- Allied Universal (Louisville, KY)
- …Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with red ... to the appropriate state agency for prosecution. + **Private Investigator 's license** **required** **prior to applying** + **Must** **possess**...+ Ability to be properly licensed as a Private Investigator as required by the state where work Is… more
- 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 (Louisville, KY)
- …for investigative excellence. What you'll get: + A dedicated position as a surveillance investigator on a part-time to a full-time basis. + A steppingstone into the ... surveillance + Be able to hold a valid Private Investigator license/PERC card - where applicable. + Possession of...damages. What a day in the life of an investigator looks like: + Surveillance involves monitoring, tracking, and… more
- United Auto Delivery & Recovery Inc. (Louisville, KY)
- …UNITEDERS. Due to our company's growth, we are now hiring a full-time Field Investigator . In the Field Investigator position, you will drive a late-model, ... run routes and make contact - seeing first hand the role of a Field Investigator . We are looking for individuals who are interested in growing with us and becoming… more
- Elevance Health (Louisville, KY)
- ** Investigator I - Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator I** will be responsible for investigating assigned cases, collecting,… more
- Elevance Health (Louisville, KY)
- ** Investigator II - Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator II** will be responsible for the identification, investigation and… more
- Elevance Health (Louisville, KY)
- ** Investigator Assistant - Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Assistant** will be responsible for providing administrative support to… more
- Elevance Health (Louisville, KY)
- ** Investigator Senior** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per week, ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** is responsible for the independent identification, investigation… more
- Elevance Health (Louisville, KY)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
- Highmark Health (Frankfort, KY)
- …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 (Frankfort, KY)
- …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
- Command Investigations (Louisville, KY)
- …Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or ... Homeowners Investigations. + Writing accurate, detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Accident scene investigations + Possession of a valid driver's license + Ability to prioritize and organize… more
- Centene Corporation (Frankfort, KY)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Please note: per contract ... requirements, candidates must reside within the state of Kentucky. **Position Purpose:** Investigate allegations of healthcare fraud and abuse activity. Assist in planning, organizing, and executing special claims investigations or audits that identify,… more
- Merck (Frankfort, KY)
- …activities including our Company's sponsored trials and our Company's Independent Investigator Study Programs as prioritized and requested by Research and ... when requested by Research and Development (R&D) leadership, including our Company's Investigator Study Program (MISP), by acting as the primary liaison to… more
- Parexel (Frankfort, KY)
- …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 (Frankfort, KY)
- …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
- Merck (Frankfort, KY)
- …and goals for approved, in-development, and active Company-sponsored trials and/or investigator -sponsored research studies. The RMSD serves as a role model for ... Enhances the comprehension of the scientific foundations and goals of investigator -sponsored research + Identifies barriers to patient enrollment and retention… more
- Sumitomo Pharma (Frankfort, KY)
- …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 (Frankfort, KY)
- …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 (Frankfort, KY)
- …for a wide range of documents, including but not limited to investigator 's brochures, clinical study protocols and reports, integrated summaries, literature reviews, ... and SOPs. + Ensure that documents comply with International Conference on Harmonization guidelines, SOPs, and Good Clinical Practices. **Requirements:** + At least 15 years of medical writing experience in the pharmaceutical industry + Ability to write and… more