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...
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 ...
The Senior Associate of Transformation in Investigator Payment Management (IPM) is responsible for supporting transformation initiatives within the Clinical Business Operations department. The position will work closely with the Senior Manager to implement technical solutions, analyze data, and opti...
The Investigator should demonstrate proficiency in the following areas: Must be motivated and possess a strong work ethic Must be customer service driven Able to format/type/edit full reports of background research findings Proficient with Microsoft Word and Microsoft Outlook Ability to take directi...
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 Fraud Investigator with HTLF Bank, you will leverage your experience in financial crimes, fraud and customer interaction to independently conduct investigations to identify, assess, decision and report on exposures and losses to the financial institution, shareholders and customers by applying ...
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time.As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Investigate al...
Investigator Contracts Analyst is responsible for direct site-facing contract and budget negotiations thought contract execution with assigned clinical investigator sites including initial agreements and amendments and oversight of other contracting professionals on assigned studies. Follow GPD proc...
Our client, a world-leading Pharmaceutical Company in Amherst, NH is currently looking for a Companion Diagnostics Project Manager to join their expanding team. Job Title: Companion Diagnostics Project Manager / Pharma Industry / REMOTE WORK. ...
The Registered Nurse Manager - Case Management (CM) Operations provides direct supervision for the day-to-day activities provided by a designated team of RN Case Managers in the case management department. Registered Nurse Case Manager - Case Management Operations | Remote. The Manager also directly...
Our busy law office is looking for a legal case manager to help us oversee all aspects of case management. Case management process experience is needed - preferably as a personal injury case manager, or related jobs such as legal secretary, paralegal, or legal assistant at a law firm, non-profit, or...
The Senior Fraud Data Analyst is responsible for designing unique analytic approaches to detect, assess, and mitigate fraud risk. You will help analyze the effectiveness of our day-to-day fraud policy and rules in our fraud systems. Work with external fraud prevention vendors to optimize their perfo...
Kyndryl has a global footprint, which means that as an Executive Administrative assistant at Kyndryl you will have opportunities to work on projects and collaborate with colleagues from around the world. ...
CASE;RN, case manager, case management, care manager, CM, nurse, utilzation review, discharge planning, insurance, telephonic, medical coverage, CCM, inpatient, critical care, medsurg, ICU, remote, benefits, coordinate, medical records. Responsibilities of the Case Manager, RN:. Qualifications of th...
Fleet Services by Cox Automotive keeps your fleet moving! .Headquartered in Indianapolis, .Fleet Services by Cox Automotive.FSCA) has grown to become one of the largest fleet maintenance companies in the country.FSCA is the leading provider of on-site mobile maintenance and repair services nationwid...
The Chief Technology Officer (CTO) position is assigned to the Executive Team, reporting to the Chief Operating Officer. The Center for Internet Security (CIS) makes the connected world a safer place for people, businesses, and governments through our core competencies of collaboration and innovatio...
Position: WFH Administrative Assistant/Receptionist Location: Remote Job Type: Full-time About HappyGo Travel Services: HappyGo Travel Services is a leading travel agency specializing in personalized travel experiences for clients worldwide. Administrative Tasks: ...
Project Manager - Accountable for delivering assigned projects within time, scope and cost. Professional Case Management is an Equal Opportunity Employer. ...
Analyst, Compliance (Transaction Monitoring). In this role, you will work with a team of experienced compliance professionals responsible for critical functions within the Compliance and AML/BSA/Sanctions program. Compliance at Gemini is a team dedicated to managing the next generation of financial ...
LoveBound Destinations is looking for a Remote Administrative Assistant to join our team. Requirements: High school diploma 1-2 years experience as an administrative assistant, secretary or receptionist preferred Strong organizational, communication, and time-management skills Proven ability to work...
You will have responsibilities including, but not limited to, performing Level 2 analysis and adjudication of escalated alerts and cases (including referrals from Transaction Monitoring, Account Review, Market Surveillance, Legal, and other departments), preparing Suspicious Activity Reports (“SARs”...
Atmosfy Corp is searching for a highly organized and motivated Administrative Assistant to join our remote team. This role will be responsible for providing exceptional administrative and operational support to members of the senior leadership team. If you’re an experienced administrative profession...
Hold at least one of the following certifications: Certified Information Systems Security Professional (CISSP), Global Information Security Professional (GISP), or the CompTIA Advanced Security Practitioner (CASP) or other certifications exemplifying skill sets such as those described in DoD Instruc...