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. ...
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 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...
Qlarant has an immediate opening for a Healthcare Fraud Lead Investigator to provide supervision and mentoring to a team of Investigators. Supervises intake investigators and/or investigators and assigns work; regularly reviews team’s leads in screening and/or investigations and actions for qu...
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 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...
The Certified Professional Coder Investigator II is responsible for performing highly complex healthcare fraud investigations including but not limited to, complex surgical operations, inpatient hospital coding including diagnostic related grouping (DRG), and anesthesia cases. The incumbent supports...
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...
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 ...
We are seeking an experienced individual with an employee relations or investigative background to join ServiceNow’s Employee Relations Workplace Investigations team.The role will be a strategic partner to, and key liaison between, the Global Employment Law and Employee Relations teams.The position ...
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 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 ...
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...
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 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. ...
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...
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...
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...
LinkedIn DTEX Systems: Overview | LinkedIn Description The successful Insider Threat Investigator must be a team player as well as an individual contributor. ...
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...
Architectural Historian (Principal Investigator) . ...