- CVS Health (Providence, RI)
- …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 (Providence, RI)
- …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
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- Summary This Nurse Manager - ER and Express Care (Detail, NTE 120 days) position is located in Nursing Service at the Providence location. This position is full-time ... working together to improve patient care, safety and clinical outcomes Manages unit resources such as human, financial, material, and informational Evaluates the… more
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- …appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time ... This position is eligible for coverage by a Bargaining Unit , but is not currently represented. This position is...not currently represented. This position is covered by a special rate. Narrative responses to the knowledge, skills and… more
- Elevance Health (Smithfield, RI)
- …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
- CDM Smith (Worcester, MA)
- **38747BR** **Requisition ID:** 38747BR **Business Unit :** TSU **Job Description:** At CDM Smith, we are committed to tackling the complex challenges facing our ... white papers and technical design documentation of new or special case designs, studies, etc.. Collaborates with sales staff...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- CDM Smith (Providence, RI)
- **38777BR** **Requisition ID:** 38777BR **Business Unit :** TSU **Job Description:** We offer hybrid work options and are open to candidates who would like to work in ... 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