Investigate allegations of healthcare fraud, waste, and abuse through claims audits and data analysis. Prepare detailed investigative reports for referral to state and federal agencies.
Remote Other Jobs in United States (33,340)
Remote in = United States
Job category = Others
Develop business by identifying prospective customers and selling agricultural loan and lease products to farmers and ranchers. Manage key accounts and coordinate with underwriters to prepare loan packages and presentations.
Manheim Mobile Vehicle Inspector II, Los Angeles Metro North
Cox Enterprises
·
Full Time
·
Yesterday
Cox Enterprises
Conduct thorough vehicle condition inspections on client lots, providing accurate documentation of exterior, interior, and mechanical components. Build trust with clients and collaborate with internal teams to maximize inspection volume and ensure a premier customer experience.
Perform licensed DOT inspections, preventative maintenance, and advanced mechanical repairs on light, medium, and heavy-duty vehicles in a mobile environment. Act as a lead technician and consultant on jobsites, providing advanced diagnostics and triage for complicated repairs.
Responsible for creating Americas-based invoices and managing commission tracking, reporting, and analysis across global regions. Coordinates with account managers and internal teams to process and approve a high volume of real estate transactions.
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Provide exceptional service and administrative support to Financial Advisors and Private Wealth Advisors. Responsibilities include managing client accounts, executing transactions, and coordinating schedules and travel.
The specialist manages the review, design, and auditing of complex provider contracts and fee schedules within management systems. They conduct research and analysis to ensure data integrity and support network growth and compliance goals.
Establish and maintain productive value-based relationships with network providers to develop innovative solutions for cost and quality goals. Manage the complete contracting cycle, from planning and negotiation to implementation and performance oversight.
Accountable for the strategic alignment and operational success of complex provider relationships and value-based care initiatives in Florida and Louisiana. This role involves supervising the Provider Performance team and driving improvements in quality of care while reducing costs.
Lead the long-term strategy, innovation, and partnership ecosystem for Target's loyalty program to drive guest growth and engagement. Collaborate across Marketing, Merchandising, and Digital teams to deliver integrated, guest-centric activations and future-proof the loyalty program.
Perform reviews of routine and complex analytical experiments on pharmaceutical compounds to ensure compliance with SOPs and GMP. Evaluate laboratory data for scientific soundness and communicate deficiencies to laboratory staff to maintain data quality.
Drive strategic initiatives, transformation efforts, and operational programs to support a fast-growing organization. This includes creating executive-ready materials, analyzing data for decision-making, and building scalable processes and operating rhythms.
Develop and lead global employee recognition and rewards programs to enhance employee experience and retention. Partner with HR, Finance, and business leaders to design incentive programs and communicate their value across the organization.
Patient Access Specialist (Differential Waiver)
Sanford Health
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Full Time
·
Yesterday
Sanford Health
The Patient Access Specialist validates insurance eligibility and manages prior authorizations for medications, procedures, and medical equipment. They collaborate with providers and third-party payers to ensure medical necessity is documented and financial burdens are clarified via waivers or ABNs.
Oversee the software development team to deliver reliable customer-facing digital workflow solutions on time and within budget. Lead technical direction, process improvement initiatives, and the long-term engineering roadmap while managing resources and stakeholders.
The role is responsible for designing, developing, and implementing complex Workday Payroll, Absence, and Time Tracking (PATT) solutions. This includes managing stakeholder needs, resolving configuration issues, and coordinating the implementation of new Unions and MORs.
The role focuses on strengthening vendor governance, contract management, and financial oversight across a technology vendor portfolio. Key duties include tracking KPIs, conducting performance reviews, and collaborating with cross-functional teams to drive vendor accountability.
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Supply Planning Lead
Nestle Operational Services Worldwide SA
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Full Time
·
Yesterday
Nestle Operational Services Worldwide SA
Lead supply planning for finished goods to achieve service levels while optimizing inventory and managing bad goods. Coordinate with factories and co-manufacturers to optimize total delivered costs and respond to market demands.
The HR Generalist manages leave of absence and benefits administration while providing customer service via the Employee Service Center. Responsibilities include handling COBRA, life event changes, and updating employee data in operational systems.
The HR Generalist manages leave of absence and benefits administration while providing customer service via the Employee Service Center. Responsibilities include handling COBRA, life event changes, and maintaining employee data in operational systems.
The HR Generalist manages leave of absence and benefits administration while providing customer service via the Employee Service Center. Responsibilities include handling COBRA, life event changes, and updating employee data in operational systems.
Lead technical operations for a cloud-native AWS data and AI platform, focusing on reliability, observability, and incident response. Coordinate with SRE leads to automate workflows and ensure production readiness for federal data products.
Lead multiple product implementations across the country, managing the full lifecycle from sales handoff to clinical success transition. Drive hardware and software delivery while maintaining high customer satisfaction and hitting project milestones.
Provide high-quality virtual tax support and guidance for complex federal and state tax scenarios via chat. Support agent readiness through training, performance data analysis, and cross-functional initiatives to improve service quality.
Regional Vice President Beacon Capital Management - Southern California Region
Sammons Financial Group
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Full Time
·
Yesterday
Sammons Financial Group
Develop and implement sales and marketing strategies to grow Beacon Capital Management's market share within the Southern California region. Build and maintain relationships with Registered Investment Advisors through presentations, training, and strategic territory management.
Lead the Threat Detection & Response function to establish a multi-year strategy and evolve the SOC into an agentic operating model. Focus on organizational design, culture, and the automation of repetitive investigations to prioritize complex intrusion analysis.
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Acts as a strategic partner to operational leadership to drive organizational culture and align people strategies with business objectives. Manages complex employee and labor relations, performance management, and workforce planning within a unionized environment.
Lead the delivery of comprehensive ergonomic services, including on-site assessments and solution design in industrial environments. Partner with clients to identify risk factors and implement practical interventions to reduce musculoskeletal injury risk.
The analyst is responsible for monitoring security tools to detect and triage threats while implementing SOAR automations to improve efficiency. They will also manage SIEM ingestion, consume threat intelligence, and collaborate with IT and Engineering to embed security requirements into the architecture.
Support the planning and execution of 20-40 annual events, including trade shows, webinars, and internal company events. Coordinate end-to-end logistics, manage vendor relationships, and track performance metrics to report on ROI and pipeline influence.
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