- CVS Health (Raleigh, NC)
- …deliver solutions to make health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our team of ... Certified Professional Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation , and prevention… more
- Humana (Raleigh, NC)
- …enforcement authorities to coordinate investigations and supervises the activities of the Special Investigations Unit (SIU) to ensure accurate and timely ... caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of...field or equivalent. 7+ years of related compliance and/or special investigation experience in managed care or… more
- Justice, Bureau of Prisons/Federal Prison System (Butner, NC)
- …involved. Reviews correspondence prepared for the supervisor and other staff. Assists the Unit Manager and staff members in the procedural aspects of expediting ... Requirements Conditions of Employment US Citizenship is Required. See Special Conditions of Employment Section. Selective Service Requirement: http://www.sss.gov… more
- JCPenney (Greenville, NC)
- …Asset Protection Manager (APM) Lead Asset Protection activities for assigned unit in accordance with company policies and procedures, in order to drive sales ... Asset Protection Manager Location:Greenville, NC, United States (https://jobs.jcp.com/jobs/location/409588/greenville-nc-united-states) - Job ID:1119774 Store… more
- North Carolina Central University (Durham, NC)
- **Posting Details** Position Information **Working Title** Project Manager **Position Number** 703034 **Appointment Type** Permanent - Full Time **Tenure Track** No ... an Eagle - Where Purpose Takes Flight!** **Primary Function of Organizational Unit ** The primary purpose of the Facilities Management - Capital Project management… more
- Elevance Health (Winston Salem, NC)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- UNC Health Care (Rocky Mount, NC)
- …health and wellbeing. **Summary:** The **Compliance/Privacy and Risk Management Manager ** is responsible for development and implementation of the compliance ... claims management, and litigation management. Duties also include incident investigation , analysis, tracking, trending and evaluation. Compliance and Privacy… more
- Travelers Insurance Company (Fayetteville, NC)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc.… more
- Elevance Health (Winston Salem, NC)
- …coding and billing issues, trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of ... and risk avoidance based on the outcome of the investigation . + Trains new associates. + Develops, designs and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Travelers Insurance Company (Charlotte, NC)
- …as Social Security, Workers Compensation or others relevant to the jurisdiction. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigation ... nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings.… more
- Lockheed Martin (Havelock, NC)
- …\#rmshotmiljobs **Basic Qualifications:** 1\. Current SECRET security clearance with an investigation within 5 years from the investigation Closed date ... Must be able to obtain and maintain access to Special Access Programs \(SAPs\)\. 4\. Must be able to...if/when mission requirements dictate\. 4\. Experience as Construction Security Manager 5\. Extensive knowledge of DoD 5205\.07 SAP Manuals,… more
- Jabil (Mebane, NC)
- …and Supply Chain strategies that are unique to customer or for Business Unit Strategic materials. . Support customer's business needs using standard process where ... possible and customized solutions where necessary. Collaborate with Purchasing Manager and Supply Chain Manager (SCM) to determine the best approach to meet the… more
- Synchrony (Charlotte, NC)
- …Report, monthly validation, disposition/correction of items in the Pending file, business unit engagement as well as internal/external exam support + Manage and ... other regulatory reporting enhancements + Perform other duties and/or special projects as assigned **Qualifications/Requirements:** + Bachelor's degree and minimum… more
- Justice, Bureau of Prisons/Federal Prison System (Butner, NC)
- …basis. Requirements Conditions of Employment US Citizenship Required See Special Conditions of Employment Section Selective Service Requirement: http://www.sss.gov ... documented by satisfactory evidence (eg, a memorandum from the manager , Human Resource Manager , SF-52, etc.). Education...Additional Information This position IS included in the bargaining unit . In accordance with 5 USC 3307, a maximum… more
- Veterans Affairs, Veterans Health Administration (Asheville, NC)
- …in the order received and will be sent to the hiring manager for consideration. Responsibilities Scope of Assigned Duties: Reviewing and providing consultations ... Vascular Surgery Service in the operating room, intensive care unit and ward. Arrange dispositions for follow up appointments...needs of these types of patients. Sensitivity to the special needs of all patients with respect to age,… more
- Justice, Bureau of Prisons/Federal Prison System (Butner, NC)
- …Butner, North Carolina. He/she serves under the direction of the Optics Factory Manager . Incumbent is responsible for the supervision of inmate workers assigned to ... Requirements Conditions of Employment US Citizenship is Required. See Special Conditions of Employment Section. Selective Service Requirement: http://www.sss.gov… more
- CDM Smith (Raleigh, NC)
- **39945BR** **Requisition ID:** 39945BR **Business Unit :** TSU **Job Description:** Want to lead all the technical aspects of complex designs with a group of ... vision of the project working closely with the Project Manager (PM), and reports directly to the PM. The...white papers and technical design documentation of new or special case designs, studies, etc. Submits technical papers and… more
- Lockheed Martin (Havelock, NC)
- …Security Officer \(ISSO\) position will support the Information System Security Manager \(ISSM\) in developing, maintaining and overseeing the cybersecurity of ... Continuous Vetting program\. + Ability to obtain and maintain Special Access Program \(SAP\) access\. + Possess a valid...US Citizen for consideration\. **Clearance Level:** Top Secret with Investigation or CV date within 5 years **Other Important… more
- CDM Smith (Raleigh, NC)
- **39191BR** **Requisition ID:** 39191BR **Business Unit :** TSU **Job Description:** Under general supervision, creates excavation, dewatering, shallow/deep ... white papers and technical design documentation of new or special case designs, studies, etc.. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- CDM Smith (Hickory, NC)
- **38268BR** **Requisition ID:** 38268BR **Business Unit :** TSU **Job Description:** With high-level goals provided, creates excavation, dewatering, shallow/deep ... white papers and technical design documentation of new or special case designs, studies, etc.. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more