- Sharp HealthCare (San Diego, CA)
- …for the position, and employer business practices. **What You Will Do** The Senior Fraud , Waste and Abuse Specialist at Sharp Health Plan is a critical ... role responsible for overseeing the entire lifecycle of fraud , waste , and abuse (FWA)...ensuring compliance with regulatory, accreditation and contract standards. The Senior FWA Specialist will manage day-to-day anti- fraud … more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- … and abuse schemes. + Support the Medicare compliance program by overseeing Medicare fraud waste and abuse activity in FIP, work with the Pharmacy ... Prevention (FIP) Unit including management of a team of senior managers, data analysts, fraud investigators, certified...Benefit Manager on fraud waste and abuse work,… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …SIU Investigator will be responsible for identification, investigation and prevention of healthcare fraud , waste and abuse . The primary responsibility of the ... is to investigate medium to highly complex cases of fraud , waste and abuse . In...and obtain medical records/ and other relevant documentation. The Senior Investigator will also act as subject matter expert… 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 ... on best practices, identify training gaps and opportunities for fraud investigators, and manage upwards with senior ...for fraud investigators, and manage upwards with senior leaders. You will have a strong background in… more
- Amazon (Arlington, VA)
- …prevent bad actors from receiving fraudulent funds. We love catching the bad actors! Theft, fraud , abuse and waste detection and prevention is fundamental to ... thought leadership for senior leadership on the best-in-class, future state of fraud detection and global investigations * Partner with and influence senior … more
- Washington Metropolitan Area Transit Authority (Washington, DC)
- Senior Special Agent Job ID: 240496 Location: DC...investigations of allegations or indications of employee misconduct and fraud , waste and abuse in ... reasonable accommodations. **SUMMARY** The incumbent will serve as a Senior Special Agent, responsible for conducting investigations, to include...the OIG Hotline or otherwise, allegations of wrongdoing and fraud , waste and abuse relating… more
- Election Assistance Commission (Washington, DC)
- …knowledge of Generally Accepted Government Auditing Standards ("Yellow Book"). Ability to assess fraud , waste , abuse , and mismanagement in the operation of ... Summary The Senior Program Analyst reports to the Assistant Inspector...Auditor (CIA), Certified Information Systems Auditor (CISA), and/or Certified Fraud Examiner (CFE). Please Note: The full-performance level is… more
- House of Representatives (Washington, DC)
- …administrative processes, the economy and efficiency of operations, and to prevent and detect fraud , waste , and abuse . Independently use tools such as ACL, ... the economy and efficiency of operations, and to prevent and detect fraud , waste , and abuse . Knowledge of investigative tools and techniques. Knowledge,… more
- City of New York (New York, NY)
- …identify risks and opportunities to improve services through a coordinated structure that prevents fraud , waste , and abuse and fosters compliance with legal ... agencies in assessing their operational, financial and compliance risks, addressing waste and mismanagement, and improving the effectiveness of City operations.… more
- National Science Foundation (Alexandria, VA)
- …senior management in identifying and implementing internal controls to prevent or deter the fraud , waste and abuse of government resources and to promote ... National Science Foundation is seeking qualified candidates for a Senior Advisor, Office of Strategic Initiatives position within the...MAJOR DUTIES Serves as a member of the MPS senior leadership team by consulting regularly with the five… more
- State of Minnesota (Minneapolis, MN)
- …with the Minnesota Department of Education (MDE), you will plan, coordinate, and conduct fraud , waste , or abuse investigations in MDE's public programs. ... **Working Title: Senior Investigator** **Job Class: Investigation Specialist** **Agency: Education Department** + **Job ID** : 80341 + **Location** : Minneapolis +… more
- State of Colorado (Denver, CO)
- …data analysis and report creation. + Researches and proposes innovative techniques to identify fraud , waste , and abuse . + Identifies areas to leverage Data ... Senior IT Auditor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4673578) Senior IT Auditor Salary $99,300.00 - $105,000.00 Annually… more
- CareFirst (Baltimore, MD)
- …+ Provide support to investigative teams as they perform all levels of healthcare fraud , waste , and abuse investigations. Oral, written, and other ... FUNCTIONS:** + Review of medical records and claims. + Investigate potential fraud and over-utilization by performing complex medical reviews of claims and medical… more
- Humana (Columbus, OH)
- …regulatory and operational issues. + Provide guidance related to the application of fraud , waste , and abuse laws, including the Anti-Kickback Statute, ... caring community and help us put health first** The Senior Counsel provides a full range of legal advice...a full range of legal advice and services. The Senior Counsel works on problems of diverse scope and… more
- MyFlorida (Tallahassee, FL)
- SENIOR MANAGEMENT ANALYST II - 67016044 Date: Sep 30,...Agency to determine areas with the highest risk of fraud , waste , or abuse . Risk assessment ... . Requisition No: 838483 Agency: Agency for Persons with Disabilities Working Title: SENIOR MANAGEMENT ANALYST II - 67016044 Pay Plan: SES Position Number: 67016044… more
- City of New York (New York, NY)
- …identify risks and opportunities to improve services through a coordinated structure that prevents fraud , waste , and abuse and fosters compliance with legal ... of the Director and Deputy Director(s) of MORMC, the Senior Policy Analyst will work directly with City agencies...(1) City Research Scientist, II to function as a Senior Policy Analyst, who will: - Leading and coordinating… more
- Fallon Health (Worcester, MA)
- …+ Attend and participate in workgroups, committees, or projects. + Research potential fraud , waste or abuse related inquires. **Primary Job ... role in auditing risks identified in the organization. The Senior Internal Auditor plays a key role in implementing...key role in implementing the annual audit plan. The Senior Internal Auditor conducts audits and related projects (financial,… more
- MetLife (Bloomfield, CT)
- …and reconciles inconsistencies when gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed and ... the lives of our customers and our communities. The Senior Long Term Disability (LTD) Claims Specialist evaluates long...within prescribed time service standards. In this role, the Senior LTD Claims Specialist is required to exercise independent… more
- New York Power Authority (White Plains, NY)
- …controls. May also include execution of special investigations/audits involving cases of fraud , waste , and abuse and/or ethical/regulatory complaints. ... Senior Auditor - Technology Location: White Plains, US...improvements, and partner with leadership to communicate observations to senior management and auditees. + Lead, coach, and mentor… more
- Navarro Inc. (Piketon, OH)
- …skills + Exemplary attention to detail + Maintains sensitivity to and report on instances of fraud , waste and abuse . + DOE "L" clearance or ability to obtain ... Navarro Research and Engineering is recruiting for an Sub-Contracts Administrator, Senior in Piketon, OH. Navarro is a premier contractor providing high-quality… more