- Humana (Pierre, SD)
- …part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive ... schedules and goals. **Where You Come In** The Manager , Fraud and Waste coordinates investigation with law enforcement authorities. Assembles evidence… more
- Army National Guard Units (Carson City, NV)
- …for filing IG complaints or IGARs. (4) Assists in the establishment and implements the Fraud , Waste and Abuse (FWA) program in accordance with United States Army ... Summary This position is for a INVESTIGATIONS AND INQUIRIES SPECIALIST, PD# D1165P01, part of...the Department of Defense (DoD) Hotline program for reporting Fraud , Waste and Abuse complaints. (5) As… more
- UPMC (Pittsburgh, PA)
- …to 4:30 pm This is a remote position. Under the direction of the manager , the Special Investigations Unit (SIU) Investigator is responsible for investigating ... assigned fraud , waste and abuse (FWA) cases, as...cases. This role includes supporting current SIU staff and manager with investigations and special projects. Responsibilities:… more
- Atlantic Health System (Morristown, NJ)
- …coordinate internal investigations and prepare reports on the incidents and investigation findings. + The Manager will be responsible for assessing ... The Compliance and Privacy Manager oversees, in pertinent part, the following compliance...areas: (i) general compliance and compliance program effectiveness; (ii) fraud , waste and abuse and Deficit Reduction… more
- Walmart (Carrollton, GA)
- **Position Summary ** Join Walmart's Asset Protection team in Supply Chain as Manager 1, Asset Protection. In this role, you will leverage your expertise to ... savings. + Operate and maintain tools for evaluating air, water, and waste pollution, and ensure compliance with environmental legislation. + Recognize and… more
- Molina Healthcare (Louisville, KY)
- …and actions. + Works with leadership to maintain and revise policies and procedures, fraud , waste , and abuse plans, annual audit work plans, including department ... accountability for compliance by overseeing, follow-up and resolution of investigations . **KNOWLEDGE/SKILLS/ABILITIES** + Provides oversight and review of the SIU… more
- First Student (Pittsburgh, PA)
- …not limited to: managing crisis through proactive preparation; emergency response: recognizing signs of fraud and waste ; IT security; + 6) Sales + Make strategic ... technology the transportation industry has to offer.** **First Student is hiring a Manager in Development in Pittsburg, PA!** **Salary: $60,000** **The Manager … more
- Point32Health (Canton, MA)
- …for conducting high-volume Pre-Payment Fraud Waste & Abuse ("FWA") investigations under the direction of the Manager , FWA Prepayment Review. The ... Investigation Unit ("SIU") responsible for leading complex provider investigations related to fraud , waste ,...every day! + Other duties as assigned by the Manager , Pre-Payment Review Qualifications - what you need to… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Investigations . Investigative Auditors will generally be assigned to investigate complaints of fraud , waste , and abuse of public funds and resources. However, ... Manager or the Executive Counsel/Assistant Legislative Auditor for Investigations . Position Distinctions The Investigative Senior Auditor 1 position differs from… more
- Grant Thornton (Atlanta, GA)
- …Building analyses on datasets using SQL and other data-analytic techniques to detect fraud , waste , and abuse within corporate financial records and other data ... Job Title: Forensic Technology Services Experienced Manager for Multiple Openings Approved Locations: 1100 Peachtree Street, Suite 1400, Atlanta, GA 30309.… more
- NANA Regional Corporation (Chambersburg, PA)
- …attention to detail. + Maintains sensitivity to, and report on, instances of fraud , waste and abuse. + Demonstrated knowledge of project management processes ... of new or modified budgets, strategic plans, or policies. The PM Contract Manager is responsible for work efforts focused on five areas: Maintenance Manufacturing… more
- Grant Thornton (Phoenix, AZ)
- …and/or pertinent to tax credit incentives. + Assisting in matters involving fraud , waste , and abuse, including allegations of bribery, collusion, conflicts ... As a Real Estate/Construction Advisory Manager , you will get the opportunity to grow...include planning, directing, and completing projects and services for investigations , litigation support, project monitoring initiatives, and developing and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Our Investigative Staff Auditors are professional employees with a good working knowledge of investigations of complaints of fraud , waste and abuse involving ... Auditors will generally be assigned to investigate complaints of fraud , waste , and abuse of public funds...for more complex work, by more advanced knowledge of investigations , and by requiring less supervision and review of… more
- Molina Healthcare (Covington, KY)
- …from opinions + Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations + Knowledge of Managed Care and the Medicaid and ... Minimum of two (2) years' experience working on healthcare fraud related investigations /reviews + Proven investigatory skill;...of datamining and use of data analytics to detect fraud , waste , and abuse + Proven ability… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of the SIU Management, this position is responsible for the accurate and thorough clinical investigation of potential fraud , waste and abuse (FWA) for all ... + Prepares recommendations on preventive/corrective measures for the deterrent of future fraud . + Supports other SIU investigators and analysts with their cases by… more
- CVS Health (Richmond, VA)
- …large healthcare datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud , waste , and abuse in Medicaid ... Python who can transform complex healthcare data into actionable insights to support fraud , waste , and abuse (FWA) detection and Medicaid regulatory & compliance… more
- Elevance Health (Indianapolis, IN)
- …evaluate and recommend focused investigative activities involving market trends indicating Fraud , Waste and Abuse within the healthcare industry. **How ... Responsible for providing leadership and guidance to the Special Investigations Unit **Pharmacy** team in investigating, collecting, researching and analyzing… more
- Aramco Services Company (Houston, TX)
- …scope of the audit work to be completed. + Conducts objective, thorough, and timely investigations into allegations of fraud , waste or abuse committed by ... conflict of interest, insider trading & anti-trust violations, procurement schemes and fraud . Involves in special inquiry investigations , that require a high… more
- Navy Exchange Services (NEX) (Mayport, FL)
- …and external theft investigations , suspected unethical conduct, accidents, workplace violence, fraud , waste or abuse and ensure that activities are conducted ... provides oversight on overnight surveillance activities, covert camera installations, investigations , and the interviewing of all dishonest associates, vendors and… more
- Navy Exchange Services (NEX) (Newport, RI)
- …detect and detain individuals suspected of shoplifting. Investigates other suspected incidents of fraud waste and abuse as directed. - Prepares case reports ... LPS standards. - Conducts audits as directed by the Loss Prevention Safety Manager or Supervisor of cash registers cash offices retail inventory controls and service… more