- Humana (Sacramento, CA)
- … leads and monitors investigations of allegations of fraudulent and abusive practices. The Manager , Fraud and Waste works within specific guidelines and ... goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation with law enforcement authorities. Leads...Medicare experience + Minimum 3 years of experience with Fraud , Waste , and Abuse in either a… more
- Sharp HealthCare (San Diego, CA)
- …expertise. + experience in healthcare operations and related regulatory requirements such as Fraud , Waste , and Abuse, Privacy and Security, Conflict of Interest, ... for the position, and employer business practices. **What You Will Do** The Manager Entity Compliance is responsible for managing and coordinating the Compliance and… more
- Grant Thornton (San Francisco, CA)
- …and/or pertinent to tax credit incentives. + Assisting in matters involving fraud , waste , and abuse, including allegations of bribery, collusion, conflicts ... As a Real Estate/Construction Advisory Manager , you will get the opportunity to grow and contribute to our clients' business needs and be responsible for all phases… more
- Providence (Oakland, CA)
- …education related to coding, medical record documentation requirements, healthcare compliance and fraud , waste and abuse to Health Plan staff, vendors and ... at the Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance related auditing and monitoring… more
- Navy Exchange Services (NEX) (San Diego, CA)
- …and detain individuals suspected of shoplifting. Investigates other suspected incidents of fraud waste and abuse as directed. Prepares case reports investigative ... Conducts audits as directed by the Loss Prevention Safety Manager or Supervisor of cash registers cash offices retail...dress code as prescribed by the Loss Prevention Safety Manager or Supervisor based on assigned duties. Promotes and… more
- LA Care Health Plan (Los Angeles, CA)
- …Statistical Inference, Big Data Processing & Integration, Statistical Control Processes, Claims Fraud , Waste & Abuse (FWA), Population Health Strategies Physical ... least 10 years of people management experience in a lead, supervisor, manager or director level role. Demonstrated experience leading enterprise analytics functions… more
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