Top 3989 Certification manager Jobs in Chicago, Il

Manager Special Investigations
Health Care Service Corporation —Chicago, IL
- $92,700 - $167,500 a year
- Full-time
- Hybrid work
- HIPAA
- Office
- Finance
13d
Personal Lines Insurance Account Manager
Libsco Financial Group, LLC —Northbrook, IL
- $65,000 - $70,000 a year
- Full-time
- Sales
- Office
- In-person
- Disability insurance
- Health insurance
Quick Apply
Clinical Lead Supervisor - (BCBA) - Rogers Park
The Place for Children with Autism —Chicago, IL
- $90,000 - $102,000 a year
- Hybrid work
- Mid-level
- 3 years
- Clinic
- Paid parental leave
- Disability insurance
Quick Apply
Director/Lead Pre-K Teacher
L&L Academy and Preschool —Chicago, IL
- From $50,000 a year
- Full-time
- School experience
- Classroom
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Quality Assurance Manager
Confidential —Chicago, IL
- From $70,000 a year
- Full-time
- Management
- 5 years
- Office
- Health insurance
- Dental insurance
Quick Apply
Project Manager - Commercial Construction
The Bowa Group Inc —Chicago, IL
- $100,000 - $140,000 a year
- Full-time
- Construction site
- Residential
- 3 years
- Health savings account
- AD&D insurance
Quick Apply
7d
Registered Client Administrative Manager
Steward Partners Global Advisory LLC —Winnetka, IL
- Full-time
- Background check
- Mid-level
- Office
- Health savings account
- Health insurance
Quick Apply
Automotive Collision Production Manager
TG Wheeling LLC —Wheeling, IL
- $60,000 - $75,000 a year
- Online Application
- Background check
- Customer service
- Mid-level
- Paid training
- AD&D insurance
Quick Apply
Commercial Insurance Account Manager
Libsco Financial Group —Northbrook, IL
- $75,000 - $85,000 a year
- 8 hour shift
- Customer service
- In-person
- Senior level
- Health insurance
- Dental insurance
Quick Apply
RN Clinical Manager - $5,000 Sign on Bonus
Premise Health —Deerfield, IL
- $96,000 - $120,000 a year
- Full-time
- Background check
- Nursing
- RN License
- Wellness program
- Health savings account
Quick Apply
2d
Tax Manager
Dades, Roberts & Co —Skokie, IL
- $85,000 - $130,000 a year
- Full-time
- CPA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
3d
Property Manager
Breakaway Management —Evanston, IL
- $1,500 - $2,500 a month
- Part-time
- Hybrid work
- Google Workspace
- Mid-level
- Microsoft Office
Quick Apply
Home Health Clinical Manager - Registered Nurse
Crystal Home Health Care - Illinois —Des Plaines, IL
- $95,000 - $110,000 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
2d
Compliance Manager
Hogsalt —Chicago, IL
- $135,000 - $145,000 a year
- Weekends as needed
- Hospitality
- 5 years
- Office
- Relocation assistance
- Health insurance
Quick Apply
Concrete Technical Services Field Supervisor
Votorantim Cimentos - Futuros Talentos —Bridgeview, IL
- From $80,000 a year
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Health savings account
Quick Apply
10d
Licensed Community Association Manager - Illinois (Remote with Chicago Area Visits)
First Community Management —Chicago, IL
- $85,000 - $105,000 a year
- Full-time
- Hybrid work
- Mid-level
- Accounting
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
14h
LPN Medication Care Manager – Senior Living
Sunrise Senior Living Mgmt Inc —River Forest, IL
- $29.25 - $39.05 an hour
- Full-time
- CPR Certification
- BLS Certification
- Mid-level
- Paid holidays
- Health insurance
14d
Sr. Architectural Manager and Principal or Associate Principal - Healthcare Studio
Farnsworth Group —Chicago, IL
- $128,000 - $174,000 a year
- Online Application
- 11+ years
- Master's degree
- Bachelor's degree
- Health savings account
- Disability insurance
Quick Apply
Risk and Quality Compliance Manager (RN)
St. Bernard's Hospital and Health Care Center —Chicago, IL
- $80,000 - $90,000 a year
- Full-time
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Aquatics Manager
YMCA of Metropolitan Chicago —Downers Grove, IL
- $43,888 a year
- Full-time
- CPR Certification
- Customer service
- Mid-level
- Paid holidays
- Dental insurance
Quick Apply

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certification manager jobs near chicago, il

Manager Special Investigations

Health Care Service Corporation -
Chicago, IL

Apply Now

Job Details

Full-time
$92,700 - $167,500 a year
13 days ago

Qualifications

Healthcare financial misconduct investigations
Customer communication
Staff supervision
Investigations regulatory compliance
Team supervision
Investigative interviewing techniques
HR systems
Leading team collaboration initiatives
Productivity software
Fraud Detection Systems
Workday
Data analysis software

Full Job Description

Chicago, IL Full time 07/16/2026 R0054797 Compensation: $92,700.00 - $167,500.00

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

BASIC FUNCTION HCSC is looking for a dynamic individual to join its Fraud Investigations team! This position will be responsible for managing healthcare fraud and internal fraud investigations initially focusing on IL Medicaid; managing and training investigators as well as support staff; establishing and maintaining liaison with healthcare providers and law enforcement; and coordinating anti-fraud activities with other departments at HCSC. The role is hybrid flex and requires in-office visibility three days per week, working from home the other two days. NOTE: relocation is NOT offered, sponsorship will NOT be extended either now or in the future.

JOB REQUIREMENTS:

Bachelor’s Degree in Criminal Justice, Finance or Accounting or related field and 5 years of direct law enforcement/investigation experience, including supervision of cases and investigators OR 9 years of direct professional work experience in the detection, investigation and/or prosecution of complex health care fraud schemes with the following professional certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Professional Coder (CPC), and/or Certified Fraud Examiner (CFE).
1 year of leadership or supervisory experience.
Strong organizational skills and results oriented with demonstrated leadership capabilities.
Keen analytical, interviewing, and investigative skills, with proficiency in data analysis and claims management systems.
Deep understanding of insurance fraud techniques, claims handling, and regulatory compliance.
Proficiency in anti-fraud analytics tools, case management software, and MS Office (Word, Excel, PowerPoint) as well as Workday.

PREFERRED JOB REQUIREMENTS:

Master’s Degree.
Experience with IL Medicaid FWA investigations.

~KEY FUNCTIONS ~

Develop and manage investigative group designed to detect, investigate, and refer health care fraud cases to law enforcement.
Ensure evidence collected, including documents and interview reports, are maintained in a manner to ensure integrity in court proceedings.
Ensure personnel are properly trained and managed in investigative techniques.
Prepare weekly investigative and activity reports.
Coordinate with other HCSC departments concerning ongoing anti-fraud programs and procedures.
Develop and maintain sources of information needed to detect health care fraud.
Develop and maintain liaison contacts with law enforcement.
Direct and supervise sensitive investigations when appropriate.
Deal directly with HCSC customers on fraud matters when appropriate.
Conduct monthly file reviews and provide direction to investigators regarding investigative strategies and plans.
Coordinate investigative activities with the Legal Department.
Ensure investigators are familiar and utilize health care fraud databases, including Fraud and Abuse Management System (FAMS).
Comply with federal and state reporting and fraud investigation requirements.
Communicate and interact effectively and professionally with co-workers, management, customers, etc.
Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
Maintain complete confidentiality of company business.
Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested

#LI-TP1

#LI-hybrid

Compensation: $92,700.00 - $167,500.00

Exact compensation may vary based on skills, experience, and location

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

To learn more about available benefits, please visit https://careers.hcsc.com/totalrewards( opens in new window)

Apply Now

Refine Your Search

certification manager jobs in chicago, il

Manager Special Investigations

Personal Lines Insurance Account Manager

Clinical Lead Supervisor - (BCBA) - Rogers Park

Director/Lead Pre-K Teacher

Quality Assurance Manager

Project Manager - Commercial Construction

Registered Client Administrative Manager

Automotive Collision Production Manager

Commercial Insurance Account Manager

RN Clinical Manager - $5,000 Sign on Bonus

Tax Manager

Property Manager

Home Health Clinical Manager - Registered Nurse

Compliance Manager

Concrete Technical Services Field Supervisor

Licensed Community Association Manager - Illinois (Remote with Chicago Area Visits)

LPN Medication Care Manager – Senior Living

Sr. Architectural Manager and Principal or Associate Principal - Healthcare Studio

Risk and Quality Compliance Manager (RN)

Aquatics Manager

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