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...
This position partners with Global Clinical Operations (GCO), Investigator Contracts Management (ICM), and Data Management teams to establish clinical pricing for subject visits, procedures, and invoiceable expenses to inform site budget negotiations. Collaborate with Clinical Operations and Investi...
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...
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...
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...
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 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...
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...
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 ...
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. ...
LinkedIn DTEX Systems: Overview | LinkedIn Description The successful Insider Threat Investigator must be a team player as well as an individual contributor. ...
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...
Our Case Managers are responsible for handling the pre-litigation phase of our personal injury cases from inception to settlement. As a Case Manager, you will be involved in all aspects of pre-litigation personal injury cases - from inception to settlement. TorkLaw personal Injury law firm is lookin...
We are seeking an organized and detail-oriented Administrative Assistant to join our team. Minimum of 1 year of experience in a similar administrative role. ...
Analyze and identify links between fraudulent transactions to identify and stop fraud rings . Interact with customer service and customers through various forms of communication and assist analysts with customer escalations . Collaborate with team to discuss new and emerging fraud trends . ...
Due to this growth, they are looking to expand their compliance division by hiring a new Senior Compliance Analyst. This individual will work closely with the Compliance Manager and assist the Compliance Officer with the coordination and administration of the bank?s compliance management activities....
Kyndryl Project Managers oversee the delivery of major projects within scope, schedule, and budget. You can evolve horizontally into other technical or non-technical areas such as Technical Service Architect, or you can move vertically to become a senior project manager or program manager. As Projec...
The Senior Data Analyst will join the Square Compliance Analytics team to transform Square Compliance into an global data-driven Compliance organization. You will manage critical regulatory data requests for multiple markets, help redesign our global reporting strategy, deliver strategic insights to...
Perform periodic security audits and various tasks to ensure corporate, client, and regulatory compliance. Experience with regulatory compliance IT frameworks, including SOX; GLBA; PCI-DSS; ISO 27001/27002, FFIEC IT Handbooks, COBIT, and ITIL. ...
The process is initiated by the PACM following receipt of a physician signed patient identification and qualification (PIQ) form as well as a referral from the territory case manager (assigned to the particular patient). This role maintains communication with others involved in the verification and ...
As a Legal Project Manager II, Litigation at Affirm, you will be an integral part of the Litigation team. Assist in managing Affirm's US and international litigation portfolio under the direction of the Senior Legal Project Manager II, Litigation. Affirm is on a mission to improve consumer finance t...
The Marketing Project Manager will be responsible for facilitating the growth of the global business via project management of key strategic marketing programs and initiatives, ensuring timely delivery and efficiency. Serve as project manager on multiple simultaneous region-specific and multi-region...
Job Title: Healthcare - Case Manager II Location: Remote (Must be local to VA) Duration: 6 Months Job Description: Work Location (i. Essential Functions: Provides case management services to members with chronic or complex conditions including: o Proactively identifies members that may qualify f...
As a Telephonic Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and co...
The Lead Security and Privacy Compliance Analyst plays a critical role in ensuring Zone's adherence to legal, regulatory, and professional standards in data protection and business practices. To excel in this role, the Lead Security and Privacy Compliance Analyst must possess a diverse skill set enc...