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...
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 ...
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...
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...
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...
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...
LinkedIn DTEX Systems: Overview | LinkedIn Description The successful Insider Threat Investigator must be a team player as well as an individual contributor. ...
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...
Functionally reports to the Regional Information Security Manager as part of the Office of the Chief Information Security Officer (OCISO) to coordinate effort, solutions, and promote security practices. As Information Security Officer (ISO), you will be accountable for all security-related complianc...
Functionally reports to the Regional Information Security Manager as part of the Office of the Chief Information Security Officer (OCISO) to coordinate effort, solutions, and promote security practices. As Information Security Officer (ISO), you will be accountable for all security-related complianc...
Functionally reports to the Regional Information Security Manager as part of the Office of the Chief Information Security Officer (OCISO) to coordinate effort, solutions, and promote security practices. As Information Security Officer (ISO), you will be accountable for all security-related complianc...
Our Case Managers are responsible for handling the pre-litigation phase of our personal injury cases from inception to settlement. As a Case Manager, you will be involved in all aspects of pre-litigation personal injury cases - from inception to settlement. TorkLaw personal Injury law firm is lookin...
Competitive pay / Benefits (Medical-Dental-Vision-Disability-401k) / Generous time off - As an HR Administrative Assistant you'll: Answer and direct departmental emails and phone calls; Process required paperwork for employee transfers, changes in job classification, salary increases, and other rela...
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...
As a Telephonic Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and co...
Job Title: Virtual Administrative Assistant Company: Backbone Business Solutions Location: Remote About Us: Backbone Business Solutions is a premier consulting firm specializing in travel and business services. Administrative Assistance: Provide support with general administrative tasks ...
Ability to successfully complete and support the work outlined for the Compliance Associate roles. Reads and comprehends retirement plan provisions from plan documents, summaries of plan provisions, and related plan materials to ensure accuracy and compliance with regulations. Supports the Plan Cons...
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 QUALIFICATIONS REQUIRED EDUCATION: Any of the following: Completion of an accredited License...
As a PRS Lead Case Manager, you will be responsible for supervision of case managers and/or case support workers. Assist with hiring, training and supervising of some program staff (case managers, case support workers and/or case aides);. Assist in onboarding new case managers and case support worke...
Managed large complex projects involving multiple work streams and stakeholders. Deep understanding of project management methodologies and best practices. Experience managing multiple short-term projects in a fast-paced environment. ...
The Chief Information Security Officer will be the leader of Information Security at Included Health. Execute leadership and oversight for the implementation and automation of security capabilities, systems, and services - drive and evangelize the different functions within Information Security to b...
Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual’s medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. Render opinions regarding case costs, treatment plan, outcom...
Are you ready to help when disaster relief needs arise? We're building a team of dedicated security and logistics professionals who can step in at a moment's notice. The Watch Officer will be deployed to the WCK activation site and serves as a fusion role between the field and the operations center ...
POSITION SUMMARY: The Tax Analyst assists with tax compliance and other tax related issues including tax return preparation. Assists field and corporate operations with various sales and use tax compliance and audits, personal and real property book expense and account reconciliations, unclaimed pro...
DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) to join us in. Registered Nurse (RN) Case Manager. Case Management or Chronic Care Management. ...