- Allied Universal (Beckley, WV)
- …for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for ... Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate ...Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property… more
- Allied Universal (Crossville, TN)
- …jobs! Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with ... Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate ...Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property… more
- Allied Solutions (Plano, TX)
- …and exceed all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...assigned + Obtain adjuster licenses as needed Qualifications: + Associate college degree required except in the following circumstances:… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Associate Investigator works with a growing team conducting and managing Health Care Fraud, Waste and Abuse ... mining and visualization programs to design queries and analyze claims data to detect outliers or suspicious patterns for...+ At least three (3) years of related investigative, claims , compliance or analyst experience in healthcare, data reporting… more
- System One (Baltimore, MD)
- ALTA IT is hiring an Associate Investigator to support a leading health insurance customer. The individual will work with the Special Investigations Unit (SIU) ... Baltimore, MD (Hybrid) twice a week Job Duties: + Research provider/subscriber claims activity, operations manuals, data systems, medical policies, job duties and… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: The Equal Employment Opportunity and Title IX Investigator (EEO/Title IX Investigator ) serves as part of a team investigating and resolving ... the University's legal obligations to address discrimination and harassment claims and sexual misconduct. Document findings as to the...for Equity and Inclusion and Chief Diversity Officer and Associate VP for Equity & Inclusion and Sr. … more
- Molina Healthcare (Omaha, NE)
- …related work. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Health Care Anti-Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
- City of New York (New York, NY)
- …in their agreement to repay. Claims &Collection is recruiting for (4) four Fraud Investigator II to function as a Senior Fraud Investigator , who will: - Send ... Job Description Claims and Collections pursues monetary recoveries owed to...nature involving public or private funds; or 2. An associate degree or 60 semester credits from an accredited… more
- AmeriHealth Caritas (Washington, DC)
- **Special Investigator Managed Care - DMV Counties only** Location: Washington, DC Primary Job Function: Compliance ID**: 29509 **Job Brief** This position will work ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Investigator is responsible for conducting comprehensive investigations of reported,… more
- City of Pittsburgh (Pittsburgh, PA)
- Investigator , Law Print (https://www.governmentjobs.com/careers/pittsburgh/jobs/newprint/4432809) Apply Investigator , Law Salary See Position Description ... + EDUCATION/TRAINING : The application must clearly show a minimum of an Associate 's degree from a fully accredited institution in Human Resources, Administration of… more
- City of New York (New York, NY)
- …Safety seeks to hire an Environmental, Health and Safety Incident/Workplace Violence Investigator located in Flushing, New York. Under general direction, but with ... selected candidate will be responsible for the following: 1) As a lead Investigator or part of an investigation team conduct investigations into incidents such as… more
- Travelers Insurance Company (Melville, NY)
- …handles First Party Medical investigations that lead to resolution of claims . Provides quality claim handling throughout the investigation in partnership with ... Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Associate or Bachelor degree or equivalent business experience preferred. + Prior First… more
- Humana (Oklahoma City, OK)
- …CCS, CFE, AHFI) + Analytical background + Understanding of healthcare industry, claims processing and investigative process development + Experience in a corporate ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- CVS Health (Richmond, VA)
- …healthcare fraudcases.- Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customermembers, etc.- Facilitates ... of Aetna's policies and procedures Education - Bachelor's degree and/or an Associate 's degree with three additional years working in health care fraud, waste,… more
- Aerotek (Tempe, AZ)
- **Overview:** **Aerotek has an immediate opening for a Claims Review Specialist - Workers Compensation at the corporate office in Tempe, AZ.** **Job Summary:** ... Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Claims Review Specialist will assist in the monitoring and administering… more
- University of Colorado (Aurora, CO)
- Tenure-Track Assistant, Associate , or Full Professor - 31256 Faculty **Description** **University of Colorado Anschutz Medical Campus** **Department: Health Systems, ... Management & Policy** **Job Title: Tenure-Track Assistant, Associate , or Full Professor** **Position #:00816074 - Requisition #:31256** **Job Summary:** Key… more
- The Mount Sinai Health System (New York, NY)
- …medicine. Healing made personal. **_Roles & Responsibilities:_** The Financial Authorization Associate I is responsible for the admitting and financial aspects of ... through the MSH Admitting and Throughput department. The Financial Authorization Associate I validates or obtains insurance benefits for patients, determines patient… more
- BeiGene (St. Paul, MN)
- …competing trials, recent or upcoming approvals, prescribing data, insurance claims data, diversity, and recruitment capabilities. This includes intelligence ... aligned to commercial and regulatory objectives + Clinical trial patient and investigator recruitment and retention experience + Validated experience in project and… more
- University of Colorado (Aurora, CO)
- …of an independent research career as a team scientist or as a principal investigator or continue to advance their own independent research agenda. In all cases, in ... with some exposure to clinical data; injury/mortality/morbidity data; administrative claims ; community epidemiologic data; multivariable models; repeated measures, and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Hodgson Woodruff School of Nursing (Atlanta, GA) is seeking a Postdoctoral Associate in the areas of clinical decision science, mathematical modeling, and machine ... data analytics for cancers associated with human papillomavirus (HPV). The postdoctoral associate will engage in database research, which encompasses the analysis of… more