- Xcel Energy (Denver, CO)
- …utility and claims -related exp., including 3 years gas/electric Utility Claims Investigator exp. or equivalent. - Advanced knowledge of applicable ... and conduct professional investigations and to maintain site control for high profile cases/ claims , major incidents, public claims , and company damage claims … more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** **Position Summary:** The FWA Investigator Coder Sr . Associate is an integral part of the Fraud, Waste & Abuse (FWA) ... other CCA departments related to review processes and results. Sr Associate, FWA Investigator Coder utilizes claim...Be Doing:** **Essential Duties & Responsibilities:** + Conduct prospective medical record review of claims as part… more
- Elevance Health (Columbus, OH)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** Investigator Senior ** is responsible ... ** Investigator Senior ** **Supports the Payment Integrity...to recover corporate and client funds paid on fraudulent claims . **How will you make an impact:** + Claim… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Lead Restricted Recipient Senior Investigator ** **Job Class: Human Services Program Consultant** **Agency: Human Services Dept** + **Job ID** : ... working with or for a Managed Care Organization._ _._ _Analyze claims data, provider documentation, financial records, and other restricted recipient program… more
- CVS Health (Baton Rouge, LA)
- …to make health care more personal, convenient and affordable. Position SummaryAs a Senior Investigator you will conduct high level, complex investigations of ... intricate healthcare fraud schemes. - Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business- Researches and prepares cases… more
- CVS Health (Springfield, IL)
- …make health care more personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of ... or intricate healthcare fraud schemes * Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business * Researches and prepares… more
- Highmark Health (Harrisburg, PA)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Develop and ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
- State of Colorado (Denver, CO)
- …Unit of the Division of Labor Standards and Statistic is hiring three Senior Compliance Investigator II ("CI II") positions. The Strategic Enforcement Policy ... Labor Law - Compliance Investigator II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4496216) Apply Labor Law - Compliance Investigator … more
- CVS Health (Tallahassee, FL)
- …coding. - Advanced skills with Microsoft Excel. - Experience in healthcare/ medical insurance claims investigation or professional/clinical experience. - ... related matters; or an authorized medical professional to evaluate medical related claims . - Strong analytical and research skills. - Proficient in… more
- CVS Health (Richmond, VA)
- …healthcare fraud cases. - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. - Facilitates ... - Knowledge of Virginia Medicaid - Virginia Department of Medical Assistance Services (DMAS) - Over 3 years in...our communities. The Company offers a full range of medical , dental, and vision benefits. Eligible employees may enroll… more
- Elevance Health (Indianapolis, IN)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** Investigator II** is responsible for the ... ** Investigator II** **Supporting the Payment Integrity line of...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim… more
- University of Colorado (Aurora, CO)
- Biostatistician - Open Rank: Instructor/ Senior Instructor - 31698 Faculty **Description** **University of Colorado Anschutz Medical Campus** **Department: Adult ... Department of Medicine** **Job Title:** **Biostatistician - Open Rank: Instructor/ Senior Instructor** **Position #00638606 - Requisition #31698** **Job Summary:**… more
- Boehringer Ingelheim (St. Joseph, MO)
- …programs reflect Boehringer Ingelheim's high regard for our employees. The Senior Clinical Research Associate (SCRA) conducts in-house and external monitoring to ... of study protocols, raw data, and reports to support registrations and other claims related to veterinary products. The SCRA performs these duties for on-site and… more
- Ventura County (Ventura, CA)
- Revenue Officer I/II/ Senior Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4474521) Apply Revenue Officer I/II/ Senior Salary $46,131.43 - ... up to $23,530 annually to offset the purchase of medical , dental, and/or vision insurance for you and your...than one type of special collections for the unit. Senior Revenue Officer under general supervision, provides lead direction… more
- The Mount Sinai Health System (New York, NY)
- …of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The ... Senior Clinical Risk Manager The Senior ...to develop educational plans for instructing staff about the medical center's activities and the daily administration of its… more
- Stryker (Mahwah, NJ)
- …award-winning organization by visiting stryker.com We are currently seeking a ** Senior Regulatory Affairs Specialist** to join our Joint Replacement Division based ... developed and launched with precision. **What you will do** As the ** Senior ** **R** **egulatory Affairs Specialist** , you will evaluate the regulatory environment… more
- Stryker (Denver, CO)
- …our award-winning organization by visiting stryker.com We are currently seeking a ** Senior Regulatory Affairs Specialist** to join our Sport Medicine business unit, ... Village, CO. Stryker is one of the world's leading medical technology companies and, together with its customers, is...proposals, and presentations. **What you will do** As the ** Senior Regulatory Affairs Specialist** , you will support product… more
- Point32Health (Boston, MA)
- …experience to meet the investigator 's needs + Lead analysis of large medical claims and/or electronic health record data in support of surveillance or ... Therapeutics Research and Infectious Disease Epidemiology (TIDE) within Harvard Medical School's Department of Population Medicine (www.populationmedicine.org) as a … more
- The Mount Sinai Health System (New York, NY)
- …of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The ... Senior Biller-Oncology Billing Corporate East 42nd Street Full-Time...these processes to facilitate accurate and timely payment of claims and collection, and is considered a subject matter… more
- Stryker (Cary, IL)
- …seeking a ** Senior Clinical Study Manager** , to join our ** Medical ** Division. This is an individual contributor Remote position. Preference will be given ... organization by visiting stryker.com Stryker is one of the world's leading medical technology companies and, together with its customers, is driven to make… more