- Point32Health (Canton, MA)
- …effectiveness of corrective action plans. + **Fraud Prevention:** Work with the Fraud Special Investigations Unit to ensure compliance with CMS requirements. ... Monitoring: Track** compliance performance across operational areas. + ** Investigations & Reporting:** Conduct compliance investigations , prepare… more
- Magellan Health Services (San Diego, CA)
- …compliance committee meetings. + Coordinates activities with the Internal Audit and Special Investigations Unit (SIU) on compliance matters including ... Serves as the compliance and privacy manager for assigned areas of...an SBU as applicable. Assists with regulatory and contract compliance for business managed by the Care Center or… more
- Capital One (Richmond, VA)
- …(12073), United States of America, Richmond, Virginia AML Sr. Investigator I - Special Investigations Unit **Anti-Money Laundering Sr. Investigator I - Complex ... Investigations Unit, Special Investigations Unit**...of investigative experience, or at least 2 years of compliance experience. **Preferred Qualifications:** -3 years AML experience, or… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator position. This is a temporary position working Monday through Friday ... This is a remote position. Under the direction of the manager, the Special Investigations Unit (SIU) Investigator is responsible for investigating assigned… more
- Humana (Indianapolis, IN)
- …departments to encourage sensible and culturally-competent business standards + Oversee internal investigations of FWA compliance issues + Work with the Contract ... and enforcement of the fraud, waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities...degree + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment… more
- Amazon (Tempe, AZ)
- …support and building loyalty with Amazon's millions of selling partners. The Special Projects and Investigations (SPI) team within TSI protects Amazon ... like fraud, cybersecurity, data security, internal risk, threat intelligence, regulatory compliance , vendor risk, etc. with strong data analysis and investigation… more
- CVS Health (Columbus, OH)
- …Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, ... behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements… more
- City of Reno, NV (Reno, NV)
- … investigations unit, including supervising staff, planning and organizing background investigations , and ensuring compliance with all relevant laws, rules, ... and procedural guidelines. + Establish office protocols for handling background investigations , document security, and policy compliance . + Continuously review… more
- State of Massachusetts (Boston, MA)
- …is responsible for ensuring that the Supervisor's assigned team completes all compliance inspections, new shop inspections, and complaint investigations in ... all inclusive) * Lead and manage a team of Compliance Officers/Investigators within the Office of Investigation in the...enforcement entities, including federal and state agencies, on joint investigations . Special focus and priority should be… more
- Novo Nordisk (Plainsboro, NJ)
- …you ready to realize your potential? The Position The Senior Specialist, EEO Investigations role will work under the supervision of EEO Investigators and Associate ... Director EEO Investigations to assist with and conduct EEO ...partners and stakeholders, including HR Business Partners, Ethics & Compliance , business leaders and employees. The Sr. Specialist leverages… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …true to the best of my knowledge. **Job Description** The Global Head of Investigations leads the global Investigations team in assessing concerns of misconduct, ... investigation and who should perform them, and conducting high-quality, independent investigations to address concerns of misconduct. This role involves overall… more
- Air Force Elements, US Special Operations Command (Macdill AFB, FL)
- …analytical, technical, and investigative work associated with assistance, investigations , complaint resolution, inspections, and Intelligence Oversight within ... Exercises supervisory personnel management responsibilities and supervisory control over Investigations and Inspections. Directs, coordinates, and oversees work of… more
- Morgan Stanley (Baltimore, MD)
- …Laundering (AML), Sanctions, Anti-Corruption and Government and Political Activities Compliance programs. If you are passionate about financial crimes prevention, ... of the implementation of the strategic target operating model for GFC Investigations , Screening and the Financial Intelligence Unit, including reporting of metrics… more
- Morgan Stanley (Baltimore, MD)
- …Laundering (AML), Sanctions, Anti-Corruption and Government and Political Activities Compliance programs. If you are passionate about financial crimes prevention, ... might be the right team for you. Your Key Responsibilities: As an experienced Investigations Director/Vice President in GFC, you will: * Lead investigations of a… more
- Pfizer (Collegeville, PA)
- …process including root cause analysis. The Senior Issue Lead will ensure the investigations are conducted thoroughly, within required timelines and to compliance ... other investigation leads. He/she will be assigned to process improvement initiatives and special projects as necessary and be expected to drive changes to the… more
- NJ Transit (Newark, NJ)
- …project managers to develop, implement, manage and enhance the process for compliance investigations at the various project sites, and various ... Principal, Compliance Operations - Special Programs and Projects Civil Rights & Diversity Job Description: Move forward with us! At NJ TRANSIT, you'll join us in… more
- State of Colorado (Denver, CO)
- TERM-LIMITED: Auto-Theft Investigator ( Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4693035) Apply TERM-LIMITED: ... Auto-Theft Investigator ( Special Agent III) Salary $96,396.00 - $116,400.00 Annually Location...partner with and assist any law enforcement agency with investigations and enforcement of laws related to all crimes… more
- Arkansas Government Job (Little Rock, AR)
- SPECIAL AGENT (Q070U) Date: Nov 15, 2024 Req ID: 44262 Location: Little Rock, AR, US, 72202 Category: OFFICE OF THE ATTORNEY GENERAL Anticipated Starting Salary: ... $70,000.00 SPECIAL AGENT-MEDICAID FRAUD DIVISION The Attorney General of Arkansas...reports + planning and conducting both civil and criminal investigations related to Medicaid provider fraud, abuse, and neglect,… more
- City of New York (New York, NY)
- …Office (CCMO), Office of Accountability Strategies (OAS), Office of Revenue and the Special Investigations Division (SID). The Special Investigations ... Social Services (DSS). Within DSS AO, the Office of Compliance & Support is comprised of the Compliance...Investigators of Discipline II to function as a Senior Special Investigator, who will: - Conduct investigations … more
- Bank of America (Jacksonville, FL)
- …relevant to the Investigators specific area of responsibility, specifically focused on Special Investigations , Global Markets, or Global Wealth and Investment ... ultimately reports to investigations teams responsible for coverage over Special Investigations , Global Markets, or Global Wealth and Investment Management.… more
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