Fraud Waste Jobs in USA
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Claims Compliance Manager
Centivo
We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable high-quality healthcare to the millions who struggle to pay their healthcare bills.Summary of role:The Compliance Manager Health Care Claims serves a...
Controller
Clarke County Hospital
The Controller is responsible for the leadership and supervision of the accounting team and oversees the day-to-day operations of the accounting department. Protects assets by establishing monitoring and enforcing internal controls. Oversees accounting operations ensuring accuracy and compliance. Mo...
Licensed Behavioral Health Care Coordinator I (lcs...
Moda Health
Lets do great things together!About ModaFounded in Oregon in 1955 Moda is proud to be a company of real people committed to quality. Today like then were focused on building a better future for healthcare. That starts by offering outstanding coverage to our members compassionate support to our commu...
Senior Director, Healthcare Payer
Tobii Dynavox
Why join usWere on a mission to empower people with disabilities to do what they once did or never thought possible. As the world-leader in assistive communication solutions we empower our customers to express themselves connect with the world and live richer lives. At Tobii Dynavox you can grow you...
Staff Auditor I Financial Audit Division
Office Of The State Auditor
AgencyOffice of the State AuditorDivisionJob Classification TitleAssistant State Auditor I (S)Position NumberGradeNC12About UsThe North Carolina Office of the State Auditor (OSA) is your fiscal watchdog. We audit more than $100 billion in state assets and liabilities each year bringing transparency...
Staff Auditor I Rapid Response Division
Office Of The State Auditor
AgencyOffice of the State AuditorDivisionAdministrationJob Classification TitleAssistant State Auditor I (NS)Position NumberGradeNC12About UsThe North Carolina Office of the State Auditor (OSA) is your fiscal watchdog. We audit more than $100 billion in state assets and liabilities each year bringin...
Internal Auditor Iii
The Aerospace Corporation
The Aerospace Corporation is the trusted partner to the nations space programs solving the hardest problems and providing unmatched technical expertise. As the operator of a federally funded research and development center (FFRDC) we are broadly engaged across all aspects of space delivering innovat...
Vice President Payment Integrity
Cambia Health Solutions
Vice President of Payment IntegrityOregon Washington Idaho or Utah(Hybrid)Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.Who We Are Looking For:Every day Cambias dedicated team is living our mission to make health care easier an...
Associate Principalforensic Ai Engineer (forensic ...
Charles River Associates
About Charles River AssociatesCRA is a leading global consulting firm that provides independent economic and financial analysis behind litigation matters guides businesses through critical strategy and operational issues to become more profitable and advises governments on the economic impact of pol...
Health Insurance Claims Adjuster
Integrity Marketing Group
Health Insurance Claims Adjuster Insurance Administrative SolutionsClearwater FLAbout Insurance Administrative SolutionsInsurance Administrative Solutions L.L.C. (IAS) an Integrity company headquartered in Clearwater Florida is a third-party administrator providing business process outsourcing for i...
Programmatic Monitor
Commerce
AgencyDept of CommerceDivisionDivision of Workforce SolutionsJob Classification TitleProgram Coordinator III (NS)Position NumberGradeNC12About UsThe North Carolina Department of Commerce is the states lead agency for economic community and workforce development. The department works with local regio...
Associate Investigator
Highmark Health
Company :Highmark Inc.Job Description :JOB SUMMARYThe job is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or fun...
Assistant Chief Integrity & Standards Officer
City Of New York
The New York City Office of Chief Medical Examiner (OCME) seeks an experienced professional to serve as the agencys Assistant Chief Integrity & Standards Officer supporting the newly established Integrity & Standards Office (ISO). The office will serve as OCMEs independent investigative and accounta...
Emtparamedic Emergency Room (er)ambulance | Part T...
Clarke County Hospital
Essential Functions/Responsibilities:Clinical Excellence/patient careAssists nursing with delivers high quality care while demonstrating knowledge and clinical skills in accordance with established policies procedures and standards of care while in the Emergency Department.Provide high quality care...
Rfp Manager
Smartlight Analytics
Were looking for a detaildriven strategically minded RFP Manager to support our growth in the healthcare payment integrity market. This role sits at the intersection of business development product expertise and operational excellence. Youll own the full lifecycle of RFPs and sales enablement activi...
Quality Assurance Clinical-billing Auditor-qa53520...
Icl
JOB SUMMARYThe Clinical and Billing Auditor is responsible for the oversight and management of auditing and monitoring activities across the organization. Using a unique combination of clinical expertise and billing knowledge this role monitors and improves the quality of clinical and financial docu...
Quality Assurance Clinical-billing Auditor-qa53520...
Icl
JOB SUMMARYThe Clinical and Billing Auditor is responsible for the oversight and management of auditing and monitoring activities across the organization. Using a unique combination of clinical expertise and billing knowledge this role monitors and improves the quality of clinical and financial docu...
Program Integrity Manager, Dentaquest (iowa)
Sun Life
Sun Life U.S. is one of the largest providers of employee and government benefits helping approximately 50 million Americans access the care and coverage they need. Through employers industry partners and government programs Sun Life U.S. offers a portfolio of benefits and services including dental...
Executive Director Lehigh Valley
Practical Administrative Solutions L.p
OverviewSenior Care Center Seeks an Innovative Strategic Executive Director for High-level Leadership RoleSenior LIFE is an innovative home and community based Medicare and Medicaid funded program which provides all-inclusive healthcare services and support to seniors living in the community. Senior...
Program Compliance (fraud) Specialist
Quadel Consulting & Training
AtQuadel we believe great work starts with great people. Thats why we focus on building teams that care deeply about the communities we serve and the colleagues we work beside every day. Were currently seeking dedicated professionals who are ready to grow with us and help drive our mission forward.J...