- CVS Health (San Antonio, TX)
- …Participates in federal and state audits. Required Qualifications 5+ years of managing healthcare fraud , waste and abuse investigations and audits. 3+ years ... every day. Position Summary Direct oversight of SIU and Fraud , Waste and Abuse activities related to...and CHIP programs. Oversees activities related to the prevention, investigation , and prosecution of health care fraud … 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 safeguard our ... savings. Operate and maintain tools for evaluating air, water, and waste pollution, and ensure compliance with environmental legislation. Recognize and investigate… more
- Molina Healthcare (Louisville, 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; ability...of datamining and use of data analytics to detect fraud , waste , and abuse Proven ability to… more
- Centene Corporation (Frankfort, KY)
- …as a subject matter expert for the Contractor's Program Integrity unit to reduce Fraud , Waste and Abuse of Medicaid services within Kentucky. Provides direction ... guidance to staff who investigate and remediate compliance and fraud , waste , and abuse related matters; while...the Bachelors Degree . 5+ years of management experience Investigations and healthcare fraud -related investigations … more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …for all Omni-Channel businesses as needed. Works closely with Sr. Business Financial & Fulfillment Manager to minimize fraud , waste , and abuse. - Assists in ... Title: ASSET PROTECTION SAFETY MANAGER (OMNI CHANNEL and BUSINESS INTELLIGENCE) Location: United...and margin erosion programs focusing on causes related to fraud , waste , and abuse. Conducts extensive analysis… more
- Abt Global Inc. (Rockville, MD)
- …As the Assistant Project Manager for the Veterans Benefits Administration (VBA) Fraud , Waste , and Abuse (FWA) Project, you assist in managing a contract ... materials for leadership and client meetings. + Identify potential risks related to fraud , waste , and abuse; support mitigation planning. + Assist in developing… more
- Exelon (Chicago, IL)
- …to controls design and risk assessment processes; assisting in compliance and ethics investigations involving fraud , waste , and abuse; and developing and ... a rewarding career. Are you in? **Primary Purpose** The Manager , Audit Services, Fraud , is responsible for...experience leading investigations and/or audits related to fraud , waste , and abuse, compliance, and misconduct,… 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
- Abt Global Inc. (Rockville, MD)
- …Opportunity** As the Project Manager for the Veterans Benefits Administration (VBA) Fraud , Waste , and Abuse (FWA) Project, you will lead and coordinate ... VA Enterprise Cloud (VAEC) or comparable federal cloud platforms. + Knowledge of fraud , waste , and abuse (FWA) detection methodologies and related risk-analysis… 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
- 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
- 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
- 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
- Sharp HealthCare (San Diego, CA)
- …expertise. + experience in healthcare operations and related regulatory requirements such as Fraud , Waste , and Abuse, Privacy and Security, Conflict of Interest, ... for the position, and employer business practices. **What You Will Do** The Manager Entity Compliance is responsible for managing and coordinating the Compliance and… 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
- US Marine Corps (Arlington, VA)
- …merchandise, supplies and equipment to preclude or minimize the potential for fraud , waste and abuse. Customer Service/ EEO/Sexual Harassment: Provide World ... Responsibilities The primary duties of the Family Advocacy Program Manager are: Serve as the Program Manager ...be subject to a favorable Tier 1 Childcare (CNACI) investigation and complete a State Criminal History Repository Check… more
- Jabil (Florence, KY)
- …+ Identify opportunities to reduce cost through Lean process improvements, waste elimination, and workflow optimization. + Monitor departmental cost trends and ... knowledge of Lean principles such as 5S, standard work, waste elimination, root cause analysis, and continuous improvement. +...training, and experience will be considered. BE AWARE OF FRAUD : When applying for a job at Jabil you… more
