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Fraud jobs in York, PA

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Head of Fraud

Ally  –  Harrisburg, PA, 17124
... The Opportunity As Head of Fraud, you will be accountable for the loss performance and fraud risk profile of Ally Bank. Your remit will include Fraud Strategy, Fraud Analytics and Fraud Operations. You will apply your strategic and analytical skills ... - May 02

Hybrid Auditor Review Registered Nurse

A-Line Staffing Solutions  –  Harrisburg, PA, 17105
31.00
... MDS, Clinical experience, hospital, nurse auditor, Utilization review, medical fraud, Research Nurse, Nurse reviewer, Prior Authorization, Medicare, Medicaid, Acute Nursing, Hospital Nurse, Travel Nurse #Aline01 - Apr 29

Nurse Auditor

A-Line Staffing Solutions  –  Harrisburg, PA
31.00
... and quality medical care that the Medical Assistance Program is properly billed and that provider and/or recipient fraud and abuse of the Medical Assistance Program is detected and corrected Ability to communicate effectively verbally and in ... - Apr 23

Dental Hygienist

A-Line Staffing Solutions  –  Harrisburg, PA
... and compensability of services ordered and provided to recipients in the Fee-for-Service and Managed Care delivery systems Review claims and encounters to identify those providers/recipients whose billing/service patterns indicate fraud/waste/abuse. ... - May 03

Client Support Representative - Workout

Banco Santander Brazil  –  Harrisburg, PA, 17101
... * Assists with Compliance requested items during exams to gather data / files * Handles daily limited customer requests via phone and/or system such as account opening, account closing, fraud, etc. * Performs advances, transfers, payoffs and pay ... - Apr 19

Utilization Review Dental Hygienist

A-Line Staffing Solutions  –  Harrisburg, PA
... and compensability of services ordered and provided to recipients in the Fee-for-Service and Managed Care delivery systems Review claims and encounters to identify those providers/recipients whose billing/service patterns indicate fraud/waste/abuse. ... - May 02

LTC Pharmacist (full-time)

CPPG  –  Camp Hill, PA
... No previous violations or suspension of licenses due to fraud, theft of non-compliance with State and Federal Regulations. Must be able to stand for periods up to 10 hours. Dexterity of hands and fingers to operate computer keyboard, mouse, and ... - May 02

Registered Nurse - Med Care Services

Trident Development Corporation  –  Harrisburg, PA
... medical assistance recipients receive appropriate and quality medical care that the Medical Assistance Program is properly billed, and that provider and/or recipient fraud and abuse of the Medical Assistance Program is detected and corrected. ... - Apr 28

Pharmacy Operations Manager

Health Direct  –  East Hempfield Township, PA, 17601
... completion of a pre-employment and/or random drug screening test Required Training: HIPAA Privacy Course HIPAA Security Course Fraud, Waste, and Abuse Course MethGuard Course HIPAA Privacy CE Mastery Exam Fraud, Waste, and Abuse CE Mastery Exam ... - Apr 10

LTC Staff Pharmacist

CPPG  –  Camp Hill, PA
... No previous violations or suspension of licenses due to fraud, theft of non-compliance with State and Federal Regulations. Must be able to stand for periods up to 10 hours. Dexterity of hands and fingers to operate computer keyboard, mouse, and ... - Apr 24
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