- Abt Global Inc. (Rockville, MD)
- …rewarding and meaningful work? Now's your chance. **The Opportunity** As the Fraud , Waste , and Abuse Subject Matter Expert, you will play a critical ... Analyze data and trends to detect anomalies and patterns indicative of fraud or abuse . + Collaborate with VA stakeholders, compliance teams, and auditors to… more
- LA Care Health Plan (Los Angeles, CA)
- Director, Compliance on Special Investigations Unit and Fraud , Waste and Abuse Job Category: Administrative, HR, Business Professionals Department: Special ... to achieve that purpose. Job Summary The Director, Compliance on Special Investigations and Fraud , Waste and Abuse (FWA) is responsible for directing LA… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …development of total loss and margin erosion programs focusing on causes related to fraud , waste , and abuse . Conducts extensive analysis of business results, ... shrink control, financial systems loss, margin erosion due to fraud , waste , or abuse , safety/physical...they meet NEXCOM standards. Coordinate with the Code S subject matter expert to monitor the process. - Develop… more
- MyFlorida (Tallahassee, FL)
- …program, these units are responsible for developing novel methods and technologies to fight fraud , abuse , and waste . To do this, these highly collaborative ... MHCPA position is responsible for conducting investigations and developing fraud , waste , and abuse referrals...of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with… more
- US Marine Corps (Arlington, VA)
- …funds, merchandise, supplies and equipment to preclude or minimize the potential for fraud , waste and abuse . Customer Service/ EEO/Sexual Harassment: Provide ... and maintain a Standard Operating Procedure. Report allegations of abuse in accordance with (IAW) policy. Report fatalities to...to children under 18 years of age will be subject to a favorable Tier 1 Childcare (CNACI) investigation… more
- CVS Health (Phoenix, AZ)
- …of the Lead Director, Service Operations, this position will focus on utilization, quality and fraud waste and abuse review for individual cases for members ... of suspected healthcare fraud cases Completion of Fraud waste and abuse reviews...clinical meetings with care management and utilization management. Provides subject matter expertise on all ABA-related questions and member… more
- Centene Corporation (Columbus, OH)
- …or audits that identify, evaluate and measure potential healthcare fraud and abuse . + Conduct investigations of potential waste , abuse , and ... + Develop new queries and reports to detect potential waste , abuse , and fraud +...also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity… more
- MyFlorida (Tallahassee, FL)
- …population, one of the Agency goals is to ensure fewer budgeted dollars are lost to fraud , abuse , and waste . The Bureau of Medicaid Program Integrity (MPI) ... the work of other analysts by serving as a subject matter expert if necessary. MPI's Practitioner Care Unit,...will assist in conducting investigations and audits related to fraud , abuse , and waste through… more
- Centene Corporation (Frankfort, KY)
- …a subject matter expert for the Contractor's Program Integrity unit to reduce Fraud , Waste and Abuse of Medicaid services within Kentucky. Provides ... guidance to staff who investigate and remediate compliance and fraud , waste , and abuse related...also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity… more
- MyFlorida (Tallahassee, FL)
- …population, one of the Agency goals is to ensure fewer budgeted dollars are lost to fraud , abuse , and waste . The Bureau of Medicaid Program Integrity (MPI) ... to support the Agency's overall mission and to prevent fraud , abuse , waste , overpayments, or...of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with… more
