A company is looking for a Senior Manager, SIU to develop and manage strategic fraud, waste, and abuse activities.Key ResponsibilitiesEvaluate department policies and ensure compliance while enhancing processesLead investigations of fraud, waste, and abuse referrals and develop customized fraud plansPrepare audits and reports, and participate in state and federal meetings as requiredRequired QualificationsBachelor's degree in Business, Healthcare, Criminal Justice, or a related field6+ years of experience in medical claim investigation, compliance, or fraud and abuseThorough knowledge of medical terminology and experience in a managed care environmentExperience supervising staff, including hiring and performance managementPreferred medical records, fraud investigation, or coding license
Senior Manager SIU
A company is looking for a Senior Manager, SIU to develop and manage strategic fraud, waste, and abuse activities. ...
Manager, Global Compliance
Lead legal team members supporting the successful development and implementation of products, programs, and projects. Project Management Institute, Inc. JobPosting","title":"Manager, Global Compliance","datePosted":"2024-08-26T00:00:00","validThrough":null,"description":"What you will be doing\nYou ...
Data Steward Business Analyst
Data Steward Business Analyst in the RetailIQ area. ...
Project Manager
Serves as the end-to-end project lead for large-scale, complex projects that are either standalone projects or part of a broader strategic program. Oversees end-to-end project management activities for large-scale, complex projects, with oversight for the full project life cycle. The successful indi...
Project Manager, Construction
Project Manager, consultants, skilled tradesmen, and medical or administrative support staff regarding construction project in order to maintain schedule, resolve conflicts, and obtain information necessary to the successful completion of the project. Project Management: Oversees, manages and direct...
Estimator / Project Manager - Solar
This position will also assist in project management and procurement of successful bids. Modify the estimate per customer or sales manager requests. Provide estimates on change orders for current projects. Able to quickly create and modify take-offs or large projects. ...
Special Agent
In addition, All Special Agent candidates must successfully complete the Special Agent Selection System (SASS), a mentally and physically challenging process designed to find only the most capable applicants. Because our Special Agents bring varied backgrounds and knowledge to their role — from educ...
Remote Administrative Assistant (No Experience Required) - Earn $25/hr-$45/hr, Full-Time/Part-Time, Flexible hours
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Manager, Operations
As the largest pure-play fleet manager in the world, we provide unmatched products and services and solutions to our clients. Bachelor's degree in operations management, business administration or 3 - 5 years of equivalent experience with at least 1-2 years of direct people management experience. In...
Safety Manager
PLANS AND IMPLEMENTS SJMC SAFETY AND EMERGENCY PREPAREDNESS PROGRAMS: Evaluates safety plans and program to determine compliance with current regulatory standards and requirements. Provides continuous education through hazard surveillance rounds and other safety activities to improve staff knowledge...