- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: The Manager - Fraud , Waste & Abuse (FWA) is responsible for day-to-day activities of the FWA Program while meeting operational and ... FWA Program, FWA WorkPlan, and related activities + Detect, investigate and report fraud , waste and abuse cases + Lead special investigations, maintain FWA… more
- CVS Health (Columbus, OH)
- …to power the growth of tomorrow's business! As a Sr. Manager , Digital Product for Fraud , Waste & Abuse (FWA), you will oversee the maintenance and growth ... years' experience developing best practice documentation **Preferred Qualifications** + Knowledge of fraud , waste and abuse identification and management +… more
- Fallon Health (Worcester, MA)
- …Internal Audit in their leadership of the Fraud , Waste and Abuse (FWA) program. The FWA Manager will be responsiblefor general supervisionover a number ... Under the general direction of the Senior Internal Audit Manager , theAnalyze and interpret patient medical records pertaining to...+ Assist in the development, implementation and manage strategic fraud , waste and abuse (FWA)… more
- Amazon (Arlington, VA)
- … Manager to lead investigations, audits and proactive advisory projects to address fraud , waste and abuse . The candidate will leverage advanced ... Description Amazon is seeking an Internal Audit manager to support the Forensics & Fraud...potential fraud and to triangulate patterns of waste and abuse . The candidate will develop… more
- Amazon (Arlington, VA)
- …and uses signals in transactional data such as invoices and payments as indicators of theft, fraud , waste , or abuse . We are looking for a technical minded ... seeking a data-driven, highly motivated, and organized Senior Program Manager to support Vendor & Transaction Accuracy's (VITA) Retail...to support Vendor & Transaction Accuracy's (VITA) Retail Vendor Fraud and Digital Fraud programs. The team… more
- CVS Health (Frankfort, KY)
- …of known or suspected acts of Pharmacy Fraud , Waste and Abuse . + Collaboration with Pharmacy Benefit Manager , providing meaningful evidence of Fraud ... will manage complex investigations into suspected and known acts of Healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conducts high level,… more
- Elevance Health (Hanover, MD)
- …errors. Works with health plan leaders, oversees the monitoring and enforcement of the fraud , waste , and abuse compliance program to prevent and detect ... **Carelon Payment Integrity Manager - Behavioral Health** **Supports Payment Integrity &...potential fraud , waste , and abuse activities pursuant to state… more
- CareOregon (Portland, OR)
- …team. The work of that team includes delegation oversight of subcontracted entities, fraud waste and abuse prevention planning and investigations, ... Job Title Delegation and Quality Oversight Manager Exemption Status Exempt Department Health Share of...evidence of internal control deficiencies, duplication of efforts, or fraud , waste , and abuse including… more
- State of Massachusetts (Boston, MA)
- …in the Department. o Manage the Travel Authorization Form process, ensuring efficiency and no fraud waste and abuse . * Standard Operating Procedures o Assist ... pollution reduction, and so much more. An internal audit manager plays a critical role in the finance oversight...internal audits and present them to senior management. * Fraud , Waste , and Abuse Reporting… more
- CVS Health (Hartford, CT)
- …**Required Qualifications** + Minimum of five years of experience managing healthcare fraud , waste , and abuse investigations, Compliance Auditing, Program ... responsible for ensuring the quality and integrity of healthcare fraud and abuse investigations. This role involves...Assess training needs and collaborate with the SIU Sr. Manager to create development plans for team members. +… more
- Coast Guard Community Services Command (Aguadilla, PR)
- …Coordination: Liaise with local, state, and federal law enforcement agencies on matters of fraud , waste , and abuse . Establish and execute action plans for ... Until Filled Work Schedule: Full Time Position: Supervisory Business Resilience Manager (SLT) Salary: Negotiable Who May Apply: All Sources Location: Aguadilla,… more
- CenterLight Health System (NY)
- … in ensuring the adherence to DOH and CMS guidelines and to prevent fraud , waste , and abuse (FWA). JOB RESPONSIBILITIES: + Treasury responsibilities: ... + Perform day-to-day Treasury function as directed by Manager , including cash deposits. + Work closely with Accounting...for every account across all entities. Identify potential FWA ( fraud , waste and abuse ) and… more
- US Coast Guard (Aguadilla, PR)
- …Coordination: Liaise with local, state, and federal law enforcement agencies on matters of fraud , waste , and abuse . Establish and execute action plans for ... funded programs? Join us as a Supervisory Business Resilience Manager (STL) and be at the forefront of helping...Serving as the system administrator for the shopcgx.com e-commerce fraud tool, collaborating with fraud prevention vendors… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …drug screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste , and Abuse Course + MethGuard Course + HIPPA Privacy ... CE Mastery Exam + HIPPA Security CE Mastery Exam + Fraud , Waste , and Abuse CE Mastery Exam + MethGuard CE Mastery Exam **Job Skills Required:** + Strong… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …are professional employees with a good working knowledge of investigations of complaints of fraud , waste and abuse involving state and local public funds. ... Auditors will generally be assigned to investigate complaints of fraud , waste , and abuse of...+ Participate in team meetings. + Keep AIC and/or Manager informed of relevant information. + Assis in the… more
- CVS Health (Albany, NY)
- …includes regulatory reporting, coordinating interdepartmental program integrity initiatives, vendor oversight of fraud waste and abuse (FWA) activity, and ... for compliance with state and federal regulations mandating the reporting of corporate fraud related activities and the preparation of the corporate Anti- Fraud … more
- Premera Blue Cross (Mountlake Terrace, WA)
- …days required.** **What you'll do:** + Evaluate internal and external referrals for potential fraud , waste , and abuse allegations and exercise discretion and ... and data, including financial data, in support of investigations of external fraud . The reports prepared by this position are potentially discoverable material, so… more
- State of Minnesota (Minneapolis, MN)
- …within program areas, to help safeguard public funds and assets and minimize incidences of fraud , waste and abuse . In addition, the director will help with ... Title: Internal Audit & Control Director** **Job Class: State Program Administrator, Manager Principal** **Agency: Education Department** + **Job ID** : 83338 +… more
- MyFlorida (Fort Lauderdale, FL)
- …of the Bureau of Public Assistance Fraud is to aggressively identify and eliminate fraud , waste , and abuse to safeguard the integrity of taxpayer funded ... EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY: FORT LAUDERDALE COUNTY: BROWARD The Criminal Investigations… more
- NJ Transit (Newark, NJ)
- Manager , Compliance Operation Civil Rights & Diversity Job...and Internal Audit (IA) to support enhanced prevention of fraud , waste , and abuse in ... objectives; quality assurance and quality control protocols (Eg, Peer Review, Manager /Director signoff) are in place for the DBE certification, procurement… more