- CVS Health (Phoenix, AZ)
- …RxNavigator, Medical vocabulary and drug knowledge. PTCB certified. Healthcare fraud certification. **Education** High School Diploma Bachelors Degree Preferred ... **Pay Range** The typical pay range for this role is: $46,988.00 - $91,800.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …SIU Investigator will be responsible for identification, investigation and prevention of healthcare fraud , waste and abuse . The primary responsibility of the ... is to investigate medium to highly complex cases of fraud , waste and abuse . In...quality patient care by adding to our team of clinical and non- clinical professionals that work together… more
- Guidehouse (New York, NY)
- …Services (FFI-Health) team. FFI-Health is currently seeking candidates with relevant healthcare fraud , waste , and abuse (FWA), regulatory compliance, and/or ... of healthcare provider, payer, life sciences, and/or public health regulations, standards, fraud , waste , and abuse schemes, enforcement activities, and… more
- CVS Health (Woonsocket, RI)
- …+ Patient safety + Health care cost savings + Clinical services/care management + Fraud , waste , and abuse detection/prevention We are inspired to make a ... enterprise in areas such as: + Customer experience and behavior change + Clinical trial recruitment and engagement + Digital health + Provider efficiency and… more
- Elevance Health (Houston, TX)
- …and minimum of 6 years medical coding/auditing experience, including minimum of 4 years in fraud , waste abuse experience; or any combination of education and ... ** Clinical Provider Auditor Senior** **Location:** This position will...and/or entities that may pose potential risk associated with fraud and abuse . **How you will make… more
- CVS Health (Columbus, OH)
- … abuse **Required Qualifications** + **3 years three years working on health care fraud , waste , and abuse investigatory and audits required.** + 1-3 years ... providers, claimants, etc. - Researches and prepares cases for clinical and legal review. - Documents all appropriate case...experience working on health care fraud , waste , and abuse investigations… more
- SSM Health (Monroe, WI)
- …quantity, MME, source and DAW to avoid audit charge backs and ensure compliance with Fraud Waste and Abuse (FWA) Laws. + Contributes to zero medication ... graduates and interns. Interacts with patients, physicians, and nurses concerning various clinical activities in order to provide proper drug therapy. Functions as… more
- Carle (Urbana, IL)
- …compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or ... hire. EXPERIENCE REQUIREMENTS At least one (1) year training or clinical experience in substance abuse treatment. SKILLS AND KNOWLEDGE - Ability to work within a… more
- KPH Healthcare Services, Inc. (Eau Claire, WI)
- …the specific position **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + HIPPA Privacy CE Mastery Exam ... daily basis our team provides prescription medications, over-the-counter products, clinical consulting services, and specialty pharmacy services to more...+ HIPPA Security CE Mastery Exam + Fraud , Waste , and Abuse CE… more
- CareFirst (Baltimore, MD)
- …+ Provide support to investigative teams as they perform all levels of healthcare fraud , waste , and abuse investigations. Oral, written, and other ... the prevention, reduction of and/or recuperation of losses to CareFirst through the clinical review of medical records and claims, resulting in the savings and/or… more
- Kelly Services (St. Louis, MO)
- …guidance and innovative solutions for compliance with the Anti-Kickback Statute and other fraud , waste , and abuse statutes + Monitoring and analyzing ... delivering internal training programs on relevant healthcare compliance matters, including fraud and abuse prevention, Sunshine Act, Anti-Kickback and… more
- KPH Healthcare Services, Inc. (Marion, IL)
- …drug screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + MethGuard Course + HIPPA Privacy ... daily basis our team provides prescription medications, over-the-counter products, clinical consulting services, and specialty pharmacy services to more...Mastery Exam + HIPPA Security CE Mastery Exam + Fraud , Waste , and Abuse CE… more
- KPH Healthcare Services, Inc. (Eau Claire, WI)
- …drug screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + MethGuard Course + HIPPA Privacy ... daily basis our team provides prescription medications, over-the-counter products, clinical consulting services, and specialty pharmacy services to more...Mastery Exam + HIPPA Security CE Mastery Exam + Fraud , Waste , and Abuse CE… more
- KPH Healthcare Services, Inc. (Flowood, MS)
- …drug screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + MethGuard Course + HIPPA Privacy ... + Facilitate prior authorization process for customers + Provide clinical services in TherigySTM + Customer service coverage for...Mastery Exam + HIPPA Security CE Mastery Exam + Fraud , Waste , and Abuse CE… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Works closely with the Governance, Risk & Compliance (GRC) teams (Medicare, Medicaid, Privacy, Fraud , Waste & Abuse ) for dissemination of new or revised ... flexibility, and openness to change. Represent CCA and its clinical affiliates with professionalism. Keep current and proficient with...Promptly, in good faith, report any instances of suspected fraud , waste and abuse ; suspected… more
- Veterans Affairs, Veterans Health Administration (Fort Harrison, MT)
- …salary and benefit; and completing record data analysis to determine potential or actual fraud , waste and abuse , and to recommend redistribution of ... staff and trainees in their work environment, including inpatient clinical areas. The position will utilize a desk and...computer and may need to navigate throughout the facility clinical areas. Stamina and concentration to meet crucial deadlines… more
- Access Dubuque (Dubuque, IA)
- …compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or ... applicants!** Under the direction of a health care provider, Clinical Nurse LPN, is responsible for the delivery of...and well-being of our patients. Assist provider and other clinical staff with obtaining basic vital information preparing patient… more
- Veterans Affairs, Veterans Health Administration (Des Moines, IA)
- …salary and benefit; and completing record data analysis to determine potential or actual fraud , waste and abuse , and to recommend redistribution of ... experience is defined as progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This… more
- Carle (Urbana, IL)
- …compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or ... Friend Save Save Apply Now Position Summary: Assist provider and other clinical staff with obtaining basic vital information preparing patient for examination,… more
- Access Dubuque (Dubuque, IA)
- …compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or ... Health is a great place to work. https://dayinthelife.unitypoint.org/ **Responsibilities** ** Clinical Excellence/Patient Care** + Assesses the needs of patients and… more