• Director Complex Claims

    Sedgwick (Austin, TX)
    …university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI), or Certified Fraud Examiner (CFE) strong ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Director Complex Claims **PRIMARY PURPOSE** **:** To be responsible for managing SIU investigations… more
    Sedgwick (05/08/25)
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  • Investigator

    Highmark Health (Austin, TX)
    …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... This job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training...facility payment methodology, claims processing systems and coding and billing proficiency +… more
    Highmark Health (05/08/25)
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  • Investigator , SIU RN-Remote

    Molina Healthcare (Austin, TX)
    **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse. Duties include performing accurate and reliable medical review… more
    Molina Healthcare (04/11/25)
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  • Medical Science Liaison- CNS Houston

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …Otsuka's clinical trials program, including registrational, post-marketing and Investigator -Sponsored Trials (ISTs), health economic outcomes research, other ... contacting Accommodation Request (EEAccommodations@otsuka-us.com) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
    Otsuka America Pharmaceutical Inc. (05/17/25)
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  • Director, Quantitative Pharmacology, Clinical…

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …pharmacology** sections for regulatory filings, including annual reports, investigator 's brochure, IND/NDA/BLA applications and pediatrics development plans in ... contacting Accommodation Request (EEAccommodations@otsuka-us.com) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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