Title: Senior Manager, Ethics & Compliance Job Responsibilities: - Manage and implement strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company. - Ensure all Medicare and Medicaid products and services are...
Title: Vice President, Corporate Compliance Investigation Job Responsibilities: - Oversee the management of the Compliance Investigation Unit (CIU), the Ethics Point hotline, and risk assessments of the company's investigative processes. - Provide direction for managing and evaluating internal inquiries and allegations, as well...
Title: Senior Director, Sales Investigations Job Responsibilities: - Serve as a strategic leader overseeing all enterprise-wide sales investigations, with a primary focus on Medicare sales. - Lead a high-performing investigation team responsible for examining allegations of non-compliant or fraudulent sales practices involving agents...
Claims Consultant - NFP (Community Association D&O Liability) The candidate manages and resolves D&O Community Association claims by evaluating coverage, assessing liability and damages, setting timely reserves, negotiating and settling claims, and directing litigation. Works under general direction, and within...
complex healthcare cases against individuals or entities committing healthcare fraud. The role focuses on... recovering corporate and client funds paid on fraudulent claims. Key responsibilities include: - Reviewing claims for appropriate coding, conducting data mining, entity reviews, and making law enforcem...
Title: Senior Managing Counsel- Pharmacy Job Responsibilities: - Lead a team of attorneys providing legal support for pharmacy operations, product development, payer relationships, and arrangements with 340B covered entities and others. - Provide strategic legal counsel on regulatory, operational, and...
Title: Associate Chief Counsel Job Responsibilities: - Lead a team of attorneys responsible for pharmacy network operations within the pharmacy benefit manager (PBM) business. - Oversee a team of attorneys supporting rebate, formulary development, and value-based solutions business units...
laundering (AML), and sanctions compliance. Lead diverse teams on complex financial crimes advisory engagements, including AML, sanctions, and fraud-related assessments, gap analyses, and... remediation efforts; proven track record in delivering high-quality financial crimes deliverables, and leading teams in a fast-pa...
including AML, sanctions, and fraud-related assessments, gap analyses, and... remediation efforts. Contribute impactfully to the execution of client solutions that address regulatory requirements, enhance operational efficiency, and mitigate financial crime risks. Drive the development of high-quality work products, seeking opportunities...
and reporting, data analysis, and assisting leadership with overall strategy. Focus on recording and analysing financial transactions, paying and receiving invoices, maintaining financial statement ledger accounts, and preparing analysis and reconciliations of bills to detect fraud. Help the team provi......
Title: Senior Manager, Ethics & Compliance Job Responsibilities: - Manage and implement strategies to ensure the successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company. - Ensure all Medicare and Medicaid products and services...
Title: Vice President, Corporate Compliance Investigation Job Responsibilities: The Vice President of Corporate Compliance Investigation is a pivotal role within the executive leadership of the company, tasked with overseeing the compliance investigation processes and ensuring adherence to legal and ethical standards. The...
Title: Senior Director, Sales Investigations Job Responsibilities: - Serve as a strategic leader overseeing all enterprise-wide sales investigations, focusing primarily on Medicare sales. - Lead a high-performing investigation team responsible for examining allegations of non-compliant or fraudulent sales practices involving agents and agencies. -...
and reporting, data analysis, and assisting leadership with overall strategy. Focus on recording and analysing financial transactions, paying and receiving invoices, maintaining financial statement ledger accounts, and preparing analysis and reconciliations of bills to detect fraud. Help the team provi......
Claims Consultant - NFP (Community Association D&O Liability) The candidate plays a critical role in managing and resolving D&O Community Association claims by evaluating coverage, assessing liability and damages, setting timely reserves, negotiating and settling claims, and directing litigation. Works...