- JobsRUs (Canton, NY)
- …to working closely with our clientsWe currently seeking candidates for the Fraud Research position in Canton, NY40 hours per week$20.00/hr Required Skills:-Call ... claims and inquiriesClose cards and reorder when appropriateWork with Fraud Analysts as necessary.-Assist customers with Quicken/QuickBooks.-Enter information and… more
- Option Care Health (Chicago, IL)
- …home infusion provider, there is no limit to the growth of your career. Option Care Health , Inc. is the largest independent home and alternate site infusion ... in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for… more
- Option Care Health (Springfield, IL)
- …and optimizing business performance.Serves as a subject matter expert in health care compliance including, but not limited to fraud , waste and abuse; ... no limit to the growth of your career. Option Care Health , Inc. is the largest independent...landscape including OIG Guidance, corporate compliance program guidance, special fraud alerts, etc. and drives policy enhancements to align… more
- Truliant Federal Credit Union (Winston-Salem, NC)
- …fitness facilities or health club reimbursementEmployee Assistance Program (EAP)Medical flexible spending accountDependent care flexible spending ... to ensure that staff members apply appropriate skill in controlling loan and fraud losses.Performs all teller transactions as requested and has capability to balance… more
- MultiPlan (Atlanta, GA)
- …and understand requirements documents. Discuss and clarify requirements as needed with health care researchers and analysts.9. Debug, enhance and improve ... Our employees do just that by helping healthcare payers manage the cost of care , improve competitiveness and inspire positive change. You can be part of an… more
- Truliant Federal Credit Union (Charlotte, NC)
- …fitness facilities or health club reimbursementEmployee Assistance Program (EAP)Medical flexible spending accountDependent care flexible spending ... to ensure that staff members appropriately control and minimize loan and fraud losses. Verifies that all Teller's are meeting Credit Union Balancing… more
- Pace of Southwest Michigan (St. Joseph, MI)
- …Physical Therapy Assistant to add to our growing TEAM!PACE (Program of All-Inclusive Care for the Elderly) is a unique healthcare solution for seniors who struggle ... with health issues that may jeopardize their independence. PACE is...independence. PACE is a wonderful alternative to nursing home care which enables participants to live safely at home.The… more
- Granite State Physical Therapy Hooksett PLLC (Gilford, NH)
- Description:FUNCTION: Patient Care /Clinic OperationsINTRINSIC RESPONSIBILITIES: Provide assessments/evaluations and other physical therapy services to patients ... clients for the purpose of injury prevention and rehabilitation as well as health promotion. Participate in activities and training to promote and attain regulatory… more
- ICONMA (Dewitt, NY)
- …community resource needs for coordinating, integrating, and monitoring the use of medical and health care services for members; The SN UAS Nurse may also perform ... current members, providers, and community-based agencies. Assesses, plans, and implements care strategies that are individualized by patient and directed toward the… 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
- Molina Healthcare (Covington, KY)
- …prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse. Duties include ... Services, Claims) to gather documentation pertinent to investigations. + Detects potential health care fraud , waste, and abuse through the identification of… more
- MyFlorida (Miami, FL)
- …writing comprehension and an understanding about legal proceedings and investigations related to health care fraud and abuse. The Florida Medicaid program ... Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 831449 Agency: Agency for Health Care Administration Working Title: 68063500 -… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Association of Certified Fraud Examiners (ACFE) to keep apprised of developments in health care fraud . **What you'll bring:** + Bachelor's Degree in ... Certified Professional Coder (CPC), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI) preferred. + (2) years of active… more
- Commonwealth Care Alliance (Boston, MA)
- …to Us:** The Associate Investigator works with a growing team conducting and managing Health Care Fraud , Waste and Abuse investigation and prevention ... background or formal data analyst background preferred. + Prior experience in health care compliance, regulation, SIU, government agency or similar position… more
- Providence (OR)
- …+ Current certification as Certified Coding Professional (CPC) + Current certification in health care fraud investigation, such as Accredited Healthcare ... to coding, medical record documentation requirements, healthcare compliance and fraud , waste and abuse to Health Plan...New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more… more
- DCCA (Columbia, MD)
- …Investigations Unit (SIU) experience Education/Certifications: . Bachelor's Degree . Accredited Health Care Fraud Investigator (AHCFI) certification ... timeliness, and business relations. . Demonstrates a clear understanding of fraud operations. . Leads innovation activities. . Ensures appropriate staffing levels.… 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
- New York State Civil Service (New York, NY)
- …and the New York City Police Department; and participates in meetings of the FBI Health Care Fraud Task Force;* Works closely with other law enforcement ... the New York City Police Department; and participates in meetings of the FBI Health Care Fraud Task Force;* Works closely with other law enforcement agencies… more
- Humana (Columbus, OH)
- …lines of business; + Advising on Medicare Advantage rules and regulations and related health care fraud and abuse laws, including the Anti-kickback statute ... of experience in health law at a law firm or in-house health care organization + Experience in Medicare, Medicaid, or similar regulatory work + Strong legal… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …laws, regulations and company policies, including but not limited to, FDA regulations, OIG guidance, health care fraud and abuse, Open Payments and HIPAA. + ... Child Daycare, Cafe, Fitness Center** _*US Only_ _**Limited locations_ We care about your health and financial well-being and offer the resources you need to… more
