Senior SIU Manager - Healthcare Fraud & Compliance
Parkland Community Health Plan Inc
Parkland Community Health Plan seeks an experienced SIU Operations Manager to lead the Special Investigations Unit’s activities, focusing on the investigation, detection, reporting, referral, and mitigation of suspected fraud, waste, and abuse within Texas Medicaid/CHIP programs.
The role requires extensive knowledge of healthcare investigations, data analytics, and regulatory requirements, with a track record of managing investigations and staff in a regulated environment.
#J-18808-Ljbffr- ...System seeks a seasoned leader to manage the Special Investigations Unit (SIU), overseeing investigations into provider, member, and other healthcare fraud, waste, and abuse. You will ensure... ...extensive experience with healthcare compliance, regulatory agencies, and data-...Fraud
- ...SummaryCOMPANY BACKGROUND:Tenet Healthcare Corporation (NYSE: THC)... ...provides revenue cycle management and value-based care... ...seeks to add a Senior Counsel, Operations to... ...and other parties for compliance with Stark, anti-kickback and other fraud and abuse laws, EMTALA,...SeniorFraudWork at office
$125.9k - $188.86k
...Senior Project ManagerAt Henderson, we're about more than just buildings... ..., higher education, sports, healthcare, grocery, restaurant, and... ...: As a senior project manager at Henderson Engineers, you will... ...NOTICE TO CANDIDATES: RECRUITMENT FRAUD ALERT Henderson...SeniorFraudCasual workFlexible hours$98.5k - $188k
...seeking a highly analytical and proactive Senior Manager to join our team in Cyber Security. In... ...complex operational, security, and fraud threats across our wireline and wireless... ...ensuring timely deliverables and operational compliance.Cross-Functional Collaboration: Build...SeniorFraudFull timeTemporary workPart timeWork experience placementWork at officeWork from homeShift workWeekend work3 days per week- ...Companies, LLC, a global consulting firm, is seeking a Senior Project Manager in Dallas to support healthcare design and large-scale construction projects. You... ...manage budgets and schedules while maintaining regulatory compliance and client satisfaction. #J-18808-Ljbffr...Senior
$90k - $120k
...advancing the diagnosis and management of coronary artery disease,... ...for exceptional strides in healthcare innovation, is supported by... ...field sales team — not as a compliance resource, but as a trusted commercial... ...has become aware of a fraud where unknown entities are posing...FraudLive inWork at officeLocal areaRemote workWorldwideRelocationRelocation package- A healthcare provider in Dallas seeks a dedicated Registered Nurse (RN) for the General Medicine Unit. The RN will coordinate patient care, assess needs, and ensure compliance with nursing standards. This role requires a graduate from an accredited nursing school and a...Senior
$148k - $296k
...same place. Job Summary We are seeking a Senior Manager, Security Operations to join the firm.... ...client data security while maintaining compliance standards. This role ensures security... ...year) Identity Protection/Restoration and Fraud Insurance Parental Leave (18 weeks of...SeniorFraudTemporary workWork at officeLocal areaRemote workRelocationFlexible hours$157.7k - $235.75k
...needs in an evolving healthcare environment. This model... ...unified focus among account management, medical, patient... .... Partner with senior customers (e.g., leaders... ...and policies, ensuring compliance with regulatory standards... ...Job Recruiting Fraud Scams At Otsuka we take...FraudTemporary workLocal areaFlexible hours- ...Ascensus is seeking a Senior Fraud Investigator to lead complex investigations, identify emerging... ..., and collaboration across operations, compliance, legal, and technology to prevent and... ...fraud investigations or related risk management, with a focus on data-driven analysis...SeniorFraud
- ...Affiliate Marketing Client in Canada is looking for a superstar Senior Affiliate Manager! This is a REMOTE position. The eligible candidate may work... ...of existing publishers on daily basis – communications, fraud prevention, contracts, troubleshooting, offer request...SeniorFraudFull timeRemote work
- ...Infosys is seeking a Senior Consultant/Business Analyst to bridge business and technology teams... ...Jacksonville, FL. You will leverage expertise in anti-fraud domains such as ID&V, fraud detection, investigations, or case management to translate business needs into practical...SeniorFraud
- ...DevelopmentServe as a trusted advisor to senior client stakeholders throughout the SAP transformation... ...sectors including Financial Services, Healthcare, Consumer, Manufacturing, or Public... ...due to a disability.Recruitment fraud is a scheme in which fictitious job opportunities...SeniorFraudMinimum wageFull time
$156.16k - $234.24k
...Architecture, ProfessionalCompany: CitiSenior Manager, Data Architecture and AI - Fraud DomainCiti is looking for a Senior Manager, Data Architecture to lead enterprise... ...that architectural recommendations uphold compliance standards and protect the integrity of Citi's...SeniorFraudFull timeWork at officeRemote work- ..., data analysis, diplomatic, management and prioritization skillsConsistently... ...or strong knowledge in the Fraud domain, particularly in... ...and autonomy.Acts as SME to senior stakeholders and /or other team... ...and assets, by driving compliance with applicable laws, rules and...SeniorFraudWork at office
- ...Citi's Irving, Texas-based SOC is seeking a Senior SOC Analyst (L2) to monitor, triage, and deeply analyze security events across endpoints... ...with Incident Response and cross-functional teams to ensure compliance with security policies, while driving automation and continuous...SeniorFraud
- ...Company, is looking for an experienced Senior Construction Project Manager to lead complex water and... ...review shop drawings for accuracy and compliance. Utilize Primavera P6 to monitor... ...local law enforcement agency and report fraud at . MasTec Clean Energy & Infrastructure...SeniorFraudFor contractorsFor subcontractorLocal area
- Project Manager / Senior Project ManagerPosition Type:Full timeWeekly Scheduled Hours:40State: TexasCity: AddisonZip Code:75001Overview:Vivmark... ...Personnel Privacy Notice ()No Fees Notice & Recruitment Fraud Disclaimer:Vivmark Residential is aware that there is recruitment...SeniorFraudFull timeContract workWork at officeLocal areaImmediate start
$177k - $309k
...faster than ever.As an SoC Physical Design Senior Manager, HBM in the Heterogeneous Integration... ...the plans that best meet their family healthcare needs and budget. Micron also provides... ...result in immediate disqualification. Fraud alert: Micron advises job seekers to be...SeniorFraudFull timeLocal areaImmediate startNight shift$135.7k
...deliver defensible insights. Services include fraud investigations, litigation consulting,... ...defining scope, developing workplans, managing budgets and timelines, coordinating... ...maintaining rigorous quality control and compliance with professional, legal, and regulatory...SeniorFraudHourly payWork at officeFlexible hours$116k - $154k
...Description: DTN is seeking a strategic, results-driven Senior Product Marketing Manager, Platform to own the positioning, messaging, and go-to... ...through change with smarter decisioning. Recruitment Fraud Notice: DTN is aware of incidents where external parties...SeniorFraudWork experience placementRemote workFlexible hours- ...Job Description: IT Business Senior Analyst The IT Business Senior... ...and assets, by driving compliance with applicable laws, rules and... ...business practices, and escalating, managing and reporting control issues... ...or strong knowledge in the Fraud domain, particularly in...SeniorFraudWork at office
- ...tomorrow.Section 1: Position SummaryThe Senior Fraud Investigator is a senior individual... ...independence and sound judgment while managing complex casework and contributing to broader... ...coordinationPartner with operations, compliance, legal, technology, and other stakeholders...SeniorFraudFull timeSecond jobRemote work
$145k - $180k
...preconstruction, planning, risk management, delivery activities... ...for all projects. The Senior Preconstruction... ...proceed reporting or compliance requirements with clients... ...spending account (Healthcare & Dependent care)Health... ...enforcement agency and report fraud at .MasTec Clean...SeniorFraudContract workFor contractorsWork experience placementFor subcontractorWork at officeLocal areaRemote workFlexible hours$112k - $200k
...work lead to the same place.We are seeking a Market Development Senior Manager (MDSM) to join either our Austin, Dallas or Houston office.... ...Off (25-30 days per year)Identity Protection/Restoration and Fraud InsuranceParental Leave (18 weeks of which 6 are paid; short-term...SeniorFraudFull timeTemporary workWork at officeLocal areaRemote work- ...Description We are seeking a Senior Immigration Attorney to lead... ...-212 waivers, criminal bars, fraud-related matters, and eligibility... .... ~ Proven ability to manage complex caseloads and supervise... ...in IT, engineering, finance, healthcare, and professional services recruitment...SeniorFraudPermanent employmentContract work
- ...interpreted by Production staff without Quality Manager involvement by the end of the second... ..., drift monitoring, and integrity/fraud detection in high-throughput human evaluation... ...management, traceability, privacy/compliance constraints, and audit‑ready documentation...SeniorFraudWork at officeLocal area
- ...Act ACA-related regulations, compliance requirements, reporting, or... ...than simply having general healthcare experience. Work schedule... ...Responsible for the ongoing management of the Health Plan compliance... ...regulatory reporting related to fraud, waste, and abuse activities...SeniorFraudFull timeWork at officeMonday to Friday
- ...someone to join our team as a Senior Data Scientist (NLP... ...to improve surveillance and compliance monitoring.In the Legal & Compliance... ...facilitating and overseeing the Firm's management of legal, regulatory, and... ..., Non-Financial Risk, and Fraud analytics> Experience with benchmark...SeniorFraudTemporary work
$93k - $123k
...Description: DTN is seeking a strategic, results-driven Senior Partner Marketing Manager to lead the marketing strategy and execution for our... ...through change with smarter decisioning. Recruitment Fraud Notice: DTN is aware of incidents where external parties...SeniorFraudWork experience placementRemote workFlexible hours
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