- CVS Health (Hartford, CT)
- …care more personal, convenient and affordable. **Position Summary** We are seeking an experienced Healthcare Fraud Manager to lead and oversee a team of ... investigators in our efforts to identify, prevent, and mitigate healthcare fraud , waste and abuse. This role involves not only directing fraud detection and… more
- CVS Health (Columbus, OH)
- …regulatory inquiries. **Required Qualifications:** Minimum 5+ years of experience in healthcare fraud detection, investigation, or auditing In-depth knowledge of ... healthcare systems, claims processing, and regulatory requirements related to healthcare fraud . Proficient in researching information and identifying… more
- CVS Health (Albany, NY)
- …reporting, coordinating interdepartmental program integrity initiatives, vendor oversight of fraud waste and abuse (FWA) activity, and identifying services at ... for compliance with state and federal regulations mandating the reporting of corporate fraud related activities and the preparation of the corporate Anti- Fraud … more
- CVS Health (Hartford, CT)
- …You will lead a team responsible for ensuring the quality and integrity of healthcare fraud and abuse investigations. This role involves overseeing the training ... team responsible for ensuring the quality and integrity of healthcare fraud and abuse investigations. This role...Assess training needs and collaborate with the SIU Sr. Manager to create development plans for team members. +… more
- CVS Health (Hartford, CT)
- …through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct ... federal policies. + Identify potential billing errors, abuse, and fraud . + Identify opportunities for savings related to potential...as management back-up and supports the team when the manager is out of the office. **Required Qualifications:** +… more