- Allied Universal (Springfield, IL)
- …and eligibility. **Job Description:** Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet mobile and ... stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim. + **No office to go to - travel daily to cases in the field!** + **Must** **possess** **a valid driver's license with… more
- Command Investigations (Springfield, IL)
- …excellence. What you'll get: + A dedicated position as a surveillance investigator . + A steppingstone into the realms of investigations, security, and law ... per accident/Property damages. What a day in the life of an investigator looks like: + Surveillance involves monitoring, tracking, and recording subjects during… more
- Humana (Springfield, IL)
- …PREFERRED:** Prior Law enforcement experience at a detective or investigator level. + **STRONGLY PREFERRED:** Experience with internal/employee investigations. + ... Bilingual (Spanish) + Graduate degree and/or certifications (MBA, JD, MSN, Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate environment… more
- Highmark Health (Springfield, IL)
- …Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment ... methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and financial aspects of the health insurance industry + Strong personal computer skills, along with the ability to use fraud/abuse data mining… more
- Meta (Springfield, IL)
- …activities related to insider threats. **Required Skills:** Security Engineer Investigator , Insider Trust Responsibilities: 1. Perform analysis, and threat hunting ... from a variety of log sources (eg, individual host logs, network traffic logs) to identify potential insider threats 2. Create workflows and automations to streamline signal detection, threat hunts, and investigative processes 3. Collaborate with software and… more
- Humana (Springfield, IL)
- …- What it takes to Succeed** + Bachelor's degree or equivalent work experience + Minimum 2 years of investigative and/or claims experience + Knowledge of healthcare ... payment methodologies + Strong organizational, interpersonal, and communication skills + Inquisitive nature with ability to analyze data to metrics + Computer literate (MS Word, Excel, Access) + Strong personal and professional ethics + Ability to travel up to… more
- Humana (Springfield, IL)
- …+ Bachelor's Degree or equivalent years of relevant work experience in Fraud & Abuse Investigations required + At least 2 years of healthcare fraud investigations and ... **Become a part of our caring community and help us put health first** The Senior Fraud and Waste Professional (Program Integrity Lead) is responsible for overseeing the monitoring and enforcement of the Fraud, Waste, and Abuse (FWA) program. This role aims to… more
- Health Care Service Corporation (Springfield, IL)
- …This position is responsible for performing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, ... contractual, legislative, policy, and other information to validate claims submitted and billed. Conducting research; preparing documentation of findings and consulting with medical directors as needed. Coordination with all departments involved in each case… more
- Parexel (Springfield, IL)
- …CTA templates, Fallback languages, Site Contract Plan, etc. + Advise on investigator grant budgets/parameters in collaboration with a global team of Grant Strategy ... and Investigator fees + Ensuring that all terms and conditions...to cross-functional teams including Start up, Global Clinical Operations, Investigator Payments, Business Development and Feasibility + Provide regular… more
- Humana (Springfield, IL)
- …and help us put health first** The Manager, Fraud and Waste Investigator : Nurse Audit/Review performs clinical audit/validation processes to ensure that medical ... approach, resources, schedules and goals. The Manager, Fraud and Waste Investigator : Nurse Audit/Review validates and interprets medical documentation to ensure… more
- Sumitomo Pharma (Springfield, IL)
- …CMC documentation (eg nonclinical study reports, clinical protocols/study reports, investigator brochures, CMC information/data) and contributes to content as needed ... CMC documentation (eg nonclinical study reports, clinical protocols/study reports, investigator brochures, CMC information/data) and contribute to content as needed… more
- Parexel (Springfield, IL)
- …with feasibility leaders, solution consultants + Participate in team project and investigator meetings + Provide training of study teams on TA indication and ... preferred *Experienced as a Physician in Industry or as a clinical trial investigator with significant clinical research experience The ability to travel 15-20% is… more
- Sumitomo Pharma (Springfield, IL)
- …writing of clinical study reports + Contributes to the preparation of Investigator Brochures, annual reports, data collection systems and final reports in compliance ... globally + Contributes to the development of presentation materials for investigator meetings, health authority meetings, scientific advisory board meetings, and… more
- Sumitomo Pharma (Springfield, IL)
- …CMC documentation (eg nonclinical study reports, clinical protocols/study reports, investigator brochures, CMC information/data) and contributes to content as needed ... CMC documentation (eg nonclinical study reports, clinical protocols/study reports, investigator brochures, CMC information/data) and contribute to content as needed… more
- Norstella (Springfield, IL)
- …development planning and forecasting + Protocol Design, Country, Site and Investigator Feasibility + Clinical trials operations, cost benchmarking & landscapes + ... Performance monitoring/optimization & acceleration + Diversity planning and execution + Competitor trial monitoring & analytics **Requirements** + Deep knowledge and expertise of the pharma strategic Clinical trial landscape (Clin Dev/Ops, clinical development… more
- Merck (Springfield, IL)
- …(BI), Clinical Development, Decision Making, Interpersonal Relationships, Investigator -Initiated Studies (IIS), Leadership, Management Process, Medical Affairs, ... Medical Care, Medical Teaching, Medical Writing, Multidisciplinary Collaboration, Mycology, Operational Excellence, Ophthalmology, Pharmaceutical Development, Pharmaceutical Management, Pharmaceutical Medical Affairs, Pharmacology, Policy Development, Product… more
- Pacific Northwest National Laboratory (Springfield, IL)
- …human-in-the-loop decision-making for grid operators. + Serve as the principal investigator (PI) on multi-disciplinary research projects funded by DOE, ARPA-E, ... utilities, and other stakeholders. Define project vision, build teams, and oversee successful execution. + Collaborate across different components of the organization supplying domain expertise to AI/ML experts in other areas. + Mentor and coach other… more
- Cardinal Health (Springfield, IL)
- …as primary liaison to investigators interested in developing and performing investigator -initiated research of NPHS products + Collaborate with NPHS Clinical Affairs ... to enhance patient enrollment in NPHS-sponsored clinical trials with site recommendations and maintain contact with investigators participating in ongoing studies + Maintain current knowledge of FDA regulations and internal policies regarding Medical Drug… more
- Meta (Springfield, IL)
- **Summary:** Meta Security is looking for a threat intelligence investigator with extensive experience in investigating cyber threats with an intelligence-driven ... approach. You will be proactively responding to a broad set of security threats, as well as tracking actor groups with an interest or capability to target Meta and its employees. You will also be identifying the gaps in current detections and preventions by… more
- Pacific Northwest National Laboratory (Springfield, IL)
- …and develop technical approaches to complex challenges. + Experienced Principal investigator or co-PI on multiple or significantly complex, and/or high-risk projects ... or tasks and/or involving multiple tasks, capabilities, and organizations. + Develops, and realizes new significant project opportunities, leading the development of technical sections of large proposals. + Demonstrated ability to acquire funding for self and… more