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Online Resumes with "Fraud Waste Abuse"
Senor Healthcare Compliance Manager - 11 years Experience - Phoenix
Highly motivated individual with Ethics, Compliance, Privacy, Project Management and computer technology aptitude. Promote and enforce the overall coordination and monitoring of compliance, including legal, contractual and regulatory requirements. Diversified background including oversight and monitoring of Fraud, Waste and Abuse cases. Excellent attendance with a reputation for efficiently completing work assignments. Know...
Tags for this Online Resume: Compliance, Healthcare Insurance, Regulatory, Privacy, HIPAA, Project Manager, Contracts, Policies
Auditor - 8 Years of Experience - Near 85257
My career is that of intergrity, accountability and fiscal probity. It deals with fighting fraud, waste and abuse in both the public and private sector.
Compliance Officer - 10 Years of Experience - Near 20866
Ensure compliance and promote the best interest of the company and its employees to the best of my ability.
Ideal Companies: AARP, United Health, World Health Organization
Tags for this Online Resume: communications, health admin, claims, Medicare, Medicaid, Managed Care, Systems, C, MS Project
Healthcare/Medicare Insurance Consultant and Outreach Manager. Over 5 years experience in compliance, project management, and Medicare Risk Adjustment. Conducted over 250 seminars and developed strong training and presentation skills.
Over 5 years of acquired Medicare expertise in the healthcare industry. Conducted hundreds of educational seminars on Medicare fraud, waste, and abuse to beneficiaries and providers. A strong focus on reducing unnecessary healthcare waste and increasing provider and beneficiary relationships.
Tags for this Online Resume: Medicare, Risk Adjustment, Provider Relations, Compliance, Consultant, Presentation. Training, Education, Travel, Outreach, Quality Assurance, Quality Management
Health Plan Manager 20+ years exp. Near 93536
I am seeking a senior position in the health and welfare benefits industry focusing on operational management and process improvements.
Ideal Companies: Anthem, United Health Care, Health & Welfare Plans. Possible human resource companies
Tags for this Online Resume: claims processing, Health Care Reform knowledge, Affordable Care Act, CPT, ICD9-10, Health Plan Benfits Administration, Team Building, leadership, Vendor Contract
Accountant - 20 Years of Experience - Near 44720
Apply auditing and investigative skills to incover fraud, waste and abuse of public and private funds
Tags for this Online Resume: Cleveland, Columbus, South Carolina, North Carolina, Georgia, Virginia, Washington DC, New York
Army - 20 Years of Experience - Near 70769
For the past 25 years, I’ve provided top-level management and logistical services for the United States Army, with responsibilities spanning the areas of accounting, logistical analysis, vendor relations, and supply lines. In every position, I have demonstrated my ability to inspire personnel and optimize efficiency while maintaining high standards of quality and safety. My critical thinking and conflict resolution skills w...
Ideal Companies: Shell, Westlake Chemical, Methanex, BASF,
Tags for this Online Resume: Logistic Manager , Supply Chain, Microsoft Office, Leadership, Problem-solving, DOT regulations, Baton Rouge, planning and managing inventory
Program Manager - 20 Years of Experience - Near 20744
Help reduce fraud waste and abuse in the healthcare syytem through Health IT and using telemedicine
Medical or Health Services Manager
Degreed RHIA professional seeking an opportunity to share and gain knowledge and experience in the area of healthcare management. Highly knowledgeable and efficient Manager with great background in auditing and investigations, fraud, waste, and abuse, change management, revenue cycle, department reorganization, developing, recommending and implementing policies, programs and procedures for the operation of organizations' Me...
Tags for this Online Resume: Denebra Canvas, Documentation, Encoder, Health Care Industry, ICD 10, Management, McKesson, Medical
Talented and Experienced Attorney
Licensed Attorney with broad experience in litigation,contracts, marketing and FCPA compliance matters. Analytical thinker with superior legal research skills and statutory and regulatory interpretation. Clear, concise comunicator proficient in drafting legal memoranda, contracts, court documents, statutes, policy manuals and settlement agreements. Team player known for professional demeanor, diplomacy and impeccable ethics...
Ideal Companies: Reynolds American; Altria; AmerisourceBergen/ABC; Gilead Sciences; Marriott International;Wyndham Worldwide; Biogen;Arthur J Gallagher; S&P Global; Facebook; Constellation Brands; CBRE Group; FNF Group; Accenture; Aetna; General Dynamics; Express Scripts Holding; Home Depot; Applied Materials; Centene; O'Reilly Automotive; Nike; Automatic DataPorcessing; Toronto-Dominion Bank; Expedia; Cognizant Tech Solutions; Progressive; UnitedHealth Group; Salesforce.com; Omnicom Group; Texas Instruments; AbbVie; Harman International; Allergan; Thermo Fisher Scientific; Trinity Industries; Lear; Expeditors Intl of Washington; Marsh & McLennan; AON; Boston Scientific; Interpublic Group; Sherwin-Williams; Western Union; Stanley Black & Decker; Principal Financial Group; Nielsen Holdings; Ingersoll-Rand; Boeing; Hilton Worldwide Holdings; Hanesbrands; Lowe's;Stryker; Time Warner; Starbucks; CVS Health; MasterCard; Clorox; Apple; Anthem;Prudential Financial; QVC Group; C.H. Robinson Worldwide; NCR; Southwest Airlines; Kraft Heinz; Hormel Foods; Delta Air Lines; Lithia Motors; Walgreens Boot Alliance; Twenty-First Century Fox; Asbury Automitive Group Illinors Tool Works; Arrow Electronics;Emcor Group;Carmas; Chicago Bridge & Iron; Walt Disney; Comcast; CGI Group; Agen;iHeartMedia; Universal Health Services; Fifth Third Bancorp; Symantec; United Rentals; Royal Bank Of Canada; Hrshey;United Technologice; Medtronic;Henry Schein; Alphabet; Dr Pepper Snall Group;L Brands; Tractor Supply; Capital One Financial Services; Quintiles Transnational Holding; Cardinal Health; Celgene; Jones Lang LaSalle; AutoZone; Spirit AeroSystems Holdings; Aecom;D.R. Horton; Zimmer Biomet Holdgins; Sealed Air; Pilgrim's Pride; Coca-Cola;Tyson Foods; Indivior; Sentry Insurance
Tags for this Online Resume: Development Initiatives, Manufacturing, Packaging, Policies and Procedures, POS, Procurement, Product Development, Marketing, Promotion, FCPA, Compliance, Contracts, Litigation, Negotiation, Confidentiality, RFPs, Training, Fraud, Export controls, Supply Chain, Settlement Agreements
Pharmacist - 18 Years of Experience - Near 11370
Experienced with readjusting and correcting cutbacks (cutback reports), and reimbursement amounts on submitted claims Experienced with Third Party and Medicaid Audit requirements * Adjusting for audited rejected claims and correcting them for resubmission * Very Experienced with OPUS-ISM Experienced with billing for time on compounded medications (i.e., legend drugs on insurances) with OPUS- ISM * Adding new insurance plans...
Tags for this Online Resume: Compliance, Inventory, Inventory management, Management, Pharmaceutical, Toxicology, Audit, Billing
Director - 10 Years of Experience - Near 77379
CAREER HIGHLIGHTS * Fifteen plus years of Project Management experience in Operations, Training, Budget Planning and Compliance Training. * Experience as, Executive Vice President of Company Southeast Region, effective in January 2004 to January 2007. * Eight years of experience as an Advocate Social Security Disability Representative. * Experience practicing the Social Security Act at the Administrative Law Judge Level. * ...
Tags for this Online Resume: Training, Budgeting, Call Center, Management, Operating Budget, Satellite, Insurance, Medicare, Receivables, Bilingual
