- Unknown (Madison, WI)
- …privacy, including experience in areas such as Medicare and Medicaid billing, anti-kickback, fraud and abuse , and managed care compliance. The ideal candidate ... Privacy Officer (CCO) About the Company Highly regarded integrated healthcare system Industry Hospital & Health Care Type Non...as a Chief Compliance Officer in a complex, multi-location healthcare system. The role requires a leader with a… more
- Meta (Salt Lake City, UT)
- …Healthcare Compliance, you will provide strategic legal support and guidance on complex healthcare fraud & abuse laws, medical device compliance (FDA) ... experience 11. Experience in medical device, life sciences, or healthcare industry 12. In-depth knowledge of fraud ...or healthcare industry 12. In-depth knowledge of fraud & abuse laws, regulations, and enforcement… more
- CVS Health (Columbus, OH)
- …you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse . Routinely handles cases that are sensitive ... state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters. + Demonstrates high level of knowledge… more
- CVS Health (Richmond, VA)
- …communication skills + Advanced experience in Excel **Preferred Qualifications** + Experience in healthcare fraud , waste and abuse + Knowledge of Medicaid ... skills in SQL and Python who can transform complex healthcare data into actionable insights to support fraud , waste, and abuse (FWA) detection and Medicaid… more
- New York State Civil Service (Hauppauge, NY)
- …detectives, and analysts to identify and prosecute financial fraud in the healthcare industry and abuse and neglect of residents in healthcare ... HELP No Agency Attorney General, Office of the Title Attorney: Prosecute Medicaid Fraud /Nursing Home Abuse (3844) Occupational Category Legal Salary Grade NS… more
- Centene Corporation (Columbus, OH)
- …reside within the state of Ohio **Position Purpose:** Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, ... claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse . + Conduct investigations of potential waste,… more
- AmeriHealth Caritas (Columbus, OH)
- …+ An associate's degree, with a minimum of four years of experience working in healthcare fraud , waste, and abuse investigations and audits. + Experience and ... with all requirements related to Special Investigation Units and fraud , waste and abuse investigations. + Conducts...experience in the healthcare field working in fraud , waste, and abuse investigations and audits… more
- Genentech (South San Francisco, CA)
- …role includes the following: + Providing advice, education, training and legal direction on, healthcare fraud and abuse laws, pricing, FDA labeling and ... **The Position** Genentech's Healthcare Law Group (HLG) seeks a Senior Corporate...regulations, the False Claims Act, and laws related to fraud and abuse in the life science/biotech/pharma… more
- New York State Civil Service (Syracuse, NY)
- …data analysts, and legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage ... Agency Attorney General, Office of the Title Legal Nurse: Investigate Medicaid Fraud /Patient Abuse (6417) Occupational Category Legal Salary Grade NS Bargaining… more
- UPMC (Pittsburgh, PA)
- …document review, witness interviews, and data analysis to identify, evaluate and measure potential healthcare fraud , waste and abuse to determine valid cases ... the Special Investigations Unit (SIU) Investigator is responsible for investigating assigned dental fraud , waste and abuse (FWA) cases, as well as researching… more
- LA Care Health Plan (Los Angeles, CA)
- Director, Compliance on Special Investigations Unit and Fraud , Waste and Abuse Job Category: Administrative, HR, Business Professionals Department: Special ... Job Summary The Director, Compliance on Special Investigations and Fraud , Waste and Abuse (FWA) is responsible...Experience Required: At least 7 years of experience in healthcare compliance, fraud investigations, law enforcement, or… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …product development, commercialization, and the legal and regulatory environment (including healthcare fraud and abuse , anti-kickback, and competition ... through commercialization, including advising on a broad range of healthcare regulatory matters, including regulatory labeling discussions, advertising and… more
- St Croix Hospice (Mendota Heights, MN)
- …of audit methodologies, internal controls and risk assessments. + Strong understanding of healthcare fraud , waste, and abuse prevention, contracting, and ... and policies that align with regulatory requirements and best practices within healthcare . + Ensure audits are thoroughly documented and findings are reported with… more
- Anthony Jordan Health Corp (Rochester, NY)
- …and ethics program Knowledge, Skills, and Abilities: . Strong working knowledge of healthcare regulatory, fraud and abuse , Medicare/Medicaid, and HIPPA ... advanced degree preferred . Minimum of 7-10 years of experience in healthcare compliance, regulatory, or risk management roles . Experience in FQHC's, article… more
- Humana (Oklahoma City, OK)
- …**Required Qualifications** + **Must be an Oklahoma resident** + 2+ years of healthcare fraud investigations and auditing experience + Knowledge of healthcare ... Oklahoma Medicaid Team. This team of Investigators conducts investigations into allegations of fraud , waste, and abuse involving providers who submit claims to… more
- Danaher Corporation (Deer Park, IL)
- …diagnostic/IVD industry. + Experience in the medical device industry. + Experience with healthcare regulation, including fraud and abuse (eg, anti-kickback), ... FDA and CE/IVDR for medical devices, and data use and privacy (eg, HIPAA, GDPR). Key Competencies + Healthy ambition, defined as an innate drive to work hard, take ownership, and be a person of influence in the organization, producing great results and… more
- City National Bank (Newark, DE)
- …and appropriately investigate, and escalate when needed * Works to detect various fraud schemes (email compromise, elder abuse , counterfeit checks, ATO, etc.) ... * FRAUD DETECTION SPECIALIST I* WHAT IS THE OPPORTUNITY?...and perks we offer our colleagues including: * Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available… more
- Humana (Santa Fe, NM)
- …yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud , Waste, and Abuse in either a Managed Care or a government setting ... of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and regulations, including the federal Stark Law and Anti-Kickback Statute and relevant state fraud and abuse laws, HIPAA, and EMTALA + Provide counsel on ... matters impacting one of the nation's leading academic medical centers and the largest healthcare provider in the state of Georgia. This attorney will support Emory … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …ability to: + Navigate increasingly complex regulatory requirements + Detect and prevent fraud , waste, and abuse + Manage heightened enterprise and operational ... and Chief Audit Officer, directs and coordinates the Emory Healthcare (EHC) internal audit program, in accordance with the...fraud or other areas of non-compliance. + Supervises healthcare audit staff. Coordinates closely with the Assistant VP… more
