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R. Ken Coit College of Pharmacy, University of Arizona

Tucson, Arizona

Albany College of Pharmacy and Health Sciences

Albany, New York

eGenesis, Inc.

Cambridge, Massachusetts

Rocky Vista University

Ivins, Utah

Texas Tech University Paul Foster School of Medicine

El Paso, Texas

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High Point University

High Point, North Carolina

Dalhousie University

Halifax, Nova Scotia, Canada

Agency for Science, Technology and Research (A*STAR)

Singapore, Singapore

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University of Minnesota Physicians

Minneapolis, Minnesota

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ChristianaCare Health System

Wilmington, Delaware

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Froedtert & The Medical College of Wisconsin

Milwaukee, Wisconsin

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Foundation Health Partners

Fairbanks, Alaska

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ChristianaCare Health System

Wilmington, Delaware

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Charlie Norwood VA Medical Center

Augusta, Georgia

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Vanderbilt Health

Nashville, Tennessee

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WMC Health

Warwick, New York

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Stanford Children's Health - Lucile Packard Children's Hospital

Palo Alto, California

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Foundation Health Partners

Fairbanks, Alaska

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Vanderbilt Health

Nashville, Tennessee

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Cejka Search

Shelton, Washington

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Duke University Health System

Durham, North Carolina

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Vanderbilt Health

Nashville, Tennessee

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Vanderbilt Health

Nashville, Tennessee

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Rush University Medical Center

Chicago, Illinois

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Manager Special Investigation Unit - Community Health Choice
JOB SUMMARY: The Manager, SIU manages a team to detect, investigate, remediate and refer to state regulatory agencies and/or law enforcement as appropriate, incidents of fraud, waste and abuse (FWA) arising in connection with medical, behavioral, dental, transportation, pharmacy, and other healthcare services. This position determines correct coding, review claims, review medical records, and billing data from all types of healthcare providers for aberrant billing patterns and is responsible for managing case assignments, case development, case review, overpayment recoveries, managing RFIs, state agency and/or law enforcement referrals, training of staff, and coordination with other departments to mitigate and remedy FWA. The Manager, SIU develops, implements and manages strategi


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