- Idaho Division of Human Resources (Lewiston, ID)
- …The Idaho Department of Agriculture is currently recruiting for an Agriculture Investigator Senior in the division of Agriculture Resources located in ... Senior Agricultural Investigator - Lewiston or...presentations. + Some knowledge of investigative procedures for damage claims including developing evidence, establishing relationships, determining responsibilities, and… more
- CVS Health (Columbus, OH)
- …we do it all with heart, each and every day. **Position Summary** As a Senior Investigator you will conduct high level, complex investigations of known or ... fraud schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business +...+ The ability to understand and analyze health care claims and coding + Ability to travel up to… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Investigator to play your part in that transformation. It's an ... and efficiency. How you will create an impact The Senior Claims Investigator is responsible...The investigator will provide assistance to the claims adjuster in progressing the claim and… more
- CVS Health (Topeka, KS)
- …anywhere in the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. + Research and… more
- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This ... of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will… more
- CVS Health (St. Paul, MN)
- …healthcare fraud cases. - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. - Facilitates ... the recovery of company and customer money lost as a result of fraud matters. - Provides input regarding controls for monitoring fraud related issues within the business units. - Delivers educational programs designed to promote deterrence and detection of… more
- EFI Global (Los Angeles, CA)
- …Click here to learn more about EFI Global. Seeking a certified fire investigator in the greater Los Angeles area. Must hold IAAI-CFI certification. **PRIMARY ... buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- EFI Global (St. Paul, MN)
- …buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large ... fire loss, and multiple claims .** **Ensures that assigned cases are investigated and reported back to the requesting party in adherence to best practices.… more
- Humana (Dayton, OH)
- **Become a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, ... outcomes; work closely with internal and external auditors, financial investigators, and claims processing areas + Adequately staff and manage the program integrity … more
- The Boeing Company (Ridley Park, PA)
- …your future with us. **Boeing Defense Space & Security** **(BDS)** is looking for a ** Senior (Level 4 or Level 5) System Safety Engineer** to join our team onsite in ... + Participates in the discussion of legal cases and claims with in-house and outside counsel. + Researches, acquires...market and business considerations. **Summary Pay Range** : + Senior (Level 4): $129,200 - $174,800 + Senior… more
- Allied Solutions (Plano, TX)
- …all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and lender ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...Total Losses ; refer timely and accurately to more senior level adjusting staff for adjudication and collection; +… more
- Elevance Health (Indianapolis, IN)
- …eliminate and prevent unnecessary medical-expense spending. **Title:** Sr Investigator **Locations:** Indianapolis, IN, Columbus, OH, Nashville, TN **Hybrid:** ... unless an accommodation is granted as required by law. The **Sr Investigator ** is responsible for the independent identification, investigation and development of… more
- Elevance Health (St. Louis, MO)
- …in order to recover corporate and client funds paid on fraudulent Medicaid claims . **How You Will Make an Impact:** + Responsible for identifying and developing ... more than one company health plan, line of business and/or state + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and… more
- Aramco Services Company (Houston, TX)
- …Audit on special assignments beyond the normal scope of the audit function. The Senior Lead Investigator handles hotline reports or calls and manages cases of ... Special assignments include assistance to external auditors or special auditors. The Senior Lead Investigator handles hotline reports or calls and manages… more
- Mount Sinai Health System (New York, NY)
- …Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible ... to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The… more
- Otsuka America Pharmaceutical Inc. (Waltham, MA)
- **Job Summary** The Senior Director will serve as the Translational Medicine CNS Therapeutic Area Head, reporting to the VP, Translational Medicine and Early ... Clinical Development within OPDC's Early Development Organization (EDO). The Senior Director Translational Medicine will oversee a small team of CNS Translational… more
- United Therapeutics (Research Triangle Park, NC)
- …part of a company that is forward thinking and innovative. The Senior /Statistical Scientist, Global Medical Affairs will contribute to all biostatistical and ... team and other stakeholders to provide biostatistical resources for investigator -sponsored clinical studies and address internal/external investigator queries… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Director, Patient Financial Services (Backend) Corporate East 42nd Street-Full-Time Days** The Senior Director Patient Financial ... and Accounts Receivable performance across the medical center. The Senior Director will report to the Vice President Patient...workflows align with revenue cycle best practices to reduce claim denials, improve cash collections and enhance clean … more
- Mount Sinai Health System (New York, NY)
- …Opportunity for advancement within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System and external organizations ... + Opportunity for mentorship from senior MSHP leaders + Opportunity to be part of...preferred. + Firm understanding of Facility, Professional and Pharmacy claim reimbursement preferred. + Oral presentation experience, especially with… more
- University of Southern California (Los Angeles, CA)
- …excellence, and private and public sector engagement, is looking for a Senior SAS Research Programmer to provide programming support on research projects examining ... health behavior research and related health policy topics. The Senior SAS Research Programmer will serve as lead programmer and technical specialist on research… more