Top 142 Special projects manager Jobs in Idaho

Lead SIU Investigator
Centene —Idaho
- $70,100 - $126,200 a year
- Full-time
- Remote
- Master's degree
- High school diploma or GED
- Mentoring
- Paid holidays
- Health insurance
1d
Regional Area Manager
Packard Culligan Water —Boise, ID
- $106,000 - $132,000 a year
- Full-time
- Background check
- Microsoft Excel
- Dealership
- Health insurance
- Dental insurance
Quick Apply
4d
Assistant Food and Beverage Manager
Tributary —Driggs, ID
- $66,560 a year
- Extended hours
- Microsoft Word
- Microsoft Outlook
- Writing skills
Quick Apply
14d
Maintenance Contract Manager - Winnemucca, NV
Student Transportation of America —Boise, ID
- $85,000 - $125,000 a year
- Full-time
- CDL B
- ASE Certification
- Mechanic experience
- Disability insurance
- Relocation assistance
Quick Apply
Disrict Manager - Southeast Idaho
Farm Bureau Insurance Company of Idaho —Pocatello, ID
- $156,000 a year
- Full-time
- Hybrid work
- Background check
- Customer service
- Writing skills
- Health savings account
- Health insurance
Quick Apply
Sr Electrical Project Manager - Construction
Everforth —Boise, ID
- $160,000 - $200,000 a year
- Full-time
- 5 years
- US work authorization
- Fair chance
- Health insurance
- Dental insurance
Quick Apply
Electrical Project Manager - Construction
Everforth —Boise, ID
- $130,000 - $180,000 a year
- Full-time
- Mid-level
- 3 years
- Continuous improvement
- Health insurance
- Dental insurance
Quick Apply
Senior Ground Up Construction Project Manager
US AMR-Jones Lang LaSalle Americas, Inc. —Boise, ID
- $115,700 - $167,900 a year
- Online Application
- Remote
- Background check
- 11+ years
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
3d
Program Manager I, Aux Finance
University of Idaho —Moscow, ID
- From $72,000 a year
- Online Application
- Background check
- Mid-level
- University
Production Manager
Plexus —Nampa, ID
- $102,600 - $153,800 a year
- Background check
- Pass drug screening
- Mid-level
- Health insurance
- Dental insurance
17h
Human Resources Manager
Independent School District of Boise City —Boise, ID
- Urgently hiring
- Background check
- Microsoft Excel
- Microsoft Access
- Health insurance
- Dental insurance
13h
Quality Manager
Hoffman Construction Company —Boise, ID
- $120,000 - $140,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Construction site
Technical Product Manager - Enterprise Data
University of Idaho —Moscow, ID
- From $90,000 a year
- Online Application
- Hybrid work
- Background check
- Azure
- 5 years
Transition Manager/Project Manager - Product Launch
Plexus —Nampa, ID
- $89,200 - $133,800 a year
- Background check
- Computer literacy
- Pass drug screening
- Health insurance
- Dental insurance
Program Manager II, IAMP
University of Idaho —Moscow, ID
- Online Application
- Background check
- Mid-level
- University
Academic Systems Manager
Boise State University —Boise, ID
- $60,673.60 - $75,836.80 a year
- Full-time
- Mid-level
- SQL
- University
- Paid holidays
- Health insurance
Office Manager (Boise, ID) (#5016)
Dorsey & Whitney LLP —Boise, ID
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Inventory management
- Travel reimbursement
- Paid parental leave
8d
Market Finance Lead
Humana —Idaho
- $104,000 - $143,000 a year
- Full-time
- CPA
- Office
- Master's degree
- Paid parental leave
- Paid holidays
Manager, Project and Program Management
Deloitte —Boise, ID
- Mid-level
- Office
- Bachelor's degree
Project Manager - Real Estate Development
Idaho Central Credit Union —Chubbuck, ID
- Mid-level
- Office
- Bachelor's degree
- Wellness program
- Paid holidays
Quick Apply

I want to receive the latest job alert for special projects manager in idaho

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

special projects manager jobs near idaho

Lead SIU Investigator

Centene -
Idaho

Apply Now

Job Details

Full-time
$70,100 - $126,200 a year
1 day ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Healthcare financial misconduct investigations
Investigations regulatory compliance
Medicare
Medical law
Managed care
Managed care organization experience
Health insurance policy knowledge
Regulatory legal research
Medicare regulations
Insurance investigations
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

*This is a remote role anywhere within the continental US.*

Position Purpose: Position acts as a subject matter expert in the field of Special Investigations Unit (SIU) investigations. Provides direction and guidance to staff who investigate and remediate compliance and fraud, waste, and abuse related matters; while maintaining an investigative workload of moderate to high complexity. Assists manager on monitoring team caseload and report on metrics.

Provides guidance to team members who investigate and remediate compliance and fraud, waste, and abuse related matters.
Assists manager on monitoring team caseload and report on metrics.
Identifies training needs and develop training aids and step actions.
Provides training and mentoring to team on casework and other SIU activities.
Evaluates and assesses allegations to determine those criteria, including federal and state regulations, Centers for Medicare & Medicaid Services (“CMS”) guidelines, and internal policies, procedures, and standards that are alleged to have been violated.
Conducts and documents interviews investigatory purposes.
Reviews investigative interviews prepared by junior investigators.
Manages caseloads of moderate to high complexity, develops investigative plans for multiple investigations, prioritizing and managing through execution.
Thoroughly documents actions, organizes, and reviews case files.
Consults with management, in-house counsel, and/or senior leadership to resolve difficult or complex issues.
Identifies risks and recommends and communicates remedial actions to mitigate future potential risks.
Performs follow up to ensure remedial and disciplinary measures are implemented appropriately and timely.
Prepares clear and concise investigative plans and reports.
Provides support and guidance to junior investigative staff.
Identifies trends and aberrant activity to generate proactive leads for investigations and analyzes data to detect potentially fraudulent activity.
Attends, actively participates in, and/or leads meetings with various business area managers.
Communicates directly with Federal or State regulators.
Prepares cases for referral to management, government agencies, and law enforcement.
Develops and maintains strong working relationships with associates and regulators.
Testifies in criminal and civil matters.
Participates in and lead special projects as needed.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience:

Bachelor's Degree in related field; or Associate's degree with 6 years related experience; or High School Diploma/GED with 7 years related experience. required.
Master's Degree preferred.
5+ years Healthcare fraud-related investigations with audit and risk analysis required.
1+ years Managed care or working with health insurance company required.
In-depth knowledge of government programs, the managed care industry, Medicare, Medicate laws and requirements, federal, state, civil and criminal statutes required.
Reading, analyzing and interpreting State and Federal laws, rules and regulations. Knowledge of community, state and federal laws and resources required.
Knowledge and understanding of managed care claims processing systems and medical claims coding preferred preferred.

Licenses/Certifications:

Accredited Health Care Fraud Investigator (AHFI), Certified Fraud Examiner (CFE) or other industry related certification preferred.

Pay Range: $70,100.00 - $126,200.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

special projects manager jobs in idaho

Lead SIU Investigator

Regional Area Manager

Assistant Food and Beverage Manager

Maintenance Contract Manager - Winnemucca, NV

Disrict Manager - Southeast Idaho

Sr Electrical Project Manager - Construction

Electrical Project Manager - Construction

Senior Ground Up Construction Project Manager

Program Manager I, Aux Finance

Production Manager

Human Resources Manager

Quality Manager

Technical Product Manager - Enterprise Data

Transition Manager/Project Manager - Product Launch

Program Manager II, IAMP

Academic Systems Manager

Office Manager (Boise, ID) (#5016)

Market Finance Lead

Manager, Project and Program Management

Project Manager - Real Estate Development

I want to receive the latest job alert for special projects manager in idaho

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected