Fraud Investigations Manager

Emploi pas sur LinkedIn

🕒 il y a 2 jours

🦌 Connecticut, Maine, +8 états de plus – Distant

infoinfo

💵 $80 000 - $128 000 / an

⏰ Temps Plein

🟠 Senior

🔴 Expert

👔 Manager

🦅 Parrain de Visa H1B

infoinfo

👻 Score fantôme 0%

infoinfo

🗣️🇺🇸🇬🇧 Anglais requis

Postuler Maintenant
Trouver des Emplois à Distance Similaires

📊 Vérifiez votre score de CV pour ce poste

Améliorez vos chances d'obtenir un entretien en vérifiant votre score de CV avant de postuler.

Logo of Peraton

Peraton

10 000+ employés

💼 Conseil

🏥 Santé

📦 Logistique

Consulting • Healthcare • Logistics

Peraton est une entreprise axée sur les missions qui soutient les initiatives de sécurité nationale grâce à des services avancés en informatique et cybersécurité. Ils offrent des capacités dans des domaines tels que la cyber défense, les opérations cloud, l'ingénierie et le renseignement. Avec un engagement à résoudre des défis complexes, Peraton intègre des technologies axées sur les données pour assurer le succès des missions pour leurs clients militaires et gouvernementaux.

Description

• Provide direction to a staff of investigators identifying and researching potential fraud, waste and abuse • Oversee and assist with developing cases for referral to law enforcement or other entities • Respond to requests for data and support for existing casework • Establish goals, objectives, and plans for the unit • Motivate staff and evaluate performance • Plan resources, address workload needs, set priorities, and report unit activity • Develop, administer, and control a budget • Administer compensation and other corporate policies • Recruit and develop staff • Participate in CMS and law enforcement meetings • Lead a team of investigations and Lead Assessment Investigators • Oversee and manage workload to meet contractual requirements

🎯 Exigences

• 10 years of experience, which may include supervisory or lead experience • Proven leadership skills • In-depth knowledge of the Medicare Program as it pertains to reviewing claims and provider behavior for indications of potential fraud, waste and abuse • Knowledge of Medicare requirements, laws, rules and regulations related to payment for services billed to the Program • Excellent organizational and communication skills • Strong PC skills • Ability to work effectively independently and as a member of a team • U.S. citizenship required • No clearance required • Bachelor's degree is a plus

🏖️ Avantages

• Telework available from specified U.S. states and the District of Columbia • Employees may be eligible for overtime • Employees may be eligible for shift differential • Employees may be eligible for a discretionary bonus

Postuler Maintenant

Emplois Similaires

🕒 il y a 2 jours

UR Ventures

11 - 50

📚 Éducation

🤝 B2B

🔬 Science

IT manager overseeing provider credentialing, privileging, and payer enrollment applications for University of Rochester Medicine. Leading application operations, compliance, analytics, security, and staff development.

🇺🇸 États-Unis – Télétravail

💵 $97 400 - $146 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🗣️🇺🇸🇬🇧 Anglais requis

🕒 il y a 2 jours

AbbVie

10 000+ employés

🏥 Santé

💼 Conseil

🏭 Fabrication

Field Reimbursement Manager educating oncology providers on AbbVie patient support, payer policies, coding, and reimbursement. Managing territory relationships and reporting access trends across assigned accounts.

🇺🇸 États-Unis – Télétravail

💵 $132 000 - $238 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

infoinfo

🗣️🇺🇸🇬🇧 Anglais requis

🕒 il y a 2 jours

AbbVie

10 000+ employés

🏥 Santé

💼 Conseil

🏭 Fabrication

Field Reimbursement Manager supporting oncology providers with AbbVie patient access, payer, and reimbursement programs. Managing territory relationships and reporting payer trends across key accounts.

🇺🇸 États-Unis – Télétravail

💵 $132 000 - $238 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

infoinfo

🗣️🇺🇸🇬🇧 Anglais requis

🕒 il y a 2 jours

AbbVie

10 000+ employés

🏥 Santé

💼 Conseil

🏭 Fabrication

Field Reimbursement Manager supporting oncology providers with payer, coding, and patient access programs. Managing territory relationships and reimbursement insights for AbbVie’s innovative medicines.

🇺🇸 États-Unis – Télétravail

💵 $132 000 - $238 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

infoinfo

🗣️🇺🇸🇬🇧 Anglais requis

🕒 il y a 2 jours

AbbVie

10 000+ employés

🏥 Santé

💼 Conseil

🏭 Fabrication

Field Reimbursement Manager educating oncology providers on access, coding, and payer reimbursement for AbbVie’s innovative medicines. Managing territory relationships and reporting payer trends to internal teams.

🇺🇸 États-Unis – Télétravail

💵 $132 000 - $238 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

infoinfo

🗣️🇺🇸🇬🇧 Anglais requis