- 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
- 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
- CVS Health (Hartford, CT)
- …oversee a team of investigators in our efforts to identify, prevent, and mitigate healthcare fraud , waste and abuse . This role involves not only directing ... within the team. **Required Qualifications** + Minimum of three years managing healthcare fraud , waste and abuse investigations and audits. + 7-10 years of… 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
- 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
- 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