- 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 (Honolulu, HI)
- …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
- City of New York (New York, NY)
- …City Department of Correction seeks to recruit a Director to oversee the Special Investigations Unit's (SIU) Intelligence Team. Under the direct supervision of ... management level position will be responsible for conducting all investigations into allegations of misconduct and special ...also for other subunits (PREA Investigation Unit, PREA Facility Compliance Unit and the K-9 Operations Unit) of the… 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
- USAA (San Antonio, TX)
- …10 consecutive business days each calendar year. As a dedicated with **Director, Special Investigations Unit (SIU),** you will be responsible for Life, Annuity ... Come be a part of what makes us so special !. **The Opportunity** This job profile is designated as...as defined within the Enterprise Sensitive Positions Mandatory Time-Away Compliance Policy. Employees in Sensitive Positions are required to… more
- CVS Health (Wellesley, MA)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** The Special Investigations Unit is seeking a Sr. Manager to lead our ... new ASO investigations team. The Healthcare Fraud Senior Manager is responsible...working closely with internal and external stakeholders and ensuring compliance with regulatory requirements. The Senior Manager develops strategies… more
- Muckleshoot Indian Tribe (Auburn, WA)
- JOB SUMMARY The Regulatory and Special Investigations (RSI) Agent is the primary regulator and investigator on the Muckleshoot Tribe's gaming properties. They ... or equivalent, PCI or CFE, and one (1) year experience in corporate investigations Special Requirements:A valid Washington State driver's license is required at… more
- Amazon (Seattle, WA)
- …support and building loyalty with Amazon's millions of selling partners. The Special Projects and Investigations (SPI) team within SPS protects Amazon ... fraud and vendor management/risk, to manage critical and high impact vendor investigations and decisions. The ideal candidate should be passionate about using and… 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 (Seattle, WA)
- …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
- The Cigna Group (Bluffton, SC)
- …CMS RADV Coding Guidance and ICD-10 coding guidelines; *Collaborates with all areas of compliance , the special investigations unit, and business owners to ... Responsible for Part C audit activities for the Cigna Compliance Department, with particular emphasis on Coding, Risk Adjustment and Coding Decisions. Collaborates… more
- Iowa Department of Administrative Services (Swisher, IA)
- …oversee implementation of wildlife habitat management. * Conduct surveys, inventories, and special biological investigations . * Ensure compliance with state ... schedules. Additionally, you will monitor expenditures, work performance, and policy compliance . Key Responsibilities: * Coordinate activities of Unit personnel and… 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
- City and County of San Francisco (San Francisco, CA)
- …and organize cases for court. Investigators work in the Trial Preparation Unit, Special Prosecutions Unit and the Independent Investigations Bureau within the ... of San Francisco. About the team: SFDA's Bureau of Investigations is composed of District Attorney Investigators, who are...down key pieces of evidence. Investigators assigned to the Special Prosecutions Unit provide similar types of support for… more
- USAA (San Antonio, TX)
- …we treat each other. Come be a part of what makes us so special ! **The Opportunity** **The Opportunity** Oversees fraud investigations staff and resources ... the unit's mission and objectives. Accountable for team performance related to compliance and risk mitigation. We offer a flexible work environment that requires… 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
- US Pacific Fleet, Commander in Chief (Bangor, WA)
- Summary You will serve as a COMMAND REVIEW AND INVESTIGATIONS DIRECTOR at TRIDENT REFIT FACILITY, BANGOR. Responsibilities You will conduct comprehensive, targeted, ... and special interest items inspections, evaluations and reviews that are...efficiency of work operations . You will execute complex investigations involving payroll fraud, travel fraud, personnel management, waste,… 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
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