- Molina Healthcare (Columbus, OH)
- **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
- AmeriHealth Caritas (Columbus, OH)
- …services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported, ... **Major Accountabilities:** + Ensures compliance with all requirements related to Special Investigation Units and fraud, waste and abuse investigations. + Conducts… more
- Molina Healthcare (Columbus, OH)
- **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
- City of Columbus (Columbus, OH)
- Refuse Compliance Investigator - EXAM Print (https://www.governmentjobs.com/careers/columbusoh/jobs/newprint/5128594) Apply Refuse Compliance Investigator - ... Assists in coordinating refuse collection services provided by the City for special events; + Assists route supervisor on planning and implementing refuse collection… more
- Highmark Health (Columbus, OH)
- …for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations ... members or any other individual(s) necessary to complete an assigned investigation or special project.Determines the scope of the allegation or special project… more
- Family Dollar (Marysville, OH)
- General Summary: The Market Investigator is responsible for confirming that the market's stores operations and daily functions comply with Company programs and ... suspected fraudulent activity to Loss Prevention Business Partners. + Assist with special projects that impact given market (ie Target Program and Shrink Impact… more
- Merck (Columbus, OH)
- …(GIM), and medical education activities, as well as various special projects supporting excellence in cross-functional alignment and partnership. ... in support of our global medical approval preparation planning with special focus on SL engagement, scientific exchange priorities, key decision-maker interactions,… more
- Rubrik (Columbus, OH)
- …environment. **What you'll do:** + Lead and act as the primary investigator during incident response (IR) activities, leveraging expertise in enterprise forensics. ... ISO 27001). **Security and Privacy Responsibilities** : This position carries special Security and Privacy Responsibilities for protecting the US Federal… more