Job Seekers, Welcome to IFDHE Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Featured! Featured!
The Guthrie Clinic
Sayre, Pennsylvania
Featured! Featured!
St. Luke’s University Health Network
1165 Centre Turnpike - 30 SLPG,
Featured! Featured!
Featured! Featured!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Geisinger
Wilkes-Barre, Pennsylvania
NEW! NEW!
NEW! NEW!
Veterans Affairs, Veterans Health Administration
Grand Junction, Colorado
NEW! NEW!
NEW! NEW!
Veterans Affairs, Veterans Health Administration
Bronx, New York
NEW! NEW!
NEW! NEW!
Veterans Affairs, Veterans Health Administration
Grand Junction, Colorado
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.