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Sr Manager, Fraud, Waste and Abuse (Investigations) (Sr Manager I) CalOptima CalOptima Health is seeking a highly motivated Sr Manager, Fraud, Waste and Abuse (Investigations) (Sr Manager I) to join our team. The Sr Manager I for Fraud, Waste and Abuse (FWA) will be responsible for leading the team of CalOptima Health investigators to detect, investigate and mitigate FWA issues. The incumbent will ensure investigations are handled effectively and in a timely manner and will engage with regulatory agencies. The incumbent will partner with the director in long-term strategy planning to accomplish the department's goals and mission to enhance the program and payment integrity of the organization. Position Information: 
<ul>
<li>Department: Office of Compliance </li>
<li>Salary Grade: 316 - $120,881 - $193,410 ($58.12 - $92.9856) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>45% - Leadership Functions
<ul>
<li>Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department.</li>
<li>Hires, manages, trains, supports, develops and evaluates direct reports.</li>
<li>Directs work assignments, measures results and initiates personnel actions.</li>
<li>Ensures that team members are trained and equipped with the necessary skills and resources.</li>
<li>Collaborates with the director in departmental budgeting activities.</li>
<li>Oversees the planning, scoping and execution of audits and the development of audit tools; ensures alignment with organizational goals and regulatory requirements.</li>
<li>Oversees the planning, scoping and execution of investigations and the development of investigative tools; ensures alignment with organizational goals and regulatory requirements.</li>
<li>Assists the director on development of the annual FWA risk assessment and Anti-Fraud, Waste and Abuse Plan.</li>
<li>Assists department leadership in the management of critical business risks by communicating best practices, promoting process improvement, and monitoring remediation activities. </li>
</ul>
</li>
<li>35% - Program Oversight
<ul>
<li>Provides expertise and guidance to staff, management and other department areas on sensitive and complicated program integrity concerns, oversight and referrals.</li>
<li>Creates and manages effective monitoring of ongoing investigations, including quality control, timeliness and business relations to continually evaluate FWA related activities.</li>
<li>Performs reviews of investigations for sufficiency of content and documentation and escalates where appropriate.</li>
<li>Prepares timely and accurate reporting on investigations, including scope, activities, methodologies, observations, deficiencies, recommendations and remediation activities.</li>
<li>Presents investigative reports including findings, risks and recommendations to senior management.</li>
<li>Collaborates with business areas to enhance systems, workflows and internal controls.</li>
<li>Identifies benchmarking standards (leading practices) for identifying potential control gaps and/or opportunities for improving efficiency and compliance.</li>
<li>Proposes recommendations for enhancing operational efficiency and identifying other areas of improvement.</li>
<li>Provides excellent customer service by addressing concerns promptly and delivering actionable, professional insights. </li>
</ul>
</li>
<li>15% - Investigative Activities
<ul>
<li>Performs investigation activities for complex cases.</li>
<li>Partners with staff in performing investigations of difficult cases. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration, accounting, health information management, or another related field PLUS 5 years of relevant work experience in health care investigations required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>5 years of managerial experience within a managed care health plan in audits or investigations, or as an outside consultant engaged to perform audit work for a managed care health plan required. </li>
<li>Have access to means of transportation for work away from the primary office approximately 15% of the time.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Master's degree.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI) or similar certification completion, currently pursuing a related certification or has completed more than half of the requirements towards a certification.</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6305723&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 30, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6305723" target="_blank">https://jobs.caloptima.org/jobs/sr-manager-fraud-waste-and-abuse-investigations-sr-manager-i-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-7b45ba9efc4d8747a6f8e14e16e01d8e

Sr Manager, Fraud, Waste and Abuse (Investigations) (Sr Manager I)

About the Role:
The Amazon Key Accounts Director directly sells enterprise security software, managed services and professional services solutions across the breadth of the company’s portfolio and drives incremental revenue. This role develops and owns the relationship across Amazon and its subsidiaries to maximize CrowdStrike’s footprint within them. Incumbents effectively collaborate with other teams, including Sales Engineering, Professional Services, Marketing, Partner Alliances sales teams, Finance and Customer Support, as well as external parties such as Channel Partner firms.
What You'll Do:
<ul>
<li>
Expand CrowdStrike portfolio within existing and/or new Amazon business units while building relationships with key decision makers.
</li>
<li>
Evolve and execute the strategic and comprehensive business plan for Amazon and its subsidiaries, including identifying core customer requirements and mapping the benefits of CrowdStrike’s solutions to customer business requirements.
</li>
<li>
Timely documentation within CRM / Marketing software of customer contact and activity data is required of this role (e.g. names, titles, contact information, opportunity value, product information, sales stages, probability, business pain, firm-future commitments, etc.).
</li>
<li>
Be accountable for accurate forecasting, regular quarterly revenue delivery, and the implementation of agreed account and business plans.
</li>
<li>
Collaborates with Marketing to develop an effective plan for the accounts, to include events and roadmap sessions.
</li>
<li>
Promotes CrowdStrike’s products, maximizes brand recognition and mindshare at all levels, and publicize success stories.
</li>
<li>
Provides customer feedback to internal stakeholders for product, systems, and process improvements.
</li>
<li>
Incumbents are expected to maintain key relationships, sell-to and interact regularly with the senior-most customer executive and CXO-level decision makers.
</li>
</ul>
What You'll Need:
<ul>
<li>
Demonstrable experience and success selling to Amazon.&nbsp; Amazon employee references preferred.
</li>
<li>
Advanced level of expertise in field sales and account development of accounts with documented track record of over achieving sales objectives.
</li>
<li>
Deep industry knowledge and thorough understanding of a Amazon’s communications style, decision-making process, goals, strategies, and business objectives.
</li>
<li>
Demonstrated expertise with presentations, customer service, financial/business acumen, and negotiation skills at senior-most levels of customer engagement.
</li>
<li>
Strong organizational and documented account planning skills
</li>
<li>
Proven leadership skills and experience selling in matrixed team environment
</li>
<li>
Mentor others at consultative effectiveness and establishing trust with internal and external customers.
</li>
<li>
Thorough knowledge of sales methodologies, techniques and the sales lifecycle of security software solutions, software business value concepts, and company products.
</li>
<li>
BA/BS degree or equivalent educational background is preferred.
</li>
<li>
Minimum 15+ years of relevant professional experience.
</li>
</ul>
#LI-CL1
#LI-Remote

Key Accounts Director, Amazon (Remote)

The University of Rochester seeks an experienced, strategic, and collaborative leader to serve as its next Associate Vice President for Human Subject Protection (AVP-HSP).&nbsp; Reporting to the University’s Vice President for Research, the Associate Vice President is responsible for the staff, resources, systems, and policies that enable research involving human subjects, sustaining safety and compliance while advancing knowledge.
Key functions of the Office of Human Subject Projection (OHSP) under the AVP-HSP’s responsibility include <a href="https://www.rochester.edu/ohsp/rsrb/index.html" target="_blank">Research Subject Review Board</a> (RSRB), <a href="https://www.rochester.edu/ohsp/education/index.html" target="_blank">Research Education and Training</a>, and <a href="https://www.rochester.edu/ohsp/quality/index.html" target="_blank">Research Quality Improvement</a>. At any given time, there are more than 2,000 active research studies being conducted by approximately 3,000 investigators, across more than 100 departments, centers, and labs at the University and University of Rochester Medical Center. The AVP-HSP must be forward-thinking and proactive in considering the impact that evolving regulations and external factors may have on University-wide research plans, programs, and operations. They are the University leader in human subject-research risk-assessment and risk-mitigation discussions.
As OHSP is a University-wide resource, the AVP-HSP collaborates with research deans across the University as well as the Office of Research and Project Administration, the Office for Clinical Research, the Clinical and Translational Science Institute, and the Office of General Counsel. Alongside research deans from each school and key members of the Office of the Vice President for Research, the AVP-HSP is a member of the University’s Research Executive Committee. Rochester’s human-subject protection program has been AAHRPP-accredited since 2004.
The AVP-HSP must be a highly visible member of the University community and continuously engaged with University stakeholders, communicating and demonstrating OHSP’s commitment to being a collaborative partner with departments and divisions across the institution. The AVP-HSP ensures that the 14-member OHSP team is likewise knowledgeable, skilled, trained, and engaged in serving the good of the broader University community in thoughtful, thorough, and objective engagements.
The AVP will have well-developed and tested leadership and collaboration qualities, extensive research compliance expertise, and experience working with clinical, translational, and behavioral researchers. They will have the highest level of integrity and will demonstrate a track record of developing, mentoring, and supporting diverse and high-functioning teams.
Viable candidates will have at least 10 years of directly relevant experience, including in positions in which they had supervisory responsibility. If they are not coming from a peer academic or medical institution, they will demonstrate the ability to learn quickly and will have relevant research leadership experience with large, matrixed, and highly complicated organizations. A bachelor’s degree is required; a master’s degree in a field that entails working with human subjects and Certified IRB Professional designation are preferred.
A full version of the position description can be found <a href="https://acrobat.adobe.com/link/review?uri=urn:aaid:scds:US:3228df3d-301b-3fe8-b891-c06a30aa0bed" target="_blank">here</a>.
University of Rochester researchers are among the nation's leaders across virtually every discipline. At the University’s River Campus, research spans a wide array of fields from engineering, the natural and social sciences, the humanities, and education to music and business. The <a href="https://www.urmc.rochester.edu/" target="_blank">University of Rochester Medical Center (URMC)</a> is distinguished in professional education, biomedical research, and clinical care. It is the home of the University’s health research, teaching, and patient care missions, and includes <a href="https://www.urmc.rochester.edu/strong-memorial.aspx" target="_blank">Strong Memorial Hospital</a>, the <a href="https://www.urmc.rochester.edu/cancer-institute.aspx" target="_blank">Wilmot Cancer Institute</a>, <a href="https://www.urmc.rochester.edu/childrens-hospital.aspx" target="_blank">Golisano Children’s Hospital</a>, and affiliated healthcare systems in the region comprising five additional hospitals and numerous clinical locations, as well as long-term care facilities.
The University enrolls over 12,000 undergraduate and graduate/professional students, both domestic and international, and employs over 3,300 full- and part-time faculty. The University of Rochester’s overall annual consolidated budget is approximately $5 billion, including all aspects of URMC.
In FY 2022, the University reported $432 million in research expenditures, denoting the high value placed on scholarship. With over 60 research centers and institutes, the University allows students, faculty, and research staff to pursue their academic goals in an environment that empowers and supports their efforts.
The University of Rochester has retained <a href="https://opuspartners.net/" target="_blank">Opus Partners</a> to support the recruitment of this position. Craig Smith, Partner and Abigail Maynard, Senior Associate, are leading the search. Confidential inquiries, applications, and nominations should be sent by email to Abigail (<a href="mailto:abigail.maynard@opuspartners.net" target="_blank">abigail.maynard@opuspartners.net</a>). The search process will unfold with the greatest possible attention to candidate confidentiality. Required application materials include a resume and cover letter. The cover letter should reflect how qualifications and experience match those described in this leadership profile, including examples of demonstrated commitment to diversity, equity, and inclusion within the context of the AVP-HSP role.
The University of Rochester values diversity and is committed to equal opportunity for persons regardless of age, color, disability, domestic violence status, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, or any other status protected by law. Further, the University complies with all applicable nondiscrimination laws in the administration of its policies, admissions, employment, and access to and treatment in University programs and activities.

Associate Vice President for Human Subjects Protection

Help Wanted POLICE OFFICER The Town of Greenfield, N.H., (pop. 1800, daily/seasonal pop. 3500) is posting an opening for a FT police officer. This quintessential, vibrant New England community has an excellent work culture with long-term employees and a new police department facility. Residents are exceptionally supportive of their police department. The Town offers a competitive salary with 100% paid benefits incl. H&amp;D, NHRS, STD, LTD and Life. With high profile businesses, non-profit organizations, and a State Park, all the ingredients for a rewarding and fulfilling long-term career are here. See website for more details: <a href="http://www.greenfield-nh.gov" target="_blank">www.greenfield-nh.gov</a>. The selected candidate must be certified as a full-time NH police officer through NH PSTC and must possess a NH driver's license. Bring your A-game and motivation to a town that will show appreciation for your skill and consistent performance. Please direct a cover letter &amp; resume as a single PDF to: Aaron Patt, Town Administrator at <a href="mailto:townadministrator@greenfield-nh.gov" target="_blank">townadministrator@greenfield-nh.gov</a>. Applications will be reviewed on a rolling basis starting July 16th.

Lifeguards

TOWN OF HARTFORD DEPUTY FIRE MARSHAL The Town of Hartford, Vermont is accepting applications for the position of Deputy Fire Marshal. Part-time offering (20-35 hrs. per week). Starting at $30.09 per hour. Qualifications: PAssociate degree or combination of education/experience PMust obtain NFPA Fire Inspector I within 1 year. PValid driver's license POn the job training provided Send letter of interest and resume to Scott D. Cooney, Fire Chief, 812 VA Cutoff, White River Jct., VT 05001, or email <a href="mailto:mwheatley@hartford-vt.org" target="_blank">mwheatley@hartford-vt.org</a>. The deadline for receiving resumes is July 31, 2025, 3:00pm. Contact Michelle Wheatley @ 802-295-3232 with any questions. Job description <a href="https://www.hartford-vt.org/Jobs.aspx" target="_blank">https://www.hartford-vt.org/Jobs.aspx</a> The Town of Hartford, Vermont is an Equal Opportunity Employer.

Deputy Fire Marshal

Town of Leverett Fire Chief The Town of Leverett, population 2,000, seeks an energetic, citizen-oriented, full time Fire Chief who can balance small town culture with the technical needs of a modern fire department. Chief completes oversight and management duties for the department, manages fire, training, and medical response, actively fights fires and provides medical treatment. Qualifications include strong communication and management skills, five years' fire and one year supervisory experience, residence within proximity of town as required by law. Knowledge of Leverett community a plus. Full time benefitted position. Annual salary ranges from $75,000 to $81,000 based on experience. Job description with requirements available on the town website. Applications and resumes due by June 30, 2025 to Selectboard Office, PO Box 300, Leverett, MA 01054. Leverett is an AA/EOE

6 Protective Service Jobs in United States