Partner Relations Liaison (CMS Healthcare Fraud Prevention)
$64.23k - $86.25kJobgether
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Partner Relations Liaison (CMS Healthcare Fraud Prevention) based in the United States. The Partner Relations Liaison will manage relationships between healthcare organizations participating in a national partnership focused on preventing fraud, waste, and abuse in healthcare. Working as part of a dedicated program team, you will serve as a key point of contact for assigned partners, helping them make full use of available membership benefits and resources. You will support partner onboarding, facilitate data-sharing activities, and help ensure information is accurately integrated into a centralized data warehouse. The role also involves gathering feedback, strengthening collaboration, and supporting program events and initiatives. This is an opportunity to contribute to meaningful healthcare integrity efforts while building trusted relationships across a diverse network of stakeholders. Accountabilities Establish and maintain regular, consistent communication with assigned Healthcare Fraud Prevention Partnership (HFPP) members and partner organizations. Build strong relationships with partners, ensuring they understand and take full advantage of available membership benefits, services, and program resources. Gather partner feedback, identify concerns and opportunities for improvement, and communicate relevant insights to program and partnership leadership. Support day-to-day partner onboarding activities, including completion of data-sharing agreements and coordination of data submissions. Assist partners with onboarding their data into the Trusted Third Party (TTP) Data Warehouse, helping facilitate accurate and efficient data-sharing processes. Respond to partner questions, follow up on issues, and independently coordinate solutions when challenges arise. Support the planning and delivery of partnership events, including activities involving both HFPP members and non-member organizations. Maintain professional standards when handling sensitive information, ensuring confidentiality and compliance with applicable privacy requirements. Coordinate with internal teams and stakeholders to support program objectives and deliver a consistent partner experience. Requirements Bachelor’s degree in a healthcare-related field, Business Administration, Criminal Justice, or a related discipline; equivalent professional experience may be considered in place of a degree. At least 2 years of experience in customer service, partner relations, or customer liaison roles. At least 2 years of experience in healthcare investigations. Strong understanding of healthcare claims, health insurance processes, and fraud prevention concepts. Working knowledge of HIPAA privacy and security rules. Expert-level proficiency with Microsoft Office applications. Excellent written and verbal communication skills, including the ability to present information to management-level stakeholders. Strong decision-making, organizational, and problem-solving abilities, with demonstrated leadership qualities. Commitment to confidentiality, privacy, and professional conduct when working with sensitive healthcare information. Ability to manage multiple priorities, meet deadlines, and remain detail-oriented in a fast-paced environment. Capacity to work independently with minimal guidance while also contributing effectively to a collaborative team. Strong interpersonal skills and the ability to establish productive relationships with stakeholders at all levels. High initiative, sound judgment, and exceptional customer service skills. Benefits Salary range: $64,230–$86,250 annually. Final compensation will depend on experience, geographic location, and applicable contractual requirements. Comprehensive medical plan options, including plans with Health Savings Accounts (HSAs). Dental and vision coverage. 401(k) retirement plan with company matching. Flexible work arrangements and full flex work weeks where available. Paid time off, including vacation, sick, and personal leave. New employees typically receive 15 days of paid leave per calendar year, prorated based on hire date. 10 paid holidays annually, prorated based on hire date. Paid parental, military, bereavement, and jury duty leave. Paid Family Leave of up to 160 hours within a rolling 12-month period for eligible employees. Short- and long-term disability coverage, life insurance, and additional accident and critical illness protection options. Wellness resources and comprehensive employee support programs. Access to career development resources and internal mobility opportunities. Fully remote work arrangement, available from any U.S. location. Standard schedule of 40 hours per week. Limited travel required, estimated at less than 10%. #J-18808-Ljbffr Jobgether
- Jobgether is seeking a Partner Relations Liaison (CMS Healthcare Fraud Prevention) based in the United States to manage relationships with HFPP members and partner organizations. You will oversees onboarding, data-sharing, and ensure accurate integration into the data...CmsFraudRemote job
$170k - $210k
...Oncology Medical Science Liaison IQVIA is seeking... ..., and other healthcare professionals at the... ...insights related to disease biology... ...centers.Networking and partnering with important external... ...clinical groups, CMS and insurance... ...policy for candidate fraud. All information and...CmsFraudFull timePart timeWork at officeImmediate startWorldwide- Job Title: Public Relations Specialist - Digital Content & Newsroom Location: New Hyde Park... ...The Company We are one of the largest healthcare organizations in the region, combining world... ..., format, and publish webpages within a CMS such as Drupal, ensuring content is...Cms
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...Investigations Unit (SIU) related to coding and billing... ...suspected health care fraud and abuse. Position... ...validate services against CMS and State-specific... ...providers. Identify preventative measures and recommend... ...your skills while making healthcare more accessible and...CmsFraudFull timePart timeWork at officeRemote workFlexible hours$65k - $88.6k
...procedures, and regulations and to prevent and detect fraud, waste, and abuse to ensure... ...their linkages to related areas. Your work assignments... ...Medicare and Medicaid Services (CMS), and Humana Gold-Plus... ...Preferred Qualifications Licensed healthcare professional in the state...CmsFraudFull timeContract workTemporary workFor contractorsApprenticeshipWork at officeRemote workHome officeMonday to Friday$64.23k - $85.1k
...Experience: 2 + years of related experience US... .... As a part of the Healthcare Finance team, you will also partner with operations teams... ...Control and Prevention (CDC) in the U.S. Department... ...alignment with CDC/CMS guidelines.... ...protect against identity fraud. You are expected...CmsFraudTemporary workFor contractorsImmediate startRemote workWork from homeWorldwideFlexible hours- ...Government, is seeking a Healthcare Data Analyst to join... ...strive to be a trusted partner, delivering... ...benefits); working with CMS to support their mission... ...analysis of potential fraud cases and requests for... ..., or staff training as related to Medicare fraud, waste...CmsFraudFull timeWork experience placementLocal area
$95k
...personalized, quality-based healthcare to the home of patients... ...The Community Liaison is responsible for inbound... ...representative educating community partners and potential patients... ...organization (or other CMS alternative payment... ...all patient concerns related to care needs,...CmsWork at officeLocal area- ...including, but not limited to OSHA, HIPAA & CMS guidelines for Parts C & D on General Compliance and Fraud, Waste & Abuse.Performs other position related duties as assigned.Employees shall... ...in stressful situations.Knowledge in healthcare systems operations such as EMR,...CmsFraudWork at officeImmediate startShift workDay shift
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- ViiV Healthcare is a global specialty HIV company, the only one that... ...commitment to being a trusted partner for all people living with and... ...approaches to treatment and prevention that could further reduce the... ...Medicare and Medicaid Services (CMS) website at #J-18808-Ljbffr...CmsLocal areaRemote workNight shift
- ...including, but not limited to OSHA, HIPAA & CMS guidelines for Parts C & D on General Compliance and Fraud, Waste & Abuse.Performs other position related duties as assigned.Employees shall... ...in stressful situations.Knowledge in healthcare systems operations such as EMR,...CmsFraudWork at officeImmediate startShift workWeekend workDay shiftAfternoon shift
- Conduct complex, in-depth investigations of reported fraud involving the full range of healthcare products. Develop and maintain relationships with law enforcement... ...Bachelor’s degree in criminal justice or related field. AHFI and/or CFE certification (Preferred. 4 -...CmsFraudRemote jobWork experience placement
- ..., medical coding, payment integrity, or related healthcare reimbursement functions to investigate complex... ...necessity assessments. Knowledge of CMS reimbursement methodologies, NCCI edits,... ...regulations. Experience identifying fraud, waste, abuse, and healthcare billing irregularities...CmsFraudRemote jobWeekly payContract workImmediate startMonday to Friday
$175k - $200k
...Head of External & Partner Relations / Med Tech We are a specialized firm in the medical technology sphere; we identify breakthrough healthcare innovation — often at the inventor, academic, or lab stage — and fund and build it into category-creating businesses....Work at office- A healthcare services provider is seeking a Patient Relations Manager to ensure safe admissions of patients onto their services. This remote position requires effective communication and strong customer service skills to liaise between patients and facilities. Candidates...Remote job
- ...operational backbone of our Partner Experience (PX)... ...administration of our LMS/CMS platforms supporting partner... ..., and generate revenue-related insights that align... ...in a SaaS company (healthcare experience is a plus).Extensive... ...from these types of fraud by referring to this...CmsFraudHourly payFull timeFlexible hours
$80k - $130k
...world. We help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create digital marketing solutions, and gain deeper... ...determined by work location and additional factors such as job-related skills, experience, and education. You will also be...FraudBase plus commissionFull timeWork at officeLocal areaRemote workFlexible hoursShift workDay shift$230k - $280k
...Director Medical Science Liaison is a manager-leader... ...as a cross-functional partner within the companyServe... ...thought leaders and healthcare professionalsIn an accurate... ...of 13 years of related experience; or,Accredited... ...policy for candidate fraud. All information and credentials...FraudFull timePart timeImmediate startWorldwide$46.99k - $112.2k
...behavioral, transportation and other healthcare providers. The CPC must have the ability... ...and accurately apply state or CMS guidelines related to the audit. Assist with investigative... ...potential billing errors, abuse, and fraud. Identify opportunities for savings related...CmsFraudHourly payFull timeTemporary workWork at officeLocal area- ...billion of private equity healthcare transactions. As we... ...platform to support Brand Partners across all 50 states,... ...OIG advisory opinions, CMS guidance, DEA regulations... ..., Legal Studies, or related field 5+ years of healthcare... ...and healthcare fraud enforcement trends Skills...CmsFraudRemote workFlexible hours
$115.49k - $173.24k
...Associate Director, Infection Prevention, reports to the... ...infection prevention related matters. This individual... ...(TJC) standards, CMS, OSHA, and city and state... ...risk of infection in the healthcare setting.Interacts with... ...reporting as well as partners with both...CmsTraineeshipLocal area- ...promoting a culture of compliance, preventing, and detecting fraud, waste, and abuse, and... ...audits conducted by OMIG, CMS, 3rd party vendors, and... ...written communication skills; relative to implementation and... ...individuals and families as our partners We heal our communities one...CmsFraudWork at officeLocal area
$70k - $80.5k
A leading healthcare staffing firm is seeking a Clinical Liaison to evaluate clinicians and ensure compliance with staffing needs. This remote role requires an Associate’s Degree in Nursing and at least 3 years of nursing experience. Strong communication skills and proficiency...Remote jobWork at office$163.2k - $244.8k
...learn more. About the role... We’re hiring a People Relations Business Partner to lead Duolingo’s approach to employee relations, leaves of... ...or other applicable legally protected characteristics. Fraud Warning: Unfortunately, there is a rise in scammers pretending...FraudWork experience placementLocal area- ...climate change to access to healthcare and disease prevention. Are you ready to harness scientific... ...? As a Medical Science Liaison, you will be a trusted scientific partner to oncologists, translating emerging... ...s skills and experience, job-related knowledge, and other specific...Permanent employmentContract workTemporary workFixed term contractLocal areaFlexible hours
- ...for the Medical Science Liaison - Northeast role at... ...the trusted scientific partners in the field for external... ..., payers, and healthcare providers and proactively... ...and guidelines as they relate to clinical practices... ...high-quality healthcare, prevention and wellness programs...Full timeContract workWork at officeLocal areaRemote workFlexible hours
- Patient Liaison page is loaded## Patient Liaisonremote type: Not Remotelocations: Brooklyn... ...and works on quick resolution with relative employee and leadership.4. Collaborates... ...Establishes guidelines for discovering and preventing fraud* Maintains resources and library of...FraudWork at officeLocal area
$26.85 - $28.29 per hour
...Patient Liaison The Patient Liaison (PL) is a vital member of... ...subsidizing the cost of basic and preventive care. CM treats people and... ...referrals to external agencies/partners Accept payments for... ...fleet manager of any safety related findings Troubleshoot equipment...CmsHourly payTemporary workWork experience placementImmediate startMonday to FridayFlexible hoursShift workDay shift$168.6k
...Global Asset/Commercialization Partner is a senior client leadership... ..., commercial insights and healthcare intelligence to the life sciences... ...policy for candidate fraud. All information and credentials... ...number of factors including job-related qualifications such as...FraudFull timePart timeImmediate startWorldwide
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