1 finance jobs found in Southfield, MI

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...