- Providence (Oakland, CA)
- **Description** ** Investigator External Audit Special Investigations Unit \*Remote The SIU Audit Investigator supports the compliance related ... Investigations Unit (SIU) at the Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance… more
- Molina Healthcare (Nampa, ID)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to...coding accuracy and excellence. The position also entails producing audit reports for internal and external review.… 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 ... assignments include assistance to external auditors or special auditors. The Senior Lead Investigator handles...for new auditors; reviewing computer system proposals; and performing special assignments such as relief of Audit … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …performs clinical reviews of medical records. + Consults with external practitioners, medical professional groups and agencies, professional medical associations, ... less direct supervision. Performs compliance and/or governance on more complex special projects and audits. + Offers process improvement suggestions and participates… more
- Goodwill of the Finger Lakes (Syracuse, NY)
- SUMMARY: The Risk Management Investigator is responsible for protecting company assets and promoting safety through investigation, enforcement, audit , and ... at least one day per week spent in the Rochester office. The Investigator will provide root cause analysis, detailed reports, and investigative summaries across… more
- Sanford Health (Fargo, ND)
- …investigation/ audit . Master's Degree preferred Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred Nursing ... education is required. - Minimum 3 years' experience in health insurance investigation/ audit . - Master's Degree preferred - Accredited Health Care Fraud … more
- Highmark Health (Montgomery, AL)
- …for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations ... for proactive and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Performs investigations into… more
- Insight Global (Norfolk, VA)
- …Skills and Requirements -2+ years in medical coding, insurance billing, internal/ external audit , claims investigations, etc. -Must have a Professional Coder ... claims data, provider enrollment data, and other sources to refer to Investigator for investigation or settlement. -Assures accurate reimbursement is obtained and… more
- The Goodyear Tire & Rubber Company (Akron, OH)
- …Management decision-making. + Collaborate with internal teams (HR, Legal, Compliance, Internal Audit ) and external law enforcement or consultants as needed. + ... units and geographies to resolve complex issues. Partners with internal teams and external agencies to support a safe, ethical workplace. **What You'll Do** + Lead… more
- University of Pennsylvania (Philadelphia, PA)
- …manufacturers (including internal at Penn), regulatory bodies (both internal and external ) and research participants. Regulatory Affairs staff assist in obtaining ... functions independently with minimal supervision on complex protocols that are Investigator Initiated. The Regulatory Affairs Specialist C authors and conducts… more
- University of Pennsylvania (Philadelphia, PA)
- …a wide spectrum of clinical trials ranging from phase I to IV, investigator and industry initiated trials. Research coordinator work includes study design, protocol ... studies. This position is responsible for study coordination for investigator -initiated studies, multi-center research studies, and patient-oriented clinical and… more
- University of Pennsylvania (Philadelphia, PA)
- …requirements, and (2) meet required obligations to patients/subjects, Principal Investigator (PI), study team and Sponsor/CRO. This position will report ... contribute to study-related meetings, including but not limited to Investigator Meetings, Site Initiation Visits, Intermediate Monitoring Visits, Close-out Visits,… more
- Mount Sinai Health System (New York, NY)
- …Financial Reporting, Regulatory Reporting, Financial Lease Administration), Auditing and Special Projects. This position provides support to RES Department in ... NYC Finance. This position is the contact person in meeting Auditors audit requests and requirements. Additionally, the Senior Accountant also processes new vendors… more
- Mount Sinai Health System (New York, NY)
- …FINANCIAL REPORTING AND SPECIAL PROJECTS** + Work closely with internal and external auditors' in meeting their audit requirement during interim and year end ... Review and Administration, Financial Lease Administration, Financial Due Diligence, Financial Audit /Reporting and Special Projects. Mainly responsible for the… more
- University of Pennsylvania (Philadelphia, PA)
- …and any other ancillary oversight groups; as well as for external entities including pharmaceutical companies, contract research organizations (CROs), the FDA, ... other University Departments.They will assist with the development of investigator -initiated research protocols and development/maintenance of study specific case… more
- University of Pennsylvania (Philadelphia, PA)
- …wide spectrum of clinical trials ranging from phase I to IV, investigator and industry initiated, different disease states and varying complexities. Research ... a wide spectrum of clinical trials ranging from phase I to IV, investigator and industry initiated, different disease states and varying complexities. Involvement in… more
- University of Pennsylvania (Philadelphia, PA)
- …manuscripts, grant proposals, and presentations. Works closely with the Principal Investigator , manager, and study team to address study needs, implement approved ... changes, and monitor outcomes. Contributes to investigator -initiated, multi-center, and patient-oriented clinical and translational research studies. Job Description… more
- Banfield Pet Hospital (Vancouver, WA)
- …timelines. Assists in study post-mortem reviews and generation of study site/ investigator /technician reviews and grading to help delineate best site/ investigator ... with MVH study sites. Notifies DCS and CMO of external audits by FDA. Collaborates with DCS and study...with DCS and study sites to respond to any audit findings and implement approved recommendations as necessary. Assists… more
- General Dynamics Information Technology (Frederick, MD)
- …Provide regulatory inspection notifications and any report generated from an inspection or external audit to the sponsor + Review and revise protocols, informed ... tube or container for collecting the sample, sample collection time points, special instructions for processing and storing samples, instructions on how and where… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Regulatory Coordinators (RC) works under the direction of the Principal Investigator (s), Clinical Research Manager and / or directly for the Clinical Trials ... levels, including faculty and study team members of DF/HCC and external institutions, cooperative groups, clinical trials experts, representatives from the… more