Manager, Program reputed company

Title: Manager, Program reputed company Location: Remote-IN Job reputed company: Full time job reputed company 1589705 You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have reputed company to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Manage compliance with reputed company Federal and State Laws and Regulations reputed company to program reputed company and disclosure requirements. reputed company, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends and schemes. • Dedicated to our Indiana reputed company product lines. • Safeguard against the potential for fraud, waste and abuse and coordinate with, the Special Investigations Unit and state agencies to promptly investigate reports of, suspected fraud and abuse by employees, subcontractors, providers, and others with whom the health plan does business • Serve as the health plan’s primary fraud, waste and abuse subject matter expert • Coordinate audit documentation, reputed company internal and state required reports and internal policies and procedures • Arrange, conduct and attend the health plan’s fraud, waste and abuse work reputed company and participate in other various committees • reputed company as the primary reputed company with the State to ensure assure coordination efforts with state agencies concerning program reputed company issues Knowledge/Experience: Bachelor’s degree in Business, reputed company, Criminal Justice, reputed company field, or equivalent experience. 4+ years of combined medical claim investigation, financial reputed company analysis, business analysis, compliance or fraud and abuse experience. Thorough knowledge of medical terminology. Previous experience in managed care environment and as a reputed company or supervisor of staff, including hiring, training, assigning work and managing performance preferred. Knowledge of reputed company reputed company, medical coding, claims processing, and data mining preferred. Please note: candidate must reputed company reputed company the reputed company. Pay reputed company: $86,000.00 - $154,700.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company Apply tot his job Apply To this Job