A company is looking for an Insurance Investigator - Special Investigation Unit (Life and Disability) for a remote position in the USA. ...
The Investigator Contracts Lead is responsible for direct site facing contract and budget negotiations through contract execution with assigned clinical investigator sites including initial agreements and amendments and oversight of other contracting professionals on assigned studies. Follow client ...
The Associate Investigator works with a growing team conducting and managing Health Care Fraud, Waste and Abuse investigation and prevention activities under the general direction of the Director or designee. ...
LinkedIn DTEX Systems: Overview | LinkedIn Description The successful Insider Threat Investigator must be a team player as well as an individual contributor. ...
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...
Registered Nurses are encouraged to consider a new full-time Mortality Review Nurse Investigator position with Liberty Healthcare. ...
The Fraud Investigator is responsible for analyzing and detecting fraud trends and patterns. ...
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...
The Fraud Investigator I position is a key role in the Fraud Investigations Unit of the Corporate Fraud Division. ...
Investigates complaints regarding alleged violations of the Nurse Practice Act and apply knowledge throughout the investigatory process to determine violations and risks to public safety. Extracts and analyzes information from statutes, legal documents, evaluations, healthcare and employment related...
Effectively supervise 6-12 RCIs in assigned market(s).Participate in periodic performance reviews of RCI team members.Manage complex organized theft/fraud investigations including monitoring merchandise for sale at independent shops, flea markets and social media to identify Weis stolen product.Assi...
We're hiring a SIU Investigator, Sr. The SIU Investigator (Senior Analyst) primary purpose is to investigate change in aberrant behavior observed in claims and enrollment data. You will report to the Senior Investigator, SIU. Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (...
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...
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care.The work you do here impacts the lives of millions of people for the better.Come build the health care system of tomorrow, making it more responsive, affordable, an...
Investigator Field Leaders are responsible for the operational oversight of independent contractor investigators as well as part-time employee investigators, often in a widely dispersed geographic area. Investigator Field Leader provides oversight of investigator performance, quality of work product...
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...
Exhibits behaviors outlined in SIU Investigator Competencies. ...
Field Investigators for a distinguished client with locations across the United States. Credentialed Background Investigator (DCSA, DHS, DOD, DOJ). ...
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...
In addition, the Investigator is responsible for supporting the Senior Investigators with complex investigations and responses through analytical and administrative support. The Investigator will assist the Investigations Team as directed by the Manager. Works in collaboration with the Senior Invest...
Assist with mentoring and providing technical direction to other SIU Investigators. Provide training for SIU investigators as requested by the SIU manager. The SIU investigator is responsible for SIU investigations only. ...
The SIU Senior Investigator position is primarily responsible for supporting the day to day operations and initiatives of the Special Investigations Unit (SIU). Provide guidance to investigators as needed on investigative techniques, tools, or strategy. Proven investigatory skill; ability to organiz...
Investigator Contracts Lead I (ICL I) is responsible for direct site facing contract and budget negotiations through contract execution with assigned clinical investigator sites including initial agreements and amendments and oversight of other contracting professionals on assigned studies. Follow c...
Registered Nurses are encouraged to consider a new full-time Mortality Review Nurse Investigator position with Liberty Healthcare. Liberty Healthcare endeavors to empower people who are living with intellectual and developmental disabilities, so they Nurse, Investigator, RN, Healthcare, Remote. ...
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 ...