- Humana (Montpelier, VT)
- … 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
- Centene Corporation (Indianapolis, IN)
- …to program integrity and disclosure requirements. Develop, implement and manage strategic fraud , waste and abuse activities by maintaining state and federal ... our Indiana Medicaid product lines. + Safeguard against the potential for fraud , waste and abuse and coordinate with, the Special Investigations Unit and state… more
- Elevance Health (Hanover, MD)
- …errors. Works with health plan leaders, oversees the monitoring and enforcement of the fraud , waste , and abuse compliance program to prevent and detect potential ... **Carelon Medical Coding/Auditing Manager - Behavioral Health** **Supports Payment Integrity &... fraud , waste , and abuse activities pursuant to... fraud , waste , and abuse activities pursuant to state and federal… more
- LEES MARKETPLACE (Vineyard, UT)
- …up to date on all mandatory training; including but not limited to; Medicare Fraud Waste and Abuse Training, HIPAA Training, and Federal Combat Methamphetamine ... the Vineyard community managing Bella's grocery store. The Pharmacy Manager oversees the daily operations of the pharmacy, ensuring...required state, federal and company training programs (ie. HIPAA, Fraud Waste and Abuse, I-pledge, etc.) +… more
- Mission Support and Test Services (North Las Vegas, NV)
- …of government operations, the audit function (CIA Certified Internal Auditor), and of waste , fraud , and abuse investigations. This position will be responsible ... audit leader for the position of Internal Audit Senior Manager ( Manager II) in Las Vegas, NV....production, and execution of an annual audit plan and waste , fraud , and abuse investigations. Conducts and/or… more
- Atlantic Health System (Morristown, NJ)
- …following compliance risk areas: (i) general compliance and compliance program effectiveness; (ii) fraud , waste and abuse and Deficit Reduction Act of 2005 ... minimum of health care compliance experience, health care administration, legal, fraud , waste , and abuse; internal audit, organizational compliance, regulatory… more
- State of Minnesota (St. Paul, MN)
- …include: + Working knowledge of program integrity efforts to prevent, detect, or address fraud , waste , or abuse. + Leading, supervising, or coordinating teams. + ... **Working Title: Medicaid Compliance and Investigations Manager ** **Job Class: Human Services Manager 2** **Agency: Human Services Dept** + **Job ID** : 89348 +… more
- Molina Healthcare (Lexington, 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
- TE Connectivity (Fuquay Varina, NC)
- EH&S Manager I - Must be local to Fuquay NC **At TE, you will unleash your potential working with people from diverse backgrounds and industries to create a safer, ... seeking a proactive and strategic **Environmental Health &** **S** **afety (EH&S)** ** Manager ** to lead and continuously improve EHS performance at our manufacturing… more
- Office of the Inspector General, USPS (Arlington, VA)
- …leading a data analytics team in the identification and detection of a variety of fraud , waste , and abuse schemes and audit insights related to Postal Service ... the opportunity for a reassignment/promotion to the position of Data Analytics Manager within the Research and Insights Solution Center (RISC), Analytics Division,… more
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