- Fallon Health (Worcester, MA)
- …the Senior Director of Internal Audit in their leadership of the Fraud , Waste and Abuse ( FWA ) program. The FWA Manager will be responsiblefor general ... Assist in the development, implementation and manage strategic fraud , waste and abuse ( FWA ) activities by maintaining state and federal requirements and… more
- Sharp HealthCare (San Diego, CA)
- …a critical role responsible for overseeing the entire lifecycle of fraud , waste , and abuse ( FWA ) investigations. This position involves triaging ... employer business practices. **What You Will Do** The Senior Fraud , Waste and Abuse Specialist...compliance with regulatory, accreditation and contract standards. The Senior FWA Specialist will manage day-to-day anti- fraud activities,… more
- Humana (Indianapolis, IN)
- …Integrity Officer, who will oversee the monitoring and enforcement of the fraud , waste , and abuse ( FWA ) compliance program to prevent and detect ... community and help us put health first** This Senior Fraud and Waste Investigator will serve as...plans + Assess records and independently refer suspected member fraud , provider fraud , and member abuse… more
- Guidehouse (New York, NY)
- …team. FFI-Health is currently seeking candidates with relevant healthcare fraud , waste , and abuse ( FWA ), regulatory compliance, and/or investigations ... of healthcare provider, payer, life sciences, and/or public health regulations, standards, fraud , waste , and abuse schemes, enforcement activities, and… more
- Centene Corporation (Austin, TX)
- …good faith concerns regarding Medicare non-compliance and potential instances of fraud , waste and abuse ( FWA ) + Responding to reports of potential ... + Maintaining documentation for each report of potential non-compliance or potential FWA received from any source, through any reporting channel or mechanism +… more
- Air National Guard Units (Phoenix, AZ)
- …Commanders' Inspection Programs (CCIP), as well as the Complaints Resolution, and Fraud , Waste , and Abuse ( FWA ) Programs. Work products impact a wide ... CCIP, Unit Self-Assessment Program (USAP), Complaints Resolution Program (CRP) and FWA Program. Responsible for planning and executing the various complex programs… more
- Air National Guard Units (Scott AFB, IL)
- …Commanders' Inspection Programs (CCIP), as well as the Complaints Resolution, and Fraud , Waste , and Abuse ( FWA ) Programs. Work products impact a wide ... CCIP, Unit Self-Assessment Program (USAP), Complaints Resolution Program (CRP) and FWA Program. Oversee multifaceted IG programs designed to independently assess… more
- Immediate Office of the Assistant Secretary for Management (IN)
- …Affairs (VA) programs, functions, and operations to prevent and detect Fraud , Waste , and Abuse ( FWA ). Responsibilities Plans and conducts audits and ... programs, functions, and operations to prevent and detect Fraud , Waste , and Abuse ( FWA ). Identifies problem areas for potential review and develops… more
- SSM Health (Oklahoma City, OK)
- …MME, source and DAW to avoid audit charge backs and ensure compliance with Fraud Waste and Abuse ( FWA ) Laws. + Contributes to zero medication errors with ... procedures for quality control and disposal of unusable medications and hazardous waste . Issue controlled substances and maintains records as required by law,… more
- SSM Health (Shawnee, OK)
- …MME, source and DAW to avoid audit charge backs and ensure compliance with Fraud Waste and Abuse ( FWA ) Laws. + Contributes to zero medication errors with ... procedures for quality control and disposal of unusable medications and hazardous waste . Issue controlled substances and maintains records as required by law,… more
- Air National Guard Units (Belle Chasse, LA)
- …technical expert to wing personnel on the Air Force Complaints Resolution and Fraud , Waste and Abuse ( FWA ) programs and the Air Force Inspection System ... (AFIS). Plans, directs and manages the activities of the Inspector General office, directing the Commander's Inspection Program (CCIP) and overseeing the wing's self-assessment, exercise and inspection programs. Ensures programs comply with legal and… more
- Air National Guard Units (Robins AFB, GA)
- …technical expert to wing personnel on the Air Force Complaints Resolution and Fraud , Waste and Abuse ( FWA ) programs and the Air Force Inspection System ... (AFIS). Plans, directs and manages the activities of the Inspector General office, directing the Commander's Inspection Program (CCIP) and overseeing the wing's self-assessment, exercise and inspection programs. Ensures programs comply with legal and… more
- Highmark Health (Harrisburg, PA)
- …while learning and understanding how to triage and work a reported allegation of suspected fraud waste or abuse . **Job Functions** + Attend bi-weekly huddles ... baccalaureate program. **PREFERRED QUALIFICATIONS** + Seeking a degree closely related to FWA . This can include security, homeland security or comparable. + Open to… more
- Manulife (Boston, MA)
- …and Machine Learning / AI techniques and solutions to detect, capture and proactively prevent fraud , waste & abuse within the LTC claims process. You will ... partner with all squads to drive savings associated with fraud , waste & abuse . The...special projects individually or as a part of an FWA team + Maintains knowledge of current investigative techniques,… more