- CVS Health (Wellesley, MA)
- …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
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- … Investigation and Prevention (FIP) Unit including management of a team of senior managers, data analysts, fraud investigators, certified coders and medical ... Ready to help us transform healthcare ? Bring your true colors to blue. Blue...abuse activity in FIP, work with the Pharmacy Benefit Manager on fraud waste and abuse work,… more
- Prime Therapeutics (Boston, MA)
- …passion and drives every decision we make. **Job Posting Title** Internal Auditor Senior - Remote **Job Description** The Senior Internal Auditor conducts audit ... and increase efficiencies; and reduces the potential for non-compliance, fraud , waste, and abuse. **Responsibilities** + Participate in enterprise-level risk… more