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Nurse Auditor
HHC Group - Gaithersburg, MD 20877
$85,000 - $90,000 a year
Remain on the cutting edge of coding changes and published fraud cases. Use knowledge of healthcare coding conventions, fraud schemes, known vulnerabilities,...
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Practice Manager III
Mercy - 173 reviews - Oklahoma City, OK
Continually provides oversight and reporting to Corporate Compliance officials any potential irregularities indicating potential fraud and abuse activities in...
Consulting Internship
The Summer Intern position will support projects related to Medicaid oversight. This includes analysis of Program fraud, waste, and abuse, and related policy...

Fraud Investigator (Medicare & Medicaid)

Catapult Consultants - 5 reviews - Los Angeles, CA  +2 locations
Certified Fraud Examiner (CFE) certification. This position works as an integral member of a multidisciplinary team for a federal government contract to perform...

Program Specialist VI

Health & Human Services Comm - 10 reviews - Austin, TX
$4,599 - $7,533 a month
Performs day-to-day monitoring, research, and analysis of the BMW medical policy development activities to ensure appropriate Medicaid and CHIP billing and...

Reg Serv Improv Coord - TW

Health & Human Services Comm - 10 reviews - Paris, TX
$4,301 - $7,040 a month
Knowledge of SNAP, TANF, Medicaid, and CHIP policies and procedures. The Texas Health and Human Services Commission (HHSC) seeks highly qualified candidates to...

Compensation Analyst

UnityPoint Health - 40 reviews - Des Moines, IA
Medicare and Medicaid) regarding fraud, waste and abuse. UnityPoint Health System Services....
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PeopleFirst Florida HR - Tallahassee, FL
$3,150 a month
Among those sub-units are teams working toward the detection of fraud, abuse, and waste in the Medicaid program (detection units), teams working to strategize...

Investigator I

Alliance Behavioral Healthcare - Durham, NC 27703
National Certified Investigator and Inspector Training (NCIT) Basic and Specialized, Certified Fraud Examiner (CFE), and/or Accredited Health Care Fraud...


HMS - 487 reviews - Harrisburg, PA
Not currently sanctioned or excluded from any program operated by Federal or State Agencies including Medicare and Medicaid. The....

Attorney 5 (Program Compliance Officer)

State of Ohio Jobs - Erie County, OH
$95,805 a year
Assists the NHA in establishing methods to improve OVH's efficiency & quality of services & to reduce OVH's vulnerability to fraud, abuse, & waste....

Manager V

Health & Human Services Comm - 10 reviews - Pharr, TX  +2 locations
$5,785 - $9,783 a month
Oversees the review and development of policy involving Medicaid fraud, waste and/or abuse. Knowledge of federal and state law, rules, regulations, and policies...

SIU Investigator

Magellan Health - 304 reviews - Glen Allen, VA 23060
Certified Professional Coder (CPC), Accredited Healthcare Fraud Investigator (AHFI), and Certified Fraud Examiner (CFE), Certified Healthcare Chart Auditor...
Healthcare Compliance Investigator
And has not been excluded from participating in Medicare or Medicaid. Using claims data resources, medical records, case management documentation, DHHS rules,...
Facilities Representative
Logisticare - 471 reviews - Philadelphia, PA 19123
Identify potential fraud and or abuse. High School Graduate or General Education Degree (GED) required....

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