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. ...
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...
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...
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 ...
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...
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...
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...
LinkedIn DTEX Systems: Overview | LinkedIn Description The successful Insider Threat Investigator must be a team player as well as an individual contributor. ...
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...
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...
The successful candidate for the role of dispatcher must have a robust background in both scheduling and dispatching. ...
The successful candidate for the role of dispatcher must have a robust background in both scheduling and dispatching. ...
Project Manager - Accountable for delivering assigned projects within time, scope and cost. Professional Case Management is an Equal Opportunity Employer. ...
The Payroll & Tax Compliance analyst will be responsible for the research and evaluation of payroll tax regulatory changes to ensure that the R365 payroll platform meets the needs of our customers expectations for US payroll tax compliance. They will partner with our internal teams to evaluate and d...
We're in search of an enthusiastic individual to join our team as a Remote Administrative Assistant. ...
CACI is seeking an Information System Security Officer (ISSO) as part of our DHS’ Security team and plays a Cybersecurity operational compliance role. Works closely under the supervision of Cybersecurity Manager and with other security personnel within our DHS operations to ensure operational securi...
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...
Marketing Administrative Assistant. This role will support many needs, from general administrative tasks and data entry to event planning and scheduling. Prior administrative experience preferred. ...
Compensation decisions are dependent on the circumstances of each case. ...
Position: Technical Project ManagerLocation: DC / VA Description: The Client is seeking an expert project manager to manage the planning and implementation of a statewide IT project for Division of Public Health (DPH). Required Skills:Project management experience, preferably with large, complex a...
The Chief Product Officer holds a key leadership position on the CIS Executive team at the Center for Internet Security. The Chief Product Officer is responsible for developing and managing a CIS wide product portfolio consisting of CIS-developed and third party integrated software products and serv...
Utilization Management Administrative Assistant. The Medical Management Assistant works under the supervision of the Resource Case Manager (RCM) and other clinicians to assist in the administrative operations of the department. Assists the administrative functions of the utilization management dep. ...
The Senior Fraud Data Analyst is responsible for designing unique analytic approaches to detect, assess, and mitigate fraud risk. You will help analyze the effectiveness of our day-to-day fraud policy and rules in our fraud systems. Work with external fraud prevention vendors to optimize their perfo...