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Special Investigations Unit Investigator --------------------------------------------------------------- This position is responsible for administering the fraud, waste, and abuse (FWA) duties for CareOregon and its affi…
Skills: Fraud Investigation, Data Analytics, Case Documentation, Audit, Regulatory Compliance
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Job DetailsJob Location: Washington DC Location - Washington DC, DC 20002Position Type: Full TimeSalary Range: $77,034.00 - $77,034.00 Salary/yearNATURE OF WORK: Advance the Veterans of Foreign Wars of the United States …
Skills: Legislative Advocacy, Public Speaking, Policy Analysis, Research, Technical Writing
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At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less in…
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Washington, District of Columbia, United States · Hybrid
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DLA Piper is, at its core, bold, exceptional, collaborative and supportive. Our people are the backbone, heart and soul of our firm. Wherever you are in your professional journey, DLA Piper is a place you can engage in m…
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About Rivet Rivet is an American company building integrated task systems — fusing hardened hardware with software, sensors, AI, and networking — for industrial workforces and defense personnel. We create capabilities th…
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The Firm seeks a patent litigation associate who is excited to work on cutting-edge technology for the world’s top tech companies. We are looking for someone with the technical chops to be able to discuss details with en…
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About Price Benowitz, LLP Price Benowitz, LLP is a mid-sized law firm headquartered in Washington, D.C., with offices and attorneys throughout Washington, D.C., Maryland, Virginia, South Carolina, and Illinois. Our core …
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Gibson Dunn is a leading global law firm, advising clients on significant transactions and disputes. Our exceptional teams craft and deploy creative legal strategies that are meticulously tailored to every matter, howeve…
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Washington, District of Columbia, United States · On-site
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Miles & Stockbridge has positioned itself as an AmLaw 200 firm that is global in scope and in reach. Miles & Stockbridge maintains a reputation for a dynamic and approachable work environment that allows talented lawyers…
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Washington, District of Columbia, United States · On-site
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Washington, District of Columbia, United States · Hybrid
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Washington, District of Columbia, United States · On-site
Brady has one powerful mission — to unite all Americans against gun violence. Each year, 40,000 people in the U.S. die from gun violence. We can change that. No organization has a more comprehensive and systematic …
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Washington, District of Columbia, United States • Remote Solely
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Administer fraud, waste, and abuse (FWA) duties to prevent, detect, and correct irregularities within CareOregon. This includes performing investigations, conducting audits, and preparing regulatory reports for internal and external stakeholders.
Requires a minimum of 2 years of experience in FWA, compliance, or audit within a highly regulated industry. Preferred qualifications include Oregon Medicaid experience and certifications such as CPC, RHIT, or CFE.
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This position is responsible for administering the fraud, waste, and abuse (FWA) duties for CareOregon and its affiliated lines of business. Core work includes ensuring effective measures are in place and operating effectively to prevent, detect, and correct any instances of fraud, waste, and abuse. This includes performing fraud investigations and providing regular FWA reporting. Additionally, this position helps ensure that appropriate procedures are in place and followed consistently to safeguard its assets, verify the accuracy and reliability of data, and promote efficient and effective operations.Estimated Hiring Range:
$74,250.00 - $90,750.00Bonus Target:
Bonus - SIP Target, 5% AnnualCurrent CareOregon Employees: Please use the internal Workday site to submit an application for this job.
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Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure
Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person
Hazards: May include, but not limited to, physical and ergonomic hazards.
Equipment: General office equipment
Travel: May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used.
Work Location: Work from home
Ability to bend and speak clearly for at least 3 hours/day Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read and hear and for at least 6 hours/day Ability to perform repetitive finger and wrist movement for at least 3-6 hours/day Ability to work effectively with diverse individuals and groups
Skills and Abilities
Strong research, investigative and problem-solving skills Strong communication skills, including written, verbal and listening skills Effective computer skills, including MS Office Suite Strong interpersonal and motivational skills Ability to think logically and creatively without undue influence from personal biases Ability to operate with a high degree of professionalism and confidentially Ability to plan, organize, manage, and monitor work projects Ability to facilitate learning opportunities in a variety of informal and formal settings Ability to make presentations to small and large groups
Knowledge
Understanding of healthcare fraud, waste, and abuse Understanding the difference between State Medicaid programs and Medicare Knowledge of State and Federal compliance and FWA requirements for Medicare and Medicaid Knowledge of investigative techniques including interviews, data analytics, evidence gathering, case documentation Understanding of information systems
Required
Minimum 2 years’ experience in FWA, compliance and/or audit including in an operational setting within a highly regulated industry
Preferred
Oregon Medicaid experience or health plan experience CPC (Certified Professional Coder) or RHIT (Registered Health Information Technician) or CFE (Certified Fraud Examiner)
Perform work in alignment with the organization’s mission, vision and values. Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals. Strive to meet annual business goals in support of the organization’s strategic goals. Adhere to the organization’s policies, procedures and other relevant compliance needs. Perform other duties as needed.
We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information.
CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.
Making health care work for everyone.
CareOregon is a nonprofit, mission-driven health plan, focused on providing care to low-income Oregonians. The CareOregon family includes Columbia Pacific CCO, Jackson Care Connect, Housecall Providers and our work as part of Health Share of Oregon. We also support recruitment for the Oregon Health and Education Collaborative. We're seeking talented individuals who want to make a difference.
Offices: 315 SW 5th Ave, Portland, OR 97204, US
Based on 1036 listings with disclosed salaries, most legal jobs in Washington, DC pay between $76k–$225k per year. Individual offers vary with seniority, company size, and specialization.
There are currently 1,397 open legal positions in Washington, DC listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include CACI International Inc, Amentum, Meta, Google, FTI Consulting, among others. Browse the listings above to see every active employer.
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