- CVS Health (Cary, NC)
- …Unit is seeking a Sr. Manager to lead our new ASO investigations team. The Healthcare Fraud Senior Manager is responsible for overseeing and managing ... ensuring compliance with regulatory requirements. The Senior Manager develops strategies to mitigate fraud risks,...Management:** + Direct and oversee complex investigations into suspected healthcare fraud , waste, and abuse. + Ensure… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The ideal candidate is an experienced program manager in healthcare payer domain with Third party Administration of self-funded clients in the ... the Multi-employer Trust or Health Plan Administration of self-funded clients in healthcare payer + Documents scope, objectives and ensures they align with expected… more