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...
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...
The Manager interacts interdepartmentally with Global R&D Sourcing (GRDS), Global Clinical Operations (GCO), Investigator Contracts Management (ICM), and Data Management teams for clinical study budget development. ...
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 ...
GameGrid is pioneering the iGaming industry by leveraging virtual video-game economies, allowing players to place bets with virtual items from popular games.We're not just following trends; we're setting them.Our mission is to create a transparent, community-driven, and innovative iGaming experience...
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...
Qlarant has an immediate opening for a Healthcare Fraud Lead Investigator 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 actions for qu...
Architectural Historian (Principal Investigator) . ...
The Investigator independently performs in-depth evaluation and makes field level judgments related to investigations of potential Medicare fraud, waste and abuse investigations or cases that meet established criteria for referral to the Centers for Medicare & Medicaid for administrative action ...
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...
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. ...
Our ideal case manager is caring, compassionate, solution-oriented and enthusiastic about providing an outstanding experience for Devoted Health’s members. We want to help members navigate the healthcare system in a better and safer way, and case management is critical to achieving this for our most...
Aptive Resources is seeking a dedicated and compassionate Registered Nurse Case Manager to support the Teleconology Division at the Veterans Health Services. ...
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...
Upon completeness of the application and suitability/underwriting approval, you will process the case and create a contract for delivery. ...
Gartner analysts are industry thought leaders who create must-have research and provide advice to world-leading organizations. Analysts possess a keen eye for identifying gaps, problems and solutions within the market they serve, and help clients make better decisions relative to their highest busin...
PM focused on case management to support the Multifamily implementation of the IRA (Inflation Reduction Act) HEAR/HER (Home Energy Rebate) programs, requiring very detailoriented project managers intimately familiar with each project. Strong project management skills and the ability to successfully ...
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...
The Senior Risk and Compliance Analyst – Risk Manager. At Relativity, we have a world-class compliance team focused on maintaining an industry-leading approach to security, privacy, and enterprise risk management. This role will develop and enable risk management policies, procedures, and strategies...
Create and maintain required project artefacts including project schedule, status, training materials, project requirements documents and presentations for various discussions. Hold oneself accountable for the success of projects assigned. Translate customer contract into a comprehensive project pla...
The Chief Product Officer holds a key leadership position on the CIS Executive team at the Center for Internet Security. The Chief Product Officer is responsible for developing and managing a CIS wide product portfolio consisting of CIS-developed and third party integrated software products and serv...
The Project Manager is accountable for planning, executing, and closing projects efficiently and successfully by ensuring that each project adheres to the organization's process for all required deliverables. Ensure project files follow file naming convention, project code is shared with teams and i...
Project Manager of Data Management and Regulatory Use. Project Manager of Data Management and Regulatory Use. Responsibilities for the Project Manager of Data Management and Regulatory Use:. Qualifications for the Project Manager of Data Management and Regulatory Use:. ...
CACI is seeking an Information System Security Officer (ISSO) as part of our DHS’ Security team and plays a Cybersecurity operational compliance role. Works closely under the supervision of Cybersecurity Manager and with other security personnel within our DHS operations to ensure operational securi...