- CVS Health (Hartford, CT)
- …situation. **Education:** + Bachelor's degree or equivalent experience (3-5 years of working health care fraud , waste and abuse investigations). **Pay ... Certified Fraud Examiners (CFE), or an accreditation from the National Health Care Anti- Fraud Association (AHFI) + Knowledge of Aetna's policies and… more
- CVS Health (Columbus, OH)
- … fraud and abuse **Required Qualifications** + **3 years three years working on health care fraud , waste, and abuse investigatory and audits required.** + ... 1-3 years experience working on health care fraud , waste, and abuse investigations and audits required or equivalent investigations experience. + Knowledge… more
- CVS Health (Columbus, OH)
- …research information **Education:** - Bachelor's degree or an additional 5 years of working health care fraud , waste and abuse investigations. **Pay Range** ... Certified Fraud Examiners (CFE), or an accreditation from the National Health Care Anti- Fraud Association (AHFI) - Knowledge of Aetna's policies and… more
- State of Georgia (Fulton County, GA)
- …of our Medicaid Fraud Division. Duties & Responsibilities: Investigators conduct health care fraud investigations. Assists criminal justice personnel, ... including, but not limited to, Analysts, Auditors, and Prosecutors in conducting on-site health care fraud and patient abuse investigations. May be issued a… more
- Fox Rothschild LLP (Sarasota, FL)
- …Abilities:** + Experience with complex health care transactions. + Experience with health care compliance and fraud and abuse matters is preferred. + ... Corporate ( Health Care Regulatory) Associate - Sarasota **Description:** With bold growth in recent years, Fox Rothschild brings together 1,000 attorneys coast… more
- Executive Office for US Attorneys and the Office of the US… (Atlanta, GA)
- …most often brought for the United States under the False Claims Act and involve allegations of health care fraud , procurement fraud , grant fraud and ... seeks recovery of government funds fraudulently obtained, litigates affirmative civil fraud and enforcement actions, and defends the US Government's interest in… more
- MyFlorida (Orlando, FL)
- …Control Unit in Orlando, Florida. This position involves auditing of complex multi-million-dollar health care fraud investigations that can result in ... Investigator. 30% Serve as lead investigator on cases involving suspected Cost Report Fraud : + Nursing Homes, Hospitals, and Intermediate Care Facilities for… more
- Executive Office for US Attorneys and the Office of the US… (Missoula, MT)
- …organized crime, terrorism, complex securities and fraud cases, international narcotics, health care fraud , and public corruption. The District also ... the trial and appellate levels, involving matters such as health care , civil rights, environmental, false claims,...this position will have an emphasis on economic crime, fraud , tax, and drug crimes. If the office determines… more
- CACI International (Washington, DC)
- …The Document Management Analyst (DMA) role works closely with the Department of Justice, Health Care Fraud Division attorneys in a fast-paced setting and ... and administrative duties as requested by attorneys for Fraud Section ( Health Care Fraud division) investigations and trials. + Assist with case… more
- Hartford HealthCare (Hartford, CT)
- …emphasis on health law regulatory matters * Knowledge of federal and state health care regulations, including Fraud & Abuse, Stark, Anti-Kickback, HIPAA, ... on regulatory matters related to a transaction, regulatory enforcement, and health care compliance matters, including licensing issues, Connecticut Certificate… more
- Executive Office for US Attorneys and the Office of the US… (Mobile, AL)
- …Title VII, personal injury / tort (FTCA), condemnation/eminent domain, environmental, and civil health care fraud cases. Because the applicant will handle ... for investigating and prosecuting affirmative civil cases for damages due to fraud upon the federal government and civil monetary penalties for violations of… more
- Executive Office for US Attorneys and the Office of the US… (Houston, TX)
- …and procedural matters, and sentencing issues. The appeals arise from diverse crimes, such as health care fraud , mortgage fraud , other complex fraud ... includes, in part, paid vacation; sick leave; holidays; telework; life insurance; health benefits; and participation in the Federal Employees Retirement System. The… more
- Trinity Health (Livonia, MI)
- …+ **Additional Qualifications (nice to have)** * Master's degree.* Experience serving health care organizations.* Certified Fraud Examiner.* Computer ... and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health ...equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants… more
- Fallon Health (Worcester, MA)
- …resolve investigations, mitigate risk, and capture results. + 5-8 years of related health care claims auditing experience in a complex healthcare environment, ... and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and...Director of Internal Audit in their leadership of the Fraud , Waste and Abuse (FWA) program. The FWA Manager… more
- CVS Health (Columbus, OH)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....affordable. **Position Summary** Aetna is seeking an experienced Healthcare Fraud Manager to lead and oversee a team of… more
- Guidehouse (New York, NY)
- …7 years of fraud , regulatory compliance, and/orinvestigations experience or relevant health care operations management at any/all of the following: public ... disputes consulting, forensic accounting, operational and/or compliance consulting) or relevant health care operations management at any/all of the following:… more
- CVS Health (Tallahassee, FL)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** We are… more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** Bachelor's Degree; Certified in Healthcare Compliance (CHC) - Health Care Compliance Association (HCCA) **Hours** **:** **Shift Start Time:** ... employer business practices. **What You Will Do** The Senior Fraud , Waste and Abuse Specialist at Sharp Health...and projects. + Certified in Healthcare Compliance (CHC) - Health Care Compliance Association (HCCA) -PREFERRED **Other… more
- JPMorgan Chase (Newark, DE)
- …and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a ... The Asset and Wealth Management Fraud Management is seeking a high performing Associate...and bank financial exposure with a high level of care . As our team and organization grows, flexibility with… more
- Guidehouse (New York, NY)
- …Plan + Group Term Life and Travel Assistance + Voluntary Life and AD&D Insurance + Health Savings Account, Health Care & Dependent Care Flexible Spending ... **Clearance Required** **:** None **What You Will Do** **:** + Provide fraud business and technology domain knowledge to existing projects delivering solutions and… more