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...
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...
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 Suspicious Activity Report (SAR) Investigator for high-risk typologies, you will conduct investigations, analyze transaction activity and trends, as well as write and review SARs. ...
LinkedIn DTEX Systems: Overview | LinkedIn Description The successful Insider Threat Investigator must be a team player as well as an individual contributor. ...
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...
Coordinate with internal and external resources in determining the appropriateness of codes found in administrative, medical, claim and financial records, develop reports of findings and recommendations, communicate complex results of audit findings in meetings and/or judicial hearings, and assist S...
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...
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...
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...
This position partners with Global Clinical Operations (GCO), Investigator Contracts Management (ICM), and Data Management teams to establish clinical costing for subject visits, procedures, and invoiceable expenses. Under guidance, collaborate with Clinical Operations and Investigator Contracts Man...
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 ...
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...
Emerus is seeking an IT Project Manager with extensive experience in managing large-scale IT projects, particularly those involving Epic or Cerner systems. Identify and mitigate project risks, resolving issues promptly to keep projects on track. IT Project Manager, specifically with Epic or Cerner s...
Security Risk and Compliance Analyst will operate within a divisional security team reporting to the Director of Information Security. Analyst will be responsible for risk assessment, reporting and audit of Customer facing applications supporting the Tax and Accounting (TAA) and Corporate Performanc...
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...
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 Project Manager (PM) will be responsible for overseeing the legal case management system implementation and change management initiatives for legal offices across the Commonwealth. Provide any other generalized or specific observation relevant to this project. Submit hours worked explicitly for ...
Embed security best practices such as security requirements, threat modelling, secure code review, automated security controls. Lead, mentor and develop a team of cybersecurity architects/engineers/information security analysts to promote excellence, diversity, inclusion, and manage delivery with co...
Assist candidates with onboarding and understanding of various registration requirements pursuant to FINRA, State and ACA Foreside policy.Prepare background information and communicate critical deadlines and instructions.Follow established procedures to process FINRA and State registration or termin...
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...
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...
Marketing Administrative Assistant. This role will support many needs, from general administrative tasks and data entry to event planning and scheduling. Prior administrative experience preferred. ...
Due to this growth, they are looking to expand their compliance division by hiring a new Senior Compliance Analyst. This individual will work closely with the Compliance Manager and assist the Compliance Officer with the coordination and administration of the bank?s compliance management activities....
Job Title: Home-based Receptionist/Administrative Assistant Company: EcoWay Voyagers Location: Remote Job Description: First Point of Contact: Serve as the welcoming voice and face of EcoWay Voyagers, providing exceptional customer service to clients, guests, and travelers vi...