The Pharmacy Investigator will utilize claims data, applicable guidelines and other sources of information to identify aberrant billing practices and patterns. The Pharmacy Investigator is responsible for conducting investigations which may include field work to perform interviews and obtain records...
A company is looking for a Remote Background/Desktop Investigator. ...
Ensures hospital billing integrity for healthcare system by accurately reviewing, researching, analyzing, and validating credit balances within Epic HB Resolute.Responsible for credit balance resolution by processing refunds for third party payers and patients, payment transfers, charge corrections,...
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. ...
The **Senior** **Investigator** is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The **Senior** **Investigator** will utilize claims data, applicable guidelines and other sources of information to identify aberrant billing practices and pa...
The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. The SIU Investigator is responsible for reviewing and analyzing information to ...
The? **Investigator** ?is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The? **Investigator?** will utilize claims data, applicable guidelines, and other sources of information to identify aberrant billing practices and patterns. The Investigator ...
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...
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 ...
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...
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 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. ...
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. ...
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...
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...
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. ...
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...
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 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. ...
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...
ESSENTIAL DUTIES AND RESPONSIBILITIES.The associate is responsible for the functions below, in addition to other duties as assigned:.Investigate and resolve external theft (Shoplifting, Organized Retail Crime, etc.Gathers, analyzes, and evaluates intelligence on individuals and groups involved in or...
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 Senior Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The Senior Investigator will utilize claims data, applicable guidelines and other sources of information to identify aberrant billing practices and patterns. The Senior Inves...
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...
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...