With increasing independence, the Investigator II is assigned to multiple provider types and serves as a senior investigator in the Unit. The Investigator II will coach other investigators on developing techniques to find provider schemes based on federal and state regulations that govern Medicaid. ...
A company is looking for a Remote Background/Desktop Investigator. ...
As a Fraud Investigator, you will investigate and research cases of identified fraud, fraud loss, or suspicious events to identify fraud rings and patterns, assist victims in resolving fraud events, and denying fraud claims identified as false through investigation. A primary responsibility of a fra...
With increasing independence, the Investigator II is assigned to multiple provider types and serves as a senior investigator in the Unit. The Investigator II will coach other investigators on developing techniques to find provider schemes based on federal and state regulations that govern Medicaid. ...
Property Subrogation Investigator is responsible for identifying subrogation opportunities in clients’ claims, and then developing and documenting the necessary information to submit demand packages to adverse parties. ...
Worldwide Clinical Trials (Worldwide), a leading global contract research organization (CRO), works in partnership with biotechnology and pharmaceutical companies to create customized solutions that advance new medications – from discovery to reality.Anchored in our company’s scientific heritage, ou...
Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health.This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.Anchored in our brand — with heart at its cente...
The Special Investigator develops and implements strategies and tactics to prevent and reduce fraud as well as the identification, investigation and prosecution of all fraudulent activities. ...
Command is seeking Full-Time Desktop Background Investigators, who will conduct detailed and in-depth background and social media investigations through online research using private and public database services, and other related investigative tasks. Honesty, integrity, self-reliance, resourcefulne...
This position is a senior member of the corporate technical team and is a technical expert in one or more specific disciplines related to company's customer solutions.This position requires an individual capable of interfacing directly with customers as the project lead while also being the hands-on...
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...
This role will report to Head of Investigation, Claim in implementing field check with client’s family or neighbor to very information, checking document requirement, prepare pending letter/payment letter/declined letter and follow up progress of implementation.Check document requirement, prepare pe...
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...
LinkedIn DTEX Systems: Overview | LinkedIn Description The successful Insider Threat Investigator must be a team player as well as an individual contributor. ...
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 ...
To use a variety of undercover investigative methods to conduct field investigations in PETA's focus areas, including the use of animals for food, clothing, experimentation, and entertainment.Primary Responsibilities and Duties:.Travel to different states and temporarily stay on location for various...
This position partners with Global Clinical Operations (GCO), Investigator Contracts Management (ICM), and Data Management teams to establish clinical pricing for subject visits, procedures, and invoiceable expenses to inform site budget negotiations. Collaborate with Clinical Operations and Investi...
Accredited Health Care Fraud Investigator (AHFI) . ...
Senior Investigator, North America. To further that commitment, the Senior Investigator, North America will investigate moderate to complex reports made to the Ethics Office, or as otherwise instructed by the Ethics Office Leadership Team, to ensure the prompt and thorough investigation and resoluti...
Independent Contractors for an intelligence agency are needed to conduct comprehensive interviews with subjects, employers, associates, references, and other knowledgeable individuals and review appropriate records to obtain facts to resolve all material issues in a case or to establish the backgrou...
Qlarant has an immediate opening for a UPIC West 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 acti...
Certified Fire Investigator / Certified Fire & Explosion Investigator (CFI/CFEI) responsible for analyzing and interpreting fire and explosion scenes. Mentor and train subordinate investigators. Must meet all the requirements for qualification as a fire investigator per NFPA 1033. ...
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...
TMB - Investigator V (REMOTE)(00042167). Job Title:Field Investigator – Licensed LVN or RN. Ability to explain and interpret pertinent provisions of laws and regulations to other investigators, licensees, and complainants. Job Title:Field Investigator – Licensed LVN or RN. ...
People Relations (“PR”) is a department comprised of a team of seasoned investigators located in the US, EMEA and LATAM. The Investigator role personally conducts employment investigations involving employees across all business units. The investigator role investigates and resolves employment-relat...