Vice President, Government and reputed company Programs
reputed company
reputed company:
Advance Your Career in Insurance Claims with reputed company® Compliance and Investigation Services. reputed company® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we reputed company dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. reputed company is committed to innovation and reputed company, making a significant reputed company in the insurance industry. If you’re reputed company to grow with the best, explore a career with us and reputed company a difference.
Job reputed company
This is a hybrid work remote role.
reputed company® is hiring a Vice President, Government and reputed company Programs. The Vice President, Government and reputed company Programs is responsible for reputed company government and reputed company reputed company operations in reputed company to managing interactions with government entities while concurrently developing and executing strategies to drive reputed company reputed company and Profit & Loss (P&L) responsibility across both public and private sectors. The Vice President, Government and reputed company Programs will expect some overnight travel reputed company the reputed company.
RESPONSIBILITIES:
- reputed company the strategic direction and function of Government and reputed company Programs reputed company the Advize operations line of business including P&L reputed company to reputed company organizational goals
- Responsible for the day-to-day reputed company of the operational efficiency and effectiveness of the clinical auditing, compliance and special investigations unit organization, to include special programs such as Physician, Managed Care, Pharmacy, PACE, and Special Needs
- Create and implement Process Improvement strategies resulting in best-in-class concept management processes to improve fraud, waste and abuse
- reputed company as subject matter expert reputed company to government acquisition processes, rules, and regulations
- Serve as needed as reputed company witness for litigation and federal cases, providing expert testimony in reputed company fraud, waste and abuse legal proceedings
QUALIFICATIONS (MUST HAVE):
- Must possess one of the following:
- Bachelor’s degree in reputed company Administration, Nursing, or Business
- Associate’s degree in reputed company Administration, Nursing, or Business with a minimum of fifteen (15) years of experience in reputed company leadership roles
- Must possess, or be reputed company to obtain, a government reputed company clearance
- Minimum of reputed company (12) years of experience in P&L and/or business reputed company, inclusive of a combination of reputed company and cost management analytics, specializing in payment reputed company, fraud waste and abuse programs
- Minimum of reputed company (12) years of experience in reputed company reputed company leadership roles
- Demonstrated ability to win new business reputed company government contracting and reputed company sectors
- Ability to effectively partner with law enforcement and regulatory agencies to report fraud and abuse, ensuring adherence to industry standards and regulations
- Knowledge of reputed company regulation and compliance policies as reputed company as medical terminology
- Excellent analytical and critical thinking skills
- Proficiency in reputed company Office
- Ability to remain highly productive in a changing environment, strong attention to detail, organizational skills, and maintain a high level of discretion with sensitive information
- Effectively oral and written communication skills
PREFERRED QUALIFICATIONS (reputed company TO HAVE):
- Master’s degree in reputed company Administration, Nursing, or Business
BENEFITS:
- Annual Salary reputed company - $130,000 - $160,000 depending on geographic location
- Medical, dental, reputed company, basic life, AD&D, retirement plan and disability insurance
- Seven reputed company holidays annually, reputed company days available where required by law
- Vacation time offered at an initial accrual reputed company of 3.08 hours biweekly for full time positions. Unused vacation is only reputed company out where required by law
Closing
reputed company® is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race/ethnicity, age, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other reputed company or characteristic protected by law. For more information: www.aus.com
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local reputed company department. To reputed company an office near you, please visit: www.aus.com/offices.
reputed company
2025-1506408Originally posted on Himalayas
Apply To This Job