The Clinical Investigator Consultant handles the retrospective review of paid claims and evaluation of claims data to identify provider fraud, waste, or abuse. The Clinical Investigator will conduct in-depth analysis of peers, trends, and statistical data to identify providers whose utilization patt...
As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through. This is not a physical investigator role. Preferred certifications:Accredited Healthcare Fraud Investigator (AHFI),Certified Fraud Specialist (CFS),Certified Fraud Examiner (CFE),Certifie...
LinkedIn DTEX Systems: Overview | LinkedIn Description The successful Insider Threat Investigator must be a team player as well as an individual contributor. ...
As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through. This is not a physical investigator role. Preferred certifications:Accredited Healthcare Fraud Investigator (AHFI),Certified Fraud Specialist (CFS),Certified Fraud Examiner (CFE),Certifie...
Solid investigatory, critical thinking, and problem-solving skills. ...
Credentialed Background InvestigatorJob Category: Service Contract ActTime Type: Full timeMinimum Clearance Required to Start: Top SecretEmployee Type: RegularPercentage of Travel Required: Up to 25%Type of Travel: Local* * *. Join CACI's Dynamic Team – Seeking Credentialed Background Investigators ...
We are currently seeking a dedicated Investigator II to join our team and contribute to our mission of combating fraud, waste, and abuse in Medicare and/or Medicaid programs. The Investigator II will be responsible for prioritizing leads and referrals, conducting interviews, reviewing information, a...
Investigator (~50% of the time depending on caseload). ...
Join our Special Investigations Unit as a Fraud Investigator, supporting our US Commercial Healthcare Business, r. Accredited Health Care Fraud Investigator (AHFI) certification and Certified Fraud Examiner (CFE) preferred. ...
The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. The SIU Investigator is responsible for reviewing and analyzing information to ...
Senior Audit/Compliance Analyst. ...
Data entry clerks come from all different backgrounds including, data entry, telemarketing, customer service, sales, clerical, secretary, administrative assistant, warehouse, inventory, receptionist, call center, part-time, retail fields & more. ...
The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Documents patient case information within a database system. Participates in monthly case confer...
We are seeking a Case Manager Registered Nurse for an assignment in Remote National. ...
As an Administrative Assistant at Wilkinson Homes, you will be responsible for various administrative tasks and office support duties. Wilkinson Homes is currently seeking an organized and highly motivated Administrative Assistant to join our Operations Support team. The Administrative Assistant wil...
Strategic Staffing Solutions is currently looking for an RN Case Manager for a contract opportunity with one of our largest healthcare clients!. Registered Nurse Case Manager. The Care Manager RN uses the case management process to assess, develop, implement, monitor, and evaluate care plans designe...
VIRTUAL SENIOR EXECUTIVE ADMINISTRATIVE ASSISTANT - CONTRACT/REMOTE. We are looking for a skilled Senior Executive Administrative Assistant who is capable of managing the account and client relationship. VaVa Virtual Assistants is a remote company based out of Atlanta, Georgia. Represent VaVa Virtua...
Job Title: General Administrative Virtual Assistant (VA). We are actively searching for a highly efficient and organized General Administrative Virtual Assistant (VA) to support our client at ONEjuan. Proven experience as a Virtual Assistant or in an administrative role. In this role, you will be re...
The Compliance Analyst is responsible for the successful compliance management and delivery of compliance services for a block of business. You’ll develop a strong knowledge of regulation requirements for compliance services and participate in training and communication of compliance administration ...
Collaborates with RN case managers/supervisors as needed or required " Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed " Local travel of up to 40% may be required, depending on the complexity level of the ass...
As a member of PointClickCare’s Legal and Compliance team, In the role of Compliance Analyst, you will be instrumental in driving key initiatives and projects that have a substantial impact on PointClickCare, its customers, and other stakeholders. Assist in the development of, and ongoing updates to...
Appropriately refer complex cases to Manager, Case Management. Must be a Certified Case Manager or eligible to sit for the Certified Case Management Exam within 3 years of starting employment with i360. Imagine360 is currently seeking a Case Manager RN to join the team!. The RN is responsible to pro...
In this role the Compliance Analyst will assist the Chief Compliance Officer with the development, implementation, and administration of the TrustCommerce Compliance and Security Program. Administer the compliance work stream relative to internal projects designed to enhance compliance or capabiliti...
Avantor is looking for a Trade Compliance Analyst I to join our Regulatory Affairs team. As the Trade Compliance Analyst I, you will be responsible for supporting the oversight of key export activities and enforcing US export regulations. Your duties will include ensuring compliance with product cla...
Track project progress through project schedules, budgets (as necessary), project reports, meeting agendas and minutes, and other reporting mechanisms. Report project status to Department Management, Project Management, and Business Management and partners with them to clear any obstacles to project...