- State of Massachusetts (Boston, MA)
- … reports to the Director and Deputy Directors. This position will serve as lead investigator on complex reviews and investigations as assigned and is responsible ... law enforcement and public prosecutors. AOI may be investigating claims of public corruption or other wrongdoing in a...include but are not limited to:* * Acting as lead investigator on complex investigations of all… more
- Elevance Health (Iselin, NJ)
- …check, or ask you for payment as part of consideration for employment. **Senior Investigator ** + Job Family: FRD > Investigation + Type: Full time + Date Posted:Apr ... + Georgia, Atlanta + New Jersey, Morristown **Description** **Senior Investigator ( Investigator Sr)** _Location: This position will...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim… more
- SUNY Geneseo (Geneseo, NY)
- …Serving both SUNY Geneseo and SUNY Fredonia, the Harassment and Discrimination Investigator and Compliance Officer serves as the lead person investigating ... Harassment and Discrimination Investigator & Compliance Officer Bookmark this Posting |...the institutions' legal obligations to address discrimination and harassment claims and sexual misconduct. Complaints: + Work collaboratively with… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: The Equal Employment Opportunity and Title IX Investigator (EEO/Title IX Investigator ) serves as part of a team investigating and resolving ... and meet the University's legal obligations to address discrimination and harassment claims and sexual misconduct. Document findings as to the basis for significant… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Investigator Senior** + Job Family: FRD > Investigation + Type: Full time + Date ... + California, Costa Mesa + District of Columbia, Washington **Description** ** Investigator Senior** **Supports the Payment Integrity line of business** _Location:… more
- Elevance Health (Columbus, OH)
- …check, or ask you for payment as part of consideration for employment. **Senior Investigator ** + Job Family: FRD > Investigation + Type: Full time + Date Posted:Apr ... Maine, South Portland + New Jersey, Morristown **Description** Job Description **Senior Investigator ** **Schedule:** 1-2 days per week in the office (Hybrid 1)… more
- Elevance Health (Atlanta, GA)
- …you a check, or ask you for payment as part of consideration for employment. ** Investigator II** + Job Family: FRD > Investigation + Type: Full time + Date ... VA, ROANOKE + IN, INDIANAPOLIS + VA, NORFOLK **Description** ** Investigator II** **Location** : This position will work a...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Investigator OR Senior Investigator ** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Who May Apply** ... other investigative staff to initiate, develop, and resolve cases which lead to administrative actions, sanctions, referrals for criminal action, and/or monetary… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Investigator I** + Job Family: FRD > Investigation + Type: Full time + Date Posted:Apr ... ATLANTA + OH, COLUMBUS + OH, COLUMBUS + TN, NASHVILLE **Description** **JR111671 Investigator l** **Location** : This position will work a hybrid model (remote and… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Investigator Assistant** + Job Family: FRD > Investigation + Type: Full time + Date ... North Carolina, Winston + District of Columbia, Washington **Description** ** Investigator Assistant** **Supports the Payment Integrity line of business** _Location:… more
- Command Investigations (Springfield, IL)
- …to conduct MOBILE SURVEILLANCE as it relates to the investigation of insurance claims . We are seeking individuals who possess proven investigative skill sets within ... experience are encouraged to apply. This Part-time position may lead to Full-time position. If you have the desire...Requirements: + 1+ years of experience as an Surveillance Investigator + Must be licensed as a Private … more
- Elevance Health (Las Vegas, NV)
- …check, or ask you for payment as part of consideration for employment. **Clinical Fraud Investigator II** + Job Family: FRD > Investigation + Type: Full time + Date ... **Hybrid Workplace Strategy:** 1-2 days in office per week The **Clinical Fraid Investigator II** is responsible for identifying issues and/or entities that may pose… more
- City of New York (New York, NY)
- …judgment, the selected candidate will be responsible for the following: 1) As a lead Investigator or part of an investigation team conduct investigations into ... Safety seeks to hire an Environmental, Health and Safety Incident/Workplace Violence Investigator located in Flushing, New York. Under general direction, but with… more
- Highmark Health (Columbus, OH)
- …guidance and help train/mentor other team members. Could serve as a project lead for special projects within the department. + Responsible for completing all ... Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment… more
- BAE Systems (Falls Church, VA)
- …as other key stakeholders. o Conduct complex investigations and/or lead organizational assessments related to workplace relations/legal matters/ethics concerns. o ... to Have: o Fluent in Spanish o Experience working on EEO claims /matters o Experience drafting position statements **Pay Information** Full-Time Salary Range: $113080… more
- US Bank (Fargo, ND)
- …you excel at-all from Day One. **Job Description** Responsible for claims and disputes intake, review, and/or disposition of potentially suspicious transactions, ... may include specialized areas of focus, including but not limited to case/ claims processing, claims , disputes and risk-based actions, investigative research,… more
- City and County of San Francisco (San Francisco, CA)
- …analyzes records of occupational injuries and illnesses and workers compensation claims data investigates and/or reviews investigation of occupational injuries and ... and injury/illness statistics, coordinates meetings , acts as liaison between the claims adjuster and department staff and performs other duties as assigned. You… more
- Olympus Corporation of the Americas (Westborough, MA)
- …clinical research programs from strategy to execution to substantiate medical/clinical claims , 2.) Support health economics / market access value analysis through ... the application of prior clinical knowledge and medical training to lead internal stakeholders within the DU while simultaneously demonstrating proficiencies in… more
- MyFlorida (Tallahassee, FL)
- …mining and investigative activities to identify fraud, waste, or abuse in claims data within our program. Additionally, these positions will provide analytical and ... design and implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile research, data… more
- University of Colorado (Aurora, CO)
- …of an independent research career as a team scientist or as a principal investigator or continue to advance their own independent research agenda. In all cases, in ... funded work, and also allow opportunities for the candidate to pursue and lead specific new analyses or projects. More senior candidates would be expected to… more