Job Seekers, Welcome to Managed Care Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Featured! Featured!
NEW! NEW!
VA Northern California Health Care System
Martinez, California
NEW! NEW!
NEW! NEW!
NEW! NEW!
Jackson Physician Search
Indiana
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Penn State Health
Hershey, Pennsylvania
NEW! NEW!
NEW! NEW!
NEW! NEW!
Indiana University Health
Indianapolis, Indiana
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Duke University Health System
Durham, North Carolina
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Jackson Physician Search
Montana
NEW! NEW!
NEW! NEW!
Loading... Please wait.
Senior Director Program Integrity and Special Investigations Unit, Geisinger Health Plan
Job SummaryResponsible for the strategic direction, planning, oversight, and operation of the Special Investigations ("SI") and Program Integrity ("PI") teams. Develops and directs the prevention, detection and investigation of anti-fraud, waste and abuse (FWA)program processes and oversight and coordination of all program integrity activities. Ensures all regulatory requirements are met including the completion of annual fraud plans and reports. Acts as a point of contact for collaboration with local, state and federal law enforcement and regulatory partners. Provides executive management with reimbursement or recovery recommendations based on PI team’s review of claims for appropriate coding, billed statistics, policies, industry standards and compliance with contractual, state,
Loading. Please wait.