Role
• Review current compliance and risk management approach and identify gaps
• Bring best practice that is successful and sustainable
• Provide thought Leadership to NHIC and TPA team and compile quick wins and detail new systems and solutions
• Mentor NHIC & TPA staff and transfer knowledge to teams
• Design new Standard Operating Procedures
Responsibilities
• Work with the Analytics director to identify and support investigations of the claims data
• Work with the Director of Audit on the detection and recovery of fraud waste and abuse
• Advise on patterns to identify Fraud, Waste and Abuse
• Support analysis of provider data prior to audit to target suspect behavior
• Work with NHIC as an SME in Fraud Waste and Abuse
• Review Audit reports with the Audit team and Medical Director to identify areas for further analytic investigation
• Present to the Audit and Claims teams on patterns of Fraud waste and abuse seen in the US
• Leading the set up of the projects compliance infrastructure
• Leading the set up of the projects risk management framework
• Sharing the best compliance and risk management practice
تفاصيل الوظيفة
| 2015-05-05 | تاريخ الإعلان عنها: |
| الدوحة, قطر | منطقة الوظيفة: |
| القانون | الدور الوظيفي: |
| صناعة; صحة عامة/غير ذلك | قطاع الشركة: |
المرشح المفضل
| متوسط الخبرة | المستوى المهني: |
تقدم الآن - وظائف في قطر - وظائف القانون في قطر - بحث عن جميع الوظائف
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