- Humana (Pierre, SD)
- **Become a part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and ... abusive practices. The Manager , Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately… more
- Molina Healthcare (Louisville, 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
- Molina Healthcare (Covington, KY)
- …delivery systems + Understanding of datamining and use of data analytics to detect fraud , waste , and abuse + Proven ability to research and interpret regulatory ... **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide… more
- UPMC (Pittsburgh, PA)
- …to 4:30 pm This is a remote position. Under the direction of the manager , the Special Investigations Unit (SIU) Investigator is responsible for investigating ... assigned fraud , waste and abuse (FWA) cases, as...cases. This role includes supporting current SIU staff and manager with investigations and special projects. Responsibilities:… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …on the specific position **Required Training:** + HIPAA Privacy & Security Course + Fraud , Waste and Abuse Course **Job Skill Requirements:** + Business to ... As the primary point of contact for ProAct clients, the Account Manager is responsible for building relationships with new clients and coordinating internal… more
- Customs and Border Protection (Washington, DC)
- …are covered by internal controls and that appropriate precautions are taken to prevent fraud , waste , and misuse of resources in accordance with the Federal ... United States" pay table. Some positions fall under a special pay rate depending on the series, grade level...of the position. Please visit this link to view special pay rate charts. Requirements Conditions of Employment You… more
- Parsons Corporation (Kingsport, TN)
- …possible. **Job Description:** Parsons is looking for an amazingly talented **Construction Quality Manager (** CQC System Manager ) to join our team! In this ... work. + Coordinate and oversee **testing and inspection activities** , including special inspections for structural steel, welding, concrete, and coatings. + Review… more
- US Marine Corps (Beaufort, SC)
- …of funds, merchandise, supplies and equipment to preclude or minimize the potential for fraud , waste , and abuse. Responsible for all HVACR repairs and recurring ... lead HV ACR technician as well as the maintenance manager . Plans, organizes work, and manages internal procedures and...the work directed. Keeps supervisor informed of abnormal or special problems. Provides World Class Customer Service with an… more
- Unilever (Hoboken, NJ)
- …to ensure strong controls, checks, and balances that minimize risks of waste , theft, and fraud .* Investigate and resolve reconciliation discrepancies across ... SummaryJoin our dynamic Finance team as an Associate Finance Manager - Treasury, where you'll play a pivotal role in safeguarding the organization's financial… more
- NANA Regional Corporation (Fort Gordon, GA)
- …attention to detail. + Maintains sensitivity to, and report on, instances of fraud , waste and abuse. + Demonstrated knowledge of project management processes ... **Responsibilities** + This position is responsible to the company President/General Manager for the direction, safe operation, compliance, quality delivery and… more