- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and ... abusive practices. The Manager , Fraud and Waste works...to coordinate investigations and supervises the activities of the Special Investigations Unit (SIU) to ensure accurate and timely… more
- Centene Corporation (New York, NY)
- …perspective on workplace flexibility. **Position Purpose:** Develop, implement and manage strategic fraud , waste and abuse activities by maintaining state and ... and claims payment + Lead a team appropriately investigate all possible fraud , waste and abuse referrals + Develop educational materials to address/identify … more
- Amazon (Seattle, WA)
- …worldwide by protecting customers, brands, selling partners, vendors and Amazon from fraud , counterfeit, and abuse as well as providing world‐class support and ... building loyalty with Amazon's millions of selling partners. The Special Projects & Investigations (SPI) team protects Amazon's WW...customer-centric company. We catch bad actors and stop online fraud ; It's fun! It's hard! It matters! We are… more
- NJ Transit (Newark, NJ)
- …/ requested. + Develops reports and communication pieces on enhanced efforts to prevent fraud , waste and abuse in the DBE/SBE/DVOB aspects of NJ TRANSIT ... Principal, Compliance Operations - Special Programs and Projects Civil Rights & Diversity...implements quality assurance and quality controls (eg Peer review, Manager /Director signoff.) for key OBD processes applicable to DBE/SBE/DVOB… more
- KPH Healthcare Services, Inc. (Appleton, WI)
- …random drug screening test **Required Training:** + HIPAAPrivacy Course + HIPAASecurity Course + Fraud , Waste , and Abuse Course + HIPPA Privacy CE Mastery Exam + ... supervision to store employees in the absence of Facility Manager . Assists Facility Manager in training and... Fraud , Waste , and Abuse CE Mastery Exam… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …drug screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + MethGuard Course + HIPPA Privacy CE ... other duties as assigned **Qualifications** **Education:** + BS preferred ** Special Conditions of Employment:** + Drug test + Initial...Mastery Exam + HIPPA Security CE Mastery Exam + Fraud , Waste , and Abuse CE Mastery Exam… more
- MyFlorida (Fort Myers, FL)
- …Division of Public Assistance Fraud is to aggressively identify and eliminate fraud , waste , and abuse to safeguard the integrity of taxpayer funded public ... EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY: FORT MYERS COUNTY: LEE TheCriminal Investigations Divisionencompasses… more
- Magellan Health Services (San Diego, CA)
- …Internal Audit and Special Investigations Unit (SIU) on compliance matters including fraud , waste , and abuse auditing and monitoring, as directed. + Ensures ... Serves as the compliance and privacy manager for assigned areas of the company or...program as assigned or, where applicable, security, HIPAA, and anti- fraud efforts within the assigned Care Center. + Assists… more
- NANA Regional Corporation (Morgantown, WV)
- …attention to detail + Maintains sensitivity to, and report on, instances of fraud , waste and abuse. + Demonstrated knowledge of project management processes ... Akima Facilities Operations is looking for a Program Manager to work in the Morgantown WV; Pittsburgh, PA OR Albany, OR location. Candidate will be responsible for… more
- NANA Regional Corporation (GA)
- …attention to detail. + Maintains sensitivity to, and report on, instances of fraud , waste and abuse. + Demonstrated knowledge of project management processes ... This position is responsible to the company President/General Manager for the direction, safe operation, compliance, quality delivery and profitability of the… more
- Modivcare (Edison, NJ)
- …that adjustments are made, as necessary. + Train staff on how to identify and prevent fraud waste and abuse. + Assists with providing support to the office staff ... national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please… more
- Billings Clinic (Billings, MT)
- …and/or to prevent or reduce vulnerability to illegal, unethical or improper conduct, fraud , abuse and waste . Reports regularly to Compliance Director and ... and/or to prevent or reduce vulnerability to illegal, unethical or improper conduct, fraud , abuse and waste . Reports regularly to Compliance Director and… more
- Air National Guard Units (Duluth, MN)
- …Air Force Complaint Resolution Process; Assisting in the establishment and implements the Fraud , Waste and Abuse (FWA) program in accordance with United States ... guidelines set out in the Department of Defense (DoD) Hotline program for reporting Fraud , Waste and Abuse complaints; Assisting members of the Army National… more
- Elevance Health (Columbus, OH)
- …of 6 years medical coding/auditing experience, including minimum of 4 years in fraud , waste abuse experience; or any combination of education and experience, ... and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**...trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters… more
- KPH Healthcare Services, Inc. (Lehighton, PA)
- …the specific position **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + HIPPA Privacy CE Mastery Exam + ... Work on-call schedule, where applicable + Interacts with Facility Manager in the appropriate completion of hiring practices, performance...HIPPA Security CE Mastery Exam + Fraud , Waste , and Abuse CE Mastery Exam… more
- KPH Healthcare Services, Inc. (North Syracuse, NY)
- …the specific position **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + HIPPA Privacy CE Mastery Exam + ... Work on-call schedule, where applicable + Interacts with Facility Manager in the appropriate completion of hiring practices, performance...HIPPA Security CE Mastery Exam + Fraud , Waste , and Abuse CE Mastery Exam… more
- Air National Guard Units (Kelly, NC)
- …to the customer. Manages and executes internal control procedures to protect against fraud , waste , and abuse. Performs other duties as assigned. Requirements ... comply with applicable laws, and that funds are safeguarded against waste , loss, and misappropriation. Reviews accounting and pay documents, travel vouchers,… more
- KPH Healthcare Services, Inc. (Hoffman Estates, IL)
- …the specific position **Required Training:** + HIPPA Privacy & Security Course + Fraud , Waste , and Abuse Course **Job Skills Required:** + Communicates ... care to clients as delegated by the RN Case Manager . **Responsibilities** **Job Duties:** + Provides professional nursing care...up to eight hours per day. Involves prolonged phone ** Special Conditions of Employment:** + Drug test + Initial… more
- KPH Healthcare Services, Inc. (Williston, VT)
- …test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + MethGuard Course **Behavioral Traits Required:** ... any issues with pharmacy services + Reports any pharmacy issues to pharmacy manager to address + Maintain and keep reasonable production as determined by supervisor… more