Special Investigations Unit (SIU) Field Investigator. The SIU Investigator conducts moderately complex investigations involving suspicions of insurance fraud across business lines. Insurance Industry certifications, such as Certified Insurance Fraud Investigator (CIFI), Fraud Claims Law Specialist (...
Supporting the Payment Integrity line of business.Location: This position will work a hybrid model (remote and office).The ideal candidate will live within 50 miles of one the posted Elevance Health PulsePoint locations.Carelon Payment Integrity is a proud member of the Elevance Health family of com...
Allied Universal® is hiring a Surveillance Investigator. Surveillance Investigators perform discreet mobile and stationary surveillance of Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim. Collaborate with other investigators and law enf...
Command is seeking Full-Time, entry level Background/Social Media Investigator, 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-relian...
JOB TITLE: Principal Investigator/ Sub Investigator. Associate Principal Investigator (Psychiatry) Opportunity in Miami, Florida!!. JOB SUMMARY The Principal Investigator (PI) is responsible for the oversight and execution of Clinical Studies performed on behalf of the Sponsor. Ensuring that a quali...
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...
Special Investigations Unit (SIU) Field Investigator. The SIU Investigator conducts moderately complex investigations involving suspicions of insurance fraud across business lines. Insurance Industry certifications, such as Certified Insurance Fraud Investigator (CIFI), Fraud Claims Law Specialist (...
Triage Telephonic Nurse Case Manager. Providing triage case-management in a Workers' Compensation environment at the initial report of the claim. Anticipating health needs during case-management process and educate patient and family appropriately. Florida Workers' Compensation case management or oc...
URAC recognized Case Management Certification must be obtained within four years of hire as a Case Manager. We are currently hiring for Nurse Navigator/Case Manager MCC II to join BlueCross BlueShield of South Carolina. Identifies and makes referrals to appropriate staff (Medical Director, Case Mana...
We are currently seeking a Fire Alarm Project Manager to join our team of the best fire protection professionals in the industry. Ensure all project operations are carried on in an appropriate, cost-effective way. Oversee projects to maintain and improve budget goals. ...
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Active and unrestricted Certified Case Manager (CCM). Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and...
The Administrative Assistant reports to a Onsite Community Association Manager. The HOA Administrative Assistant must be able to provide outstanding customer service and be able to interact effectively with owners. The HOA Administrative Assistant must have a willingness to learn and grow. ...
A major cruise line is looking for Security and Deputy Security Officers to join the team onboard their large fleet of ships. Experience as a Security Officer. You will be one of the first people that greet the guests, so friendliness and patience is essential as well as your security skills. Respon...
Nos encontramos en la búsqueda de Call Dispatcher Regional. Funciones de Call Dispatcher Regional:. Requisitos del Call Dispatcher Regional:. Experiencia como Call Dispatcher, atención al cliente, call center o áreas afines. ...
Lead the project management of projects both technically and financially to meet the client expectations in completing quality projects on-time and on budget. This is a great time to join Gannett Fleming TranSystems! Responsibilities What you'll be challenged to do: TranSystems is seeking a Roadway ...
Administrative Assistant / Office Manager. Reporting directly to the CEO, the Admin Assistant provides high-level support to the CEO and other C-Suite Executives. Strong written and verbal communication skills, along with robust administrative and organizational abilities, are also essential for suc...
As a Tiffany Branch Security Officer, you will:. Partner with Senior Security Officer and Management to deter theft, report missing assets, respond to emergency situations and implement Incident Management Programs procedures. Security Controls and Operations: . Provide exceptional security and oper...
Applies basic knowledge of compliance, business, analytical, and communication skills to support compliance programs and processes that promote compliant and ethical behavior, meet regulatory obligations, and prevent, detect, and mitigate compliance risks. This position will focus on compliance with...
The Case Manager role’s main function is to assist clients in breaking the cycle of homelessness by utilizing a “whatever it takes” approach. The Case Manager assists clients with accessing and . PATH operates services throughout California, connecting our clients to a comprehensive continuum of hom...
The position shall have the detailed knowledge and expertise required to manage the security aspects of an information system and, in many organizations, is assigned responsibility for the day-to-day security operations of a system. This also will include physical and environmental protection, perso...
We are looking for a Data Entry Specialist whose main function is providing excellent customer service by quickly and accurately processing submissions sent electronically by our members.A Data Entry Specialist will compare data with source documents submitted by our members, checking for accuracy a...
Leveraging your expertise in fraud analytics, you will develop and scale metrics for the fraud team, continuously evolving and automating fraud analytics to keep pace with the changing fraud landscape and growing business needs. The Fraud Reporting & Insights Analyst is a crucial member of the Zelis...
Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost e...
Lead project teams to complete transportation projects and ensure client contract fulfillment and project financial performance. You will have the opportunity to manage diverse, high-impact projects while mentoring junior engineers and overseeing project delivery from inception to completion. Minimu...