With increasing independence, the Investigator II is assigned to multiple provider types and serves as a senior investigator in the Unit. The Investigator II will coach other investigators on developing techniques to find provider schemes based on federal and state regulations that govern Medicaid. ...
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...
The Texas Workforce Commission (TWC) is seeking an experienced Investigator to join the Civil Rights Division, Employment Section. The Investigator IV-V perform complex to highly complex (senior-level) investigations of complaints alleging violations of EEO laws, statutes, rules, or regulations. Inv...
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...
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 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...
Property Subrogation Investigator is responsible for identifying subrogation opportunities in clients’ claims, and then developing and documenting the necessary information to submit demand packages to adverse parties. ...
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...
Principal Investigator (Terrestrial Archaeology – Southwest). ...
Certified Fire Investigator / Certified Fire & Explosion Investigator (CFI/CFEI) responsible for analyzing and interpreting fire and explosion scenes. Must meet all the requirements for qualification as a fire investigator per NFPA 1033. ...
To use a variety of undercover investigative methods to conduct field investigations in PETA's focus areas, including the use of animals for food, clothing, experimentation, and entertainment.Primary Responsibilities and Duties:.Travel to different states and temporarily stay on location for various...
This role will report to Head of Investigation, Claim in implementing field check with client’s family or neighbor to very information, checking document requirement, prepare pending letter/payment letter/declined letter and follow up progress of implementation.Check document requirement, prepare pe...
Based on contract requirements, may refer potential adverse decisions to the Lead Investigator/Manager/Medical Director or designee. Certification in an applicable program such as Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator Certification preferred. ...
We’re looking for smart creatives, filled with positive energy, and a passion for building products people love.Check out our available positions around the world.If you can’t find what you’re looking for, check back often as new positions open up frequently.Insurance | Remote, United States.Associa...
The Investigator independently performs in-depth evaluation and makes field level judgments related to investigations of potential Medicare fraud, waste and abuse investigations or cases that meet established criteria for referral to the Centers for Medicare & Medicaid for administrative action ...
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...
Senior Investigator, North America. To further that commitment, the Senior Investigator, North America will investigate moderate to complex reports made to the Ethics Office, or as otherwise instructed by the Ethics Office Leadership Team, to ensure the prompt and thorough investigation and resoluti...
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 Fraud Investigator I position is a key role in the Fraud Investigations Unit of the Corporate Fraud Division. ...
The Manager interacts interdepartmentally with Global R&D Sourcing (GRDS), Global Clinical Operations (GCO), Investigator Contracts Management (ICM), and Data Management teams for clinical study budget development. ...
As a Lead Investigator, you'll review claims, look for patterns of potential fraud, waste and/or abuse and interact with medical providers to complete investigations. Accredited Health Care Fraud Investigator (AHFI) . ...
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...
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...
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 (...
Sr Associate, FWA Investigator Coder utilizes claim analysis, document review, coding knowledge and applies FWA tools to create, maintain and summarize review findings that are timely, accurate and well documented. Investigator Coder will be proficient at each step of the review process including in...