- 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
- MyFlorida (Tampa, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 41001246 Date: Nov 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... 865578 Agency: Office of the Attorney General Working Title: LAW ENFORCEMENT INVESTIGATOR II - 41001246 Pay Plan: Career Service Position Number: 41001246 Salary:… more
- USAA (Cheyenne, WY)
- …us special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). This is a Desk position. Within defined guidelines and framework, ... protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance… more
- Ally (Austin, TX)
- …be, too? **The Opportunity** The primary role of the Senior Bank Fraud Investigator to investigate and deter fraud against Ally Bank. This role requires the ... of in-depth background in bank fraud investigations of all types of forgery claims and schemes (ie, kite schemes, counterfeit checks, forgeries, wires, ach, etc.),… 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
- The Boeing Company (Ridley Park, PA)
- …processes and initiatives. + Participates in the discussion of legal cases and claims with in-house and outside counsel. + Researches, acquires and provides specific ... agreements. Pay is based upon candidate experience and qualifications, as well as market and business considerations. **Summary Pay Range** : + Senior (Level 4):… more
- Travelers Insurance Company (Hartford, CT)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The hourly salary range provided for this position is a ... nationwide market range and represents a broad range of salaries...receiving valuable on-the-job training, and learns about the Fire Investigator professions available at Travelers. Interns receive challenging work… more
- J&J Family of Companies (Irvine, CA)
- …of evidence generation and dissemination activities that support product approvals, claims development, and product adoption and lifecycle management, and work ... data analysis, publication support and collection of data for supporting platform claims . + Contribute to the development and execution of product and/or procedural… more
- MyFlorida (Tallahassee, FL)
- …as engage in other prevention activities, including pre-payment reviews, paid claims reversals, site visits, identifying and processing sanctions of providers, ... certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified Financial Crimes Investigator ; Certified Insurance Fraud… more
- Mount Sinai Health System (New York, NY)
- …models and perform data analysis across finance and strategic business needs (eg, market sizing), and healthcare topics (eg, claims analysis) with guidance from ... roles ? Advanced analytical capabilities required, experience with healthcare claims analysis and clinical quality measures highly preferred ? Experience… more
- Mount Sinai Health System (New York, NY)
- …for operations, budgeting, auditing, forecasting, accounting, AR and reserve analysis, market analysis, staffing, and financial reporting. + Strong leadership skills ... workflows align with revenue cycle best practices to reduce claim denials, improve cash collections and enhance clean ...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- Mount Sinai Health System (New York, NY)
- …for operations, budgeting, auditing, forecasting, accounting, AR and reserve analysis, market analysis, staffing, and financial reporting. + Strong leadership skills ... workflows align with revenue cycle best practices to reduce claim denials, improve cash collections, and enhance clean ...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- University of Southern California (Los Angeles, CA)
- …lead programmer and technical specialist on research projects that use administrative healthcare claims data. SAS is required. The programmer is an integral part of ... the research team and works closely with the principal investigator and a multidisciplinary research team. The key role of the programmer is to develop a plan to… more
- Highmark Health (Harrisburg, PA)
- …for overall category or function. Plans will include current and future market environment, market conditions, health system strategic plan, time-frames, and ... ensure a successful execution of the strategic plan. + Serve as principal investigator , assist in project management and serve as contractual expert on specific… more
- Mount Sinai Health System (New York, NY)
- …preferred. + Firm understanding of Facility, Professional and Pharmacy claim reimbursement preferred. + Oral presentation experience, especially with senior ... subject matter expert on contract modeling, payment methodologies, pricing strategy, market competitive intelligence and payer negotiation strategies. + Own the… more
- CSL Behring (King Of Prussia, PA)
- …randomized clinical trials that make use of electronic health records, insurance claims databases, and/or registries in support of key messages + Evaluate ... statistical validity of proposals for investigator sponsored trials, and advise on reasonable improvements to...of clinical data needed for local value propositions and market access + Agile use of our in-house RWE… more
- BAE Systems (Falls Church, VA)
- …Join our team! BAE Systems is looking for an experienced litigator and investigator at our corporate headquarters in Falls Church, Virginia. This position reports to ... government contract disputes, bid protests, government subpoenas and investigations, False Claims Act matters, and third-party subpoenas. This role will manage… more
- Stryker (Concord, NH)
- …support the development of this strategy, to enable new and continued global market access. **Work Flexibility:** Remote - _Preferred location is the Midwest or ... deliverables are achieved. + Initiate and manage research contracts for Investigator -Initiated Studies and ensure alignment with research strategy. + Drive… more
- Elevance Health (Durham, NC)
- …plans independently with effective problem solving and decision making as principal investigator across a broad program of studies related to a therapeutic area ... performing research study design and analysis. + Conducts review of administrative claims , electronic medical records, and survey and clinical data and statistical… more
- MyFlorida (Tallahassee, FL)
- …and enforces cases under state and federal antitrust laws, Florida False Claims Act, Florida securities law, Civil Racketeering and as needed civil complex ... antitrust violations as specified above. Interviews fact witnesses and/or directs an investigator in conducting such interviews. Obtains evidence in the form of… more