- Elevance Health (Norfolk, VA)
- ** Clinical Fraud Investigator Senior** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... dynamic and adaptable workplace. Alternate locations may be considered. The ** Clinical Fraud Investigator Senior** is responsible for identifying issues… more
- Elevance Health (Gilbert, MN)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Fraud Investigator II** is responsible for identifying… more
- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team ... Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will serve...+ Bachelor's degree or higher + Any applicable certifications ( Clinical Certifications, CPC, CCS, CFE, AHFI) + Understanding of… more
- CVS Health (Hartford, CT)
- …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In ... will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
- CVS Health (Carson City, NV)
- …it all with heart, each and every day. The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention, investigation and ... prosecution of healthcare fraud and abuse, to recover lost funds, and to...providers, claimants, etc. - Researches and prepares cases for clinical and legal review. - Documents all appropriate case… more
- State of Georgia (Fulton County, GA)
- …Job Alerts The Office of the Attorney General Georgia Department of Law Nurse Investigator - Medicaid Fraud Division *To move forward in the recruiting process ... Nurse Investigator Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/64040/other-jobs-matching/location-only) Hot...will serve within the Audits section of the Medicaid Fraud Division. Job Summary Under the direction of the… more
- Bausch + Lomb (Harrisburg, PA)
- …Summary** **:** Is responsible for the implementation and oversight of clinical study operations by organizing and coordinating with other relevant parties ... the planning, implementation, management, execution and completion of clinical studies according to applicable regulations and guidance, ICH and GCP, and Bausch &… more
- Otsuka America Pharmaceutical Inc. (Charleston, WV)
- …the maintenance of everyday health As a Director, Quantitative Pharmacology, ** Clinical Pharmacology,** you will oversee all ** clinical pharmacology** activities ... and regulatory submissions. You will lead study design, execution and reporting of ** clinical pharmacology** and studies. You will contribute to all phases of drug… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …Quality will ensure OAPI, OPDC and all affiliates are inspection ready, oversee clinical trial and submission support, lead the R&D audit program, engage with ... regulatory authorities, and maintain clinical data integrity. The leader will be responsible for... facility and system audits at all relevant facilities, investigator sites, and vendors (including contract research organizations) and… more
- Otsuka America Pharmaceutical Inc. (Salt Lake City, UT)
- …dose optimization, exposure-response and pediatric development. You will Author clinical pharmacology and **pharmacometrics** submission documents and represent the ... PK and PK/PD analyses** . + Author **pharmacometrics sections** of clinical pharmacology documents for regulatory filings including annual reports, investigator… more
- Otsuka America Pharmaceutical Inc. (Little Rock, AR)
- …Global CNS evidence generation with Phase IIIB and IV studies, including Investigator Sponsored Studies and non-interventional studies + Develops and provides CNS TA ... commercial + Interacts with experts in the field to obtain feedback on clinical aspects of products and new data generation, interpretation and dissemination and… more
- Parsons Corporation (San Antonio, TX)
- …for assisting with the collection of supporting documentation, coordinating clinical research studies, and maintaining regulatory requirements. In addition, the ... IACUC/IRB requirements. + Develop and coordinate the implementation of clinical research studies, including regulatory requirements, maintenance of study records,… more