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...
Due to promotion, we have an immediate opening for an experienced Medicaid Fraud Investigator. As a Healthcare Fraud Investigator II working on our Unified Program Integrity Contractor (UPIC) team for the Western Jurisdiction, you can contribute to our efforts to make a positive difference in ...
Supports senior level investigators with complex investigations and assists with internal and external reporting. Conducts interviews with beneficiaries, sales agents, providers, associates, and/or downstream entities as required for investigatory purposes. Required 1+ year of experience in investig...
Investigator (~50% of the time depending on caseload). ...
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...
The Manager of Budget Development partners with Global R&D Sourcing (GRDS), Global Clinical Operations (GCO), Investigator Contracts Management (ICM), and Data Management teams to establish clinical pricing for subject visits, procedures, and invoiceable expenses. Collaborate with Clinical Operation...
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 ...
Qlarant has an immediate opening for a Healthcare Fraud Lead Investigator - Medicare to provide supervision and mentoring to a team of Investigators. Supervises intake investigators and/or investigators and assigns work; regularly reviews team’s leads in screening and/or investigations and act...
The Special Investigations Unit (SIU) Investigator Lead is the face of the SIU with external federal and state regulatory agencies and is responsible for regulatory communications to ensure timeliness with these oversight agencies. Conduct and assist investigators with complex investigations as need...
Join Allstate’s Investigations team as an Internal Investigator and take charge in uncovering instances of dishonesty, policy breaches, and legal infractions within our company. ...
LinkedIn DTEX Systems: Overview | LinkedIn Description The successful Insider Threat Investigator must be a team player as well as an individual contributor. ...
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...
The Senior Clinical Investigator Payment Associate will undertake activities to provide specialized support and assistance to the Clinical Business Operations department and all studies in the Site Payment portfolio. This role partners closely with investigative sites, the Clinical Operations team, ...
As a technical investigator for Upwork’s Trust & Safety Investigations team, you will be responsible for investigating and communicating complex, high profile, high risk escalations involving fraud, scam, fake identities, security, and anomalous user trends. ...
The Senior Global Trade Compliance Analyst performs the day-to-day management of all global trade compliance activities. Global Trade Compliance Analyst. The primary objective of this position is to assist the Compliance Manager with maintaining an import/export control structure consisting of opera...
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. ...
Hold at least one of the following certifications: AWS Certified Security – Specialty, (ISC)2 Certified Cloud Security Professional (CCSP), AWS Certified Solutions Architect – Associate, AZ-500: Microsoft Certified: Azure Security Engineer Associate, Google - Professional Cloud Security Engineer. Ho...
Unlock Your Virtual Business Adventure: Become an Office Travel Assistant! Embark on a thrilling virtual business opportunity tailor-made for travel enthusiasts who are passionate about helping others explore the world. We equip you with the knowledge to become a successful Office Travel Assistant. ...
The purpose of the Compliance Analyst, Regulatory Complaints position is to respond to written complaints submitted by a consumer to a governmental agency, the BBB, or through an email portal, who in turn forwards the complaints to the Company for investigation and response. This includes:Engaging c...
Project Manager (PM) is responsible for the implementation of Communication System Projects and will act and be recognized as the leader / focal point for all aspects of assigned project(s). The project manager is responsible for direct communication to customer’s organization and relevant senior st...
The Deputy Chief Information Security Officer will partner with the Chief Security Officer to manage and lead our organization's cybersecurity initiatives. This role is focused on the oversight of cyber-related security measures, strategic planning, and operational management of cybersecurity system...
This includes not only anti-money laundering (AML), counter-terrorist financing (CTF) and sanctions compliance, but compliance with the fair lending laws and their implementing regulations. The compliance function is responsible for developing Cardless' internal controls, as well as training staff a...
VIRTUAL ADMINISTRATIVE ASSISTANT - CONTRACT/REMOTE. We are looking for a skilled 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 Virtual Assistants in a Positive & Profe...
The Foundation has an immediate need for a Case Manager I. The Case Manager is responsible for assisting people with CF, their caregivers, and providers who contact Compass by assessing their needs, identifying barriers, and helping them overcome challenges and find resources. Provides information a...
Using holistic approach consults with supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary view in order to achieve optimal outcomes. Through the use of clinical tools and information...