2 jobs found

COMPLIANCE SPECIALIST     Under the general supervision of the Vice President of Compliance & Privacy Officer, the Compliance Specialist is responsible for conducting investigations and audits related to fraud, waste, and abuse within the DWIHN provider network. This role includes performing targeted reviews, gathering and analyzing information, and applying relevant regulations, policies, and internal controls to assess compliance. The Compliance Specialist also supports the implementation of policies, procedures, and control measures to ensure that DWIHN and its providers adhere to applicable regulatory and ethical standards.   PRINCIPAL DUTIES AND RESPONSIBILITIES:   Conduct FWA Investigations: Manage investigations related to suspected fraud, waste, and abuse within the provider network. Data Gathering & Analysis: Collect, review, and analyze relevant documents, data, claims, medical records, and other evidence to assess compliance...

Information Security Manager (Remote from North Carolina) This position is posted by Jobgether on behalf of a partner company. We are currently looking for an Information Security Manager in North Carolina . The Information Security Manager will lead the development and execution of a comprehensive cybersecurity program, ensuring the confidentiality, integrity, and availability of organizational and client information. This role combines strategic oversight with hands-on technical leadership, guiding security initiatives, incident response, risk management, and compliance with industry standards. Working closely with IT, legal, and operational teams, the manager will implement robust security frameworks, mentor security staff, and provide expert guidance to senior leadership. The position offers a dynamic environment where innovation, proactive problem-solving, and adherence to evolving security standards are essential. You will play a key role in strengthening organizational...