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...
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...
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...
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...
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...
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...
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 ...
LinkedIn DTEX Systems: Overview | LinkedIn Description The successful Insider Threat Investigator must be a team player as well as an individual contributor. ...
We are looking for a Dispatcher who is excited about taking on new challenges and has a passion for technology to support the Xterra Service team with unparalleled customer service. The Dispatcher reports to the Director of Engineering and is responsible for attaining maximum utilization of internal...
As we look to expand our talented team, we are seeking an experienced Immigration Legal Assistant who is deeply committed to making a difference in the lives of our clients. The Immigration Legal Assistant will play a vital role in supporting our attorneys by managing and preparing critical document...
Avantor is looking for a Trade Compliance Analyst I to join our Regulatory Affairs team. As the Trade Compliance Analyst I, you will be responsible for supporting the oversight of key export activities and enforcing US export regulations. Your duties will include ensuring compliance with product cla...
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...
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...
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. ...
Do you have experience working as a Compliance Analyst in a highly regulated environment such as banking, insurance, consumer lending, or healthcare? Does your experience include developing, conducting and managing a compliance program? This position involves building, execution, and oversight ...
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...
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...
Coordinates and performs work that is varied and generally administrative, such as keyboarding, scheduling, maintaining files, and correspondence associated with a manager or director and employees within one or more business groups, handling confidential matters with discretion. Possesses strong co...
Daily administrative duties will include supporting Executive management team. Must have at least five years of administrative experience, including previous experience supporting an executive. ...
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...
Analyze and identify links between fraudulent transactions to identify and stop fraud rings . Interact with customer service and customers through various forms of communication and assist analysts with customer escalations . Collaborate with team to discuss new and emerging fraud trends . ...
The IT Security is responsible for ensuring network security, compliance, management of development team, user training, and other IT duties. The IT Security Officer reports directly to the General Manager. Monitors, analyses, and responds to security alerts. ...
Serve as the first point of escalation for nCino project delivery on customer issues partnering with nCino leadership Project Management. Previous managerial and project management experience preferred. Familiarity and experience with project management tools, agile methodologies and strategies. Str...
We're in search of an enthusiastic individual to join our team as a Remote Administrative Assistant. ...