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. ...
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...
Providence Health Plan is calling an Investigator, Special Investigation Unit who will:. May assist Senior Investigator or SIU Director in developing, implementing and performing compliance related auditing and monitoring activities at the Health Plan. Current certification in health care fraud inve...
Senior Archaeologist/Principal Investigator. ...
Assume responsibility and represent Loss Prevention on all confirmed COVID incidents.Review and assess all confirmed COVID cases via the Exposure Management One Note page.Respond to and participate in all COVID calls which can be scheduled with minimal notice.Organize all COVID video review tracing ...
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...
The Fraud Investigator I position is a key role in the Fraud Investigations Unit of the Corporate Fraud Division. ...
The Senior AML Financial Crime Risk Investigator conducts end to end investigations of various higher complexity and sensitivity through analysis of evidence gathered for both internal and external investigations. The Senior AML Financial Crime Risk Investigator conducts end-to-end complex investiga...
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...
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...
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 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. ...
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...
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...
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...
Architectural Historian (Principal 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...
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. ...
TMB - Investigator V (REMOTE)(00042167). Job Title:Field Investigator – Licensed LVN or RN. Ability to explain and interpret pertinent provisions of laws and regulations to other investigators, licensees, and complainants. Job Title:Field Investigator – Licensed LVN or RN. ...
Architectural Historian (Principal Investigator) . ...
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. ...