- Elevance Health (Nashville, TN)
- ** Investigator II - Medicare** **Locations:** + GA-ATLANTA, 740 W PEACHTREE ST NW + CO-DENVER, 700 BROADWAY + FL-MIAMI, 11430 NW 20TH ST, STE 300 + TN-NASHVILLE, ... unless an accommodation is granted as required by law._ The ** Investigator II - Medicare** is responsible for the identification, investigation and development… more
- Elevance Health (Nashville, TN)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II ** is responsible for identifying issues and/or entities… more
- BlueCross BlueShield of Tennessee (Johnson City, TN)
- Are you a seasoned ** Investigator ** with a keen eye for detail and a drive to protect the integrity of healthcare? At BlueCross BlueShield of Tennessee, our Special ... professionals with strong communication skills and proficiency in Microsoft Office\. Our Investigator role presents an opportunity to join a collaborative team where… more
- Elevance Health (Nashville, TN)
- …+ Requires a BA/BS and minimum of 3 years related experience; or any combination of education and experience, which would provide an equivalent background. ... **Preferred Qualifications:** + Healthcare experience strongly preferred + Fraud certification from CFE, AHFI, AAPC or coding certificates preferred + Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in… more
- Ally (Nashville, TN)
- …appropriate channels to ensure reasonable resolution. The Auto Fraud Investigator is responsible for conducting sophisticated investigations and in-depth research ... on auto consumer loans across Ally's Consumer Auto portfolio. **The Work Itself** * Provide investigative and fraud risk services in support of the Automotive Finance Line of Business. Position is responsible for investigating external financial crimes;… more
- Vanderbilt University Medical Center (Nashville, TN)
- …control and assurance. The candidate will be required to communicate with investigator , patients and VUMC personnel to obtain research material and appropriate ... identifying patients suitable for fluid/tissue consent and collection meeting the investigator research criteria. Staff will work towards completing competency and… more
- Merck (Nashville, TN)
- …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