- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review performs clinical ... of objectives and determines approach, resources, schedules and goals. The Manager , Fraud and Waste Investigator: Nurse Audit/Review validates and interprets… more
- CVS Health (Trenton, NJ)
- …in federal and state audits. **Required Qualifications** + 2 to 5 years of managing healthcare fraud , waste and abuse investigations and audits. + 3 to 5 ... Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud ...Leads a team in the planning and execution of investigations of acts of healthcare fraud and… more
- Atlantic Health System (Morristown, NJ)
- …coordinate internal investigations and prepare reports on the incidents and investigation findings. + The Manager will be responsible for assessing ... The Compliance and Privacy Manager oversees, in pertinent part, the following compliance...areas: (i) general compliance and compliance program effectiveness; (ii) fraud , waste and abuse and Deficit Reduction… more
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