- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
- Command Investigations (Cincinnati, OH)
- …investigative excellence. What you'll get: + A dedicated position as a surveillance investigator on a full-time basis. + A steppingstone into the realms of ... in driving skills. + Ability to obtain a Private Investigator license in the state where work is performed...applicable. What a day in the life of an investigator looks like: + Surveillance involves monitoring, tracking, and… more
- United Auto Delivery & Recovery Inc. (Cincinnati, OH)
- …growth, we are now hiring full-time Field Investigators. In the Field Investigator position, you will drive a late-model, company-issued car in designated areas ... - seeing first hand the role of a Field Investigator . We are looking for individuals who are interested...service, we want to talk with you! Keyword: field investigator , investigation, camera car, day shift, full time, driving,… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... providers. This position uses information from a tip, member benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely turn around. This position… more
- US Bank (Cincinnati, OH)
- …Partners with their assigned Line of Business, other Risk/Compliance/Audit (RCA) professionals, and RCA Managers to, depending on their function, create, implement, ... At US Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed. We believe it takes all of us to bring our shared ambition… more
- UC Health (Cincinnati, OH)
- …As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. ... Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is committed to providing an inclusive, equitable and diverse… more
- J&J Family of Companies (Cincinnati, OH)
- …(eg, study protocol, informed consents, CRF, monitoring plan, study manual, investigator brochure, annual reports). + Ensures applicable trial registration (eg, on ... Associates (CRAs). + Oversees and supports the development and execution of Investigator agreements and trial payments. + Is responsible for clinical data review… more
- Molina Healthcare (Covington, KY)
- …Association + Active and unrestricted Accredited Health Care Fraud Investigator (AHFI) designation or Certified Fraud Examiner (CFE) **Preferred Education** ... Master's Degree preferred; will consider previous experience in health plan setting in government programs **Preferred Experience** + 7-9 years + Preferred License, Certification, Association + Health Care Anti-Fraud Associate (HCAFA) designation To all… more