:** Parsons is looking for a talented **Sustainability Senior Project Manager for Airports** to join our team! In this role you will get ... to **work on major airport projects in Houston, TX.** The Sustainability Manager is responsible for managing and implementing sustainability programs aimed at… more
- Sanford Health (Sioux Falls, SD)
- …to sustain high quality performance. Oversees pharmacy department participation in the VIPS fraud , waste , and abuse process and the Health Plan Special ... Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Job Summary** The Manager works closely with Health Plan providers and staff to coordinate Pharmacy… more
- Commander, Navy Installations (Honolulu, HI)
- …improvements, and ensures the safeguarding of funds, merchandise, and equipment to prevent fraud , waste , and abuse. Monitors for alcohol abuse and take ... (CNRH); Honolulu, Hawaii. Incumbent serves as a (Bowling Center Manager ) providing overall management, operational efficiency, program development, staff… 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
- MyFlorida (Orlando, FL)
- …COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY: ORLANDO COUNTY: ORANGE SPECIAL NOTES: The ... (eg, McDonald's, Publix) typically do not qualify. Preference: + Special consideration may be given to eligible candidates who... Fraud is to aggressively identify and eliminate fraud , waste , and abuse to safeguard the… more
- Elevance Health (Roanoke, VA)
- …of 4 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
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