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...
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...
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...
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. ...
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 ...
Are you passionate about developing and motivating others?.Do you enjoy being a trusted partner to employees and stakeholders?.Join our Employee Relations Team.Our Employee Relations (ER) team collaborates closely with leadership, HR Business Partners, Legal and employees to advise on complex matter...
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...
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...
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...
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...
Administrative Assistant (Remote). We are looking for an experienced Administrative Assistant for a global B2B high tech company. Administrative Assistant (Remote). This role will be responsible for providing analytical and specialized administrative support to Leadership team. ...
Security Risk and Compliance Analyst will operate within a divisional security team reporting to the Director of Information Security. Analyst will be responsible for risk assessment, reporting and audit of Customer facing applications supporting the Tax and Accounting (TAA) and Corporate Performanc...
Project Manager - Accountable for delivering assigned projects within time, scope and cost. Professional Case Management is an Equal Opportunity Employer. ...
The Project Biologist will be responsible for supporting Project Managers on project tasks and assignments to meet project profitability goals and deliver best-in-class services to our clients. Assistant Project Manager (Project Biologist) | Remote in CA. Assistant Project Manager (Project Biologist...
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 ...
Hold at least one of the following certifications: Certified Information Systems Security Professional (CISSP), Global Information Security Professional (GISP), or the CompTIA Advanced Security Practitioner (CASP) or other certifications exemplifying skill sets such as those described in DoD Instruc...
Compensation decisions are dependent on the circumstances of each case. ...
Aptive Resources is seeking a dedicated and compassionate Registered Nurse Case Manager to support the Teleconology Division at the Veterans Health Services. ...
We are inviting professionals in high-growth industries who are thinking about their next move or looking for a new opportunity to join our expanding talent pool.The Marlee Talent Pool is a pilot project designed to:.Help job seekers get discovered by our partners based on their anticipated hiring n...
Leverage data informed insights to drive operations improvements such as efficiency and accuracy• Create, scale and execute strategic programs to ensure the team is working at optimum efficiency• Drive participant management process improvements and identify opportunities for optimizing workflows• P...
Coordinates and performs work that is varied and generally administrative, such as keyboarding, scheduling, maintaining files, and correspondence associated with a manager or director and employees within one or more business groups, handling confidential matters with discretion. Possesses strong co...