- Commonwealth Care Alliance (Boston, MA)
- …(FWA) Special Investigation Unit (SIU). The position reports directly to the Sr. Director , Fraud , Waste & Abuse . This position utilizes a variety of FWA ... management reports. + Knowledge of federal and state laws and regulations pertaining to fraud , waste and abuse . + Desire to work in a collaborative and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- … and abuse schemes. + Support the Medicare compliance program by overseeing Medicare fraud waste and abuse activity in FIP, work with the Pharmacy ... Benefit Manager on fraud waste and abuse work, present to the Medicare Compliance Committee and manage requests and audits from CMS. + Support the Federal… more
- New York State Civil Service (East Amherst, NY)
- …risk and minimize incidents of fraud , waste , corruption or abuse within DASNY business. The Assistant Director supervises, develops and leads strong, ... Authority of the State of New York Title Assistant Director , Office of Professional Integrity Occupational Category Legal Salary...guidance and training for DASNY staff with regard to fraud , waste , corruption or abuse … more
- State of Massachusetts (Boston, MA)
- …Program Integrity Director is responsible for leading MassHealth's efforts to control fraud , waste and abuse ("FWA") across the agency's programs. The ... The Deputy Program Integrity Director is a policy, people and operational leader...program integrity oversight of managed care entities' controls against fraud , waste and abuse , including… more
- Centene Corporation (New York, NY)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Oversee a full range of waste , abuse and fraud investigations, audits and medical code ... editing scenarios. Ensure all audits adhere to federal and state Medicaid fraud , waste and abuse guidelines. + Oversee the activities of the SIU for accurate… more
- City of New York (New York, NY)
- …and compliance operations in support of the agency's mission to detect and deter fraud , waste and abuse . Allocate technological resources to provide for ... It also manages the process by which all undercare fraud referrals are identified, triaged and assigned to the...Administrative Staff Analyst NM II to function as a Director , who will: - Oversee all the data reporting… more
- DCCA (Columbia, MD)
- Project Director Location Columbia, MD Job Code 2245 #...experience: . Experience managing personnel and clients on a fraud , waste , and abuse program ... a competitive compensation and benefits package. Visit our website at: www.dcca.com Project Director Candidate must have or be willing to obtain a Public Trust… 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 ... **Why This Role is Important to Us:** The Senior Director , Third Party Compliance Oversight reports directly to the...Promptly, in good faith, report any instances of suspected fraud , waste and abuse ; suspected… more
- WelbeHealth (Brooklyn, NY)
- …compliance issues, corrective action plans, and the Fraud , Waste , and Abuse program + Collaborate with Executive Director and Medical Director during ... the Elderly (PACE). Under the direction of the Executive Director and in close collaboration with the Medical ...Director and in close collaboration with the Medical Director , the Quality Improvement (QI) Director develops… more
- US Marine Corps (Quantico, VA)
- …funds, supplies, equipment, and information to preclude or minimize the potential for fraud , waste , and abuse . Determine equipment and property requirements. ... as the Marine Corps Family Team Building (MCFTB) Deputy Director within Marine and Family Programs, Marine Corps Community...and prevention of sexual harassment, being alert to alcohol/drug abuse to take appropriate action. Must be able to… more
- City of New York (New York, NY)
- …project audits performed by CPA Firms to address various referrals to the OCA regarding potential fraud , waste , and abuse of City funds at CBOs. - Overseeing ... other applicable City, State, and Federal laws. The OCA Director will report to the OCA Senior Director... Director will report to the OCA Senior Director and will directly oversee two Deputy Directors. Deputy… more
- City of New York (New York, NY)
- …CPA Firms and OCA Senior Auditors to address various referrals to the DYCD regarding potential fraud , waste , and abuse of City funds at CBOs. - Overseeing ... DYCD's Fiscal Manual, and other applicable City, State, and Federal regulations. The Director of Contract Agency Audits will report directly to OCA's Senior … more
- National Science Foundation (Alexandria, VA)
- …scarce resources among major competitive programs, and manage post-award evaluation. Control waste , fraud and abuse . REPRESENTATION, COMMUNICATION AND ... Foundation is seeking qualified candidates for an Interdisciplinary (Program Director ) position within Directorate of Engineering (ENG), Division of Electrical,… more
- State of Massachusetts (Boston, MA)
- …teams. * Assist the CFO in developing the Internal Control Plan. Coordinate quarterly Fraud , Waste , and Abuse Prevention meetings. * Act as COMMBUYS ... youth transitioning back to the community from a DYS residential program. The Director of Procurement is responsible for managing the daily operations of the… more
- Nuclear Regulatory Commission (Rockville, MD)
- …of planned accomplishments, as well as the adequacy of fiscal controls to guard against waste , fraud , and abuse . Assesses the potential for new or modified ... requirements and NRC prohibited securities ownership restrictions Responsibilities The Deputy Director , Office of Administration, assists the Director in… more
- CAMBA (Brooklyn, NY)
- …to improve the HealthLink program's efficiency and quality of services, and reduce vulnerability to fraud , waste and abuse . + Investigate and take action on ... agency, providing clients with personal care coordinators. Position: Compliance Director Reports Chief Legal Officer Location: 2244 Church Avenue Brooklyn,… more
- US Agency for International Development (Washington, DC)
- …package. The Office of Inspector General (OIG) is committed to detecting and preventing fraud , waste , and abuse within the US Agency for International ... Foundation (IAF), and Millennium Challenge Corporation (MCC). Responsibilities The Director , Office of Communications and Innovation supervises a broad range… more
- Air National Guard Units (Springfield, IL)
- …the Air Force and National Guard Inspection System, Complaints Resolution Program, and Fraud , Waste , and Abuse Program; work that involves managing ... SERVICE POSITION. This National Guard position is for a DIRECTOR OF INSPECTIONS (TITLE 32), Position Description Number D2898000...the IL 183 WG, National Guard. Responsibilities As a DIRECTOR OF INSPECTIONS (TITLE 32), GS-1801-12, you will serve… more
- Burrell Behavioral Health (Springfield, MO)
- …billing for Federal health care program overpayments. + Analyze claims data for potential fraud waste , and abuse patterns. + Prepare and present audit ... Job Description: Job Title: Director of Compliance Risk Management Location: Springfield, MODepartment:...System Members' participation in the Federal healthcare program. The Director of Compliance Risk Management position offers + All-Inclusive… more
- Air National Guard Units (St. Paul, MN)
- …can be accomplished based on available manpower and resources. Conducts IG complaint, Fraud , Waste and Abuse (FWA), and whistleblower intake by ... apply Responsibilities Major Duties: This is not an all-inclusive list A DIRECTOR OF INSPECTIONS, GS-1801-12, 1. Plans, organizes, resources, and directs the… more