- Highmark Health (Boise, ID)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... **JOB SUMMARY** The incumbent is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training and filing of… more
- Battelle Energy Alliance dba Idaho National Laboratory (Idaho Falls, ID)
- Idaho National Laboratory is hiring a Workplace Concerns Investigator to work in our Workplace Concerns and Investigations department. Our team works a 9x80 schedule ... opportunity of a hybrid onsite/telecommute position. The Workplace Concerns Investigator ( investigator ) conducts workplace concerns investigations, as assigned,… more
- Magellan Health Services (Boise, ID)
- …as well as complying with state and federal regulatory compliance and fraud reporting requirements. + Conducts reviews of behavioral health consumers' medical record ... identify, investigate and report overpayment, duplicative payment, false claims, abuse, and fraud situations and, as appropriate, assist in the process of recovery… more