• Senior Special Investigations

    CVS Health (Washington, DC)
    …strategic initiatives, along with a team of medical coders/nurses supporting Aetna's Special Investigations Unit. Key Responsibilities: + Leadership: Leads a ... team of coding /nursing professionals who conduct reviews of medical records and...coder/nurse reviews, ensuring compliance with ICD-10, CPT and HCPCS coding guidelines. Assist with department build and implementation of… more
    CVS Health (05/24/25)
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  • Investigator External Audit Special

    Providence (Beaverton, OR)
    **Description** **Investigator External Audit Special Investigations Unit (SIU)** **_Remote._** The SIU Audit Investigator supports the compliance related ... activities of the Special Investigations Unit (SIU) at the Health...the Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance related… more
    Providence (05/08/25)
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  • Compliance Coding And Billing Analyst

    University of Texas Rio Grande Valley (Mcallen, TX)
    Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentOffice of the ... of Job Responsible for performing compliance reviews of billing and coding compliance functions and activities, compliance risk assessments, developing policies and… more
    University of Texas Rio Grande Valley (05/09/25)
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  • Sr. Compliance Coordinator-Billing & Coding

    BJC HealthCare (St. Louis, MO)
    …plan and/or trends identified based upon internal reviews or requests from senior leadership; performs special projects as requested/assigned by management; ... in Town & Country, MO. **Preferred Qualifications** **Role Purpose** The Senior Compliance Coordinator conducts and coordinates reviews of BJCMG specialty provider… more
    BJC HealthCare (05/02/25)
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  • Clinical Provider Auditor Senior - Maryland…

    Elevance Health (Hanover, MD)
    …lifecycle. + Researches new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, ... **Clinical Provider Auditor Senior ** **Supports Payment Integrity line of business** _Location:_...trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters… more
    Elevance Health (05/29/25)
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  • Family Physician CU Medicine Family Medicine…

    University of Colorado (Aurora, CO)
    …Physician CU Medicine Family Medicine Centerfield Clinic Open Rank - Senior Instructor Series** **Description** **University of Colorado Anschutz Medical Campus** ... - CU Medicine Family Medicine - Centerfield Clinic** **Open Rank - Senior Instructor Series** **Position #: 00829204 - Requisition #35687:** **Job Summary:**… more
    University of Colorado (03/13/25)
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  • Family Physician UCHealth Family Medicine…

    University of Colorado (Aurora, CO)
    …Physician UCHealth Family Medicine Westminster Clinic Open Rank - Senior Instructor Series** **Description** **University of Colorado Anschutz Medical Campus** ... Physician - UCHealth Family Medicine - Westminster Clinic** **Open Rank - Senior Instructor Series** **Position #: 00829203 - Requisition #35634:** **Job Summary:**… more
    University of Colorado (03/08/25)
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  • Family Physician UCHealth Family Medicine Boulder…

    University of Colorado (Aurora, CO)
    **Family Physician UCHealth Family Medicine Boulder Clinic Open Rank - Senior Instructor Series** **Description** **University of Colorado Anschutz Medical Campus** ... Physician** **UCHealth Family Medicine - Boulder Clinic** **Open Rank - Senior Instructor Series** **Position #00829518: - Requisition #35707:** **Job Summary:**… more
    University of Colorado (03/15/25)
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  • Senior Technical Lead - Mobile Applications…

    CGI Technologies and Solutions, Inc. (Washington, DC)
    ** Senior Technical Lead - Mobile Applications TS/SCI with Poly REQUIRED** **Category:** Software Development/ Engineering **Main location:** United States, District ... technical leadership, mentoring team members, and implementing best practices in coding , architecture, and security, this role will also manage project timelines,… more
    CGI Technologies and Solutions, Inc. (04/04/25)
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  • Senior Manager, US AML Quality Assurance

    CIBC (Chicago, IL)
    …for who they are and what they contribute. What You'll Be Doing As the Senior Manager, you will be responsible for supporting the design and execution of the US ... and completeness + Perform QA review of AML case investigations and SAR filings to confirm adherence to procedures...and Vacation), Holidays and 401(k), in addition to other special perks reserved for our team members._ **What CIBC… more
    CIBC (05/23/25)
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  • Medical Specialist Principal - Life Company…

    USAA (Tampa, FL)
    …claims, and provide expert advice. Conducts review of complex healthcare fraud investigations and providing claims support + Medical Coding Proficiency: At ... our members. Be part of what truly makes us special and impactful. **The Opportunity** USAA Life Company's Claim...assistance to all investigators and claims with regards to coding issues and investigations with deep understanding… more
    USAA (05/22/25)
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  • Pro Tem Research Assist/Assoc - Prevention Science…

    University of Oregon (Eugene, OR)
    …Department: Prevention Science Institute Rank: Research Assistant, Research Associate, Senior Research Associate Annual Basis: 12 Month Review of Applications ... Begins Applications will be reviewed as needs arise Special Instructions to Applicants In addition to a completed online application, including names and contact… more
    University of Oregon (04/25/25)
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  • College Aide

    City of New York (New York, NY)
    …to hire ten (10) College Aides to serve in an array of roles in Investigations and Operations. College Aides can be assigned to work on sensitive and confidential ... investigations pertaining to waste, fraud, and corruption within city...to ensure project goals are achieved. - work with senior IT staff in Cyber Security to implement system… more
    City of New York (03/05/25)
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  • Family Physician UCHealth Primary Care Lone Tree…

    University of Colorado (Aurora, CO)
    …**Family Physician - UCHealth Primary Care - Lone Tree** **Open Rank - Senior Instructor Series** **Position # 00821076 - Requisition # 33242** **Job Summary:** ... setting. + Participate as needed in chart review and clinical coding compliance activities. + Assist in administrative/clinical quality improvement functions… more
    University of Colorado (03/09/25)
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  • Family Physician CU Medicine Family Medicine…

    University of Colorado (Aurora, CO)
    …clinical setting. + Participate as needed in chart review and clinical coding compliance activities. + Assist in supervision advanced practice providers at the ... visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees._ **_Vaccination Statement:_** _CU Anschutz strongly… more
    University of Colorado (03/09/25)
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  • Director, Data & Technology, eDiscovery

    Ankura (Chicago, IL)
    …contributed to some of the most significant and globally recognized eDiscovery investigations and litigations. Our eDiscovery team is renowned for its deep expertise ... production of electronic data relevant to litigation or regulatory investigations . Responsibilities: Functional Discovery Tasks: + Collections/Pre-Processing +… more
    Ankura (05/14/25)
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