- DoorDash (Seattle, WA)
- …About the RoleAs the Director of Product for Integrity, you'll own the entire Fraud , Trust and Safety space at DoorDash and drive the product strategy and execution ... be responsible for both the long term product strategy as well as execution: Fraud : Keeping DoorDash and our customers financially safe and preventing bad actors from… more
- DoorDash USA (California, MO)
- …About the Role As the Director of Product for Integrity, you'll own the entire Fraud , Trust and Safety space at DoorDash and drive the product strategy and execution ... responsible for both the long term product strategy as well as execution: Fraud : Keeping DoorDash and our customers financially safe and preventing bad actors from… more
- Jackson Health (Miami, FL)
- …further understands that JHS is committed to its role in preventing health care fraud and abuse and complying with applicable state and federal laws related ... world's most skilled and highly regarded multidisciplinary team of healthcare professionals. Professional Summary: The Associate Chief Operating Officer...to health care fraud and abuse . This commitment is supported… more
- Afterpay (San Francisco, CA)
- …and build solutions to support internal and external customers. Drive hardware fraud policy & abuse prevention product development including detection, models, ... and be responsible for scaling Shop's internal platform, reducing risk and fraud associated with Square hardware, and building growth infrastructure to drive… more
- Chapters Health System (Washington, DC)
- …all State, federal and local government regulations, maintaining a strong position against fraud and abuse . Comply with Company policies, procedures and standard ... highest standards of conduct and ethical behavior, adopting a strong position against fraud and abuse . Regulatory Compliance: Educate and monitor staff regarding… more
- Stout (Boca Raton, FL)
- …of the healthcare industry preferred, including federal and state fraud and abuse laws (Stark, Anti-Kickback, etc.), general understanding of ... the country, we provide specialized experience across a broad spectrum of industries.Our Healthcare Valuation group is looking for a Vice President candidate for its… more
- Stanford Health Care (Palo Alto, CA)
- …program that includes ensuring compliance with Medicare and Medicaid billing regulations, fraud and abuse laws, applicable state laws, and HIPAA. ... management and facilitation skills. Licenses and Certifications CHC-Certification in Healthcare Compliance preferred. Equal Opportunity Employer Stanford Health Care… more
- Guidehouse (New York, NY)
- …Investigative Services (FFI-Health) team. FFI-Health is currently seeking candidates with relevant healthcare fraud , waste, and abuse (FWA), regulatory ... 5 years of consulting or in-house experience working on matters related to healthcare fraud , regulatory compliance, or investigations and/or relevant health care… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …The SIU Investigator will be responsible for identification, investigation and prevention of healthcare fraud , waste and abuse . The primary responsibility of ... is to investigate medium to highly complex cases of fraud , waste and abuse . In addition, the...local, state and federal laws and regulations pertaining to healthcare fraud . Experience analyzing and interpreting data… more
- Molina Healthcare (Owensboro, KY)
- …The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position ... of experience working in a FWA / SIU or Fraud investigations role for New Jersey/New York location +...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Centene Corporation (Frankfort, KY)
- …fresh perspective on workplace flexibility. **Position Purpose:** Investigate allegations of potential healthcare fraud and abuse activity. Assist in ... claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse . + Conduct investigations of potential waste,… more
- New York State Civil Service (New York, NY)
- …detectives, and analysts to identify and prosecute financial fraud in the healthcare industry and abuse and neglect of residents in healthcare ... General, Office of the Title Lateral Attorney: Investigate & Prosecute Financial Fraud 3726 Occupational Category Legal Salary Grade NS Bargaining Unit M/C -… more
- AbbVie (Mettawa, IL)
- …laws, regulations and codes of ethics related to advertising and promotion, antitrust, healthcare fraud & abuse and anti-bribery. Key Responsibilities ... Counsel position is responsible for advising on a variety of Global (ex-US) healthcare -related legal issues pertaining to brand and market access strategies, with a… more
- CareFirst (Baltimore, MD)
- …timelines. + Provide support to investigative teams as they perform all levels of healthcare fraud , waste, and abuse investigations. Oral, written, and other ... FUNCTIONS:** + Review of medical records and claims. + Investigate potential fraud and over-utilization by performing complex medical reviews of claims and medical… more
- New York State Civil Service (Syracuse, NY)
- …Agency Attorney General, Office of the Title Forensic Auditor: Support Healthcare Fraud Investigations (6342) Occupational Category Financial, Accounting, ... data analysts, nurses, and legal support analysts to conduct complex, long-term healthcare fraud investigations.The Medicaid program provides health coverage to… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …risk management advice to the business regarding the creation of controls to manage fraud , waste and abuse schemes. + Support the Medicare compliance program by ... Ready to help us transform healthcare ? Bring your true colors to blue. Blue...overseeing Medicare fraud waste and abuse activity in FIP,...overseeing Medicare fraud waste and abuse activity in FIP, work with the Pharmacy Benefit… more
- Elevance Health (Columbus, OH)
- …responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse . **How will you make an impact:** + Conducts ... billing and processing guidelines and to identify opportunities for fraud and abuse prevention and control. +...records as related prior to payment. + Research new healthcare related questions as necessary to aid in investigations.… more
- Umpqua Bank (Tigard, OR)
- …+ Conducts investigations to identify internal fraud , customer account fraud transactions, identity theft, and elder abuse . Writes Investigative Reports ... Fraud Investigator Corporate Risk Tigard, Oregon Lake Oswego,...during the recruitment process. We offer eligible associates comprehensive healthcare coverage (medical, dental, and vision plans), a 401(k)-retirement… more
- Providence (CA)
- …related to coding, medical record documentation requirements, healthcare compliance and fraud , waste and abuse to Health Plan staff, vendors and contracted ... provider, facility or health insurance company + 2+ years fraud and abuse audit experience at a...health care fraud investigation, such as Accredited Healthcare Fraud Investigator (AHFI), Certification as an… more
- New York State Civil Service (New York, NY)
- …the Unit's New York City office. The selected attorneys will lead complex civil fraud investigations in the healthcare industry, as well as litigate such matters ... Attorney General, Office of the Title Lateral Attorney: Lead Complex Civil Fraud Investigations(3723) Occupational Category Legal Salary Grade NS Bargaining Unit M/C… more
