- Xcel Energy (Denver, CO)
- …utility and claims -related exp., including 3 years gas/electric Utility Claims Investigator exp. or equivalent. - Advanced knowledge of applicable ... and conduct professional investigations and to maintain site control for high profile cases/ claims , major incidents, public claims , and company damage claims … more
- Idaho Division of Human Resources (Boise, ID)
- …The Idaho Department of Agriculture is currently recruiting for an Agriculture Investigator Senior in the division of Agriculture Resources located in ... Pesticide Sr . Ag Investigator - Boise Posting...without a reasonable accommodation, able to pass a baseline medical examination and be physically able to use a… more
- National General Insurance Company (Uniondale, NY)
- ** This role is a field Investigator role where the investigator would travel within a territory of Essex county, Union County and Bergen county, NJ AND the 5 ... Manhattan, Brooklyn, The Bronx, Queens and Staten Island NY. Previous SIU claims and/or law enforcement investigation experience preferred** Job Summary: This job is… more
- Elevance Health (Columbus, OH)
- ** Senior Investigator ( Investigator Sr )** _Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 ... Integrity, is determined to recover, eliminate, and prevent unnecessary medical -expense spending. The ** Senior Investigator **...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim… more
- EFI Global (Annapolis, MD)
- …certification requirements.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, ... large fire loss, and multiple claims .** **Ensures that assigned cases are investigated and reported back to the requesting party in adherence to best practices.… more
- Elevance Health (Columbus, OH)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** Investigator Senior ** is responsible ... ** Investigator Senior ** **Supports the Payment Integrity...to recover corporate and client funds paid on fraudulent claims . **How will you make an impact:** + Claim… more
- Bank of America (Washington, DC)
- Senior Internal Investigator ll Jacksonville, Florida;Washington, District of Columbia; Hialeah, Florida; Boston, Massachusetts; New York, New York **Job ... as front running, market manipulation, and insider trading), whistleblower claims and senior officer misconduct claims...company also prohibits discrimination on other bases such as medical condition, marital status or any other factor that… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Lead Restricted Recipient Senior Investigator ** **Job Class: Human Services Program Consultant** **Agency: Human Services Dept** + **Job ID** : ... working with or for a Managed Care Organization._ _._ _Analyze claims data, provider documentation, financial records, and other restricted recipient program… more
- CVS Health (Springfield, IL)
- …make health care more personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of ... or intricate healthcare fraud schemes * Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business * Researches and prepares… more
- State of Colorado (Denver, CO)
- …Unit of the Division of Labor Standards and Statistic is hiring three Senior Compliance Investigator II ("CI II") positions. The Strategic Enforcement Policy ... Labor Law - Compliance Investigator II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4496216) Apply Labor Law - Compliance Investigator … more
- Highmark Health (Harrisburg, PA)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Develop and ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
- CVS Health (Tallahassee, FL)
- …coding. - Advanced skills with Microsoft Excel. - Experience in healthcare/ medical insurance claims investigation or professional/clinical experience. - ... related matters; or an authorized medical professional to evaluate medical related claims . - Strong analytical and research skills. - Proficient in… more
- CVS Health (Columbus, OH)
- …healthcare fraud cases + Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. + Facilitates ... our colleagues and our communities. The Company offers a full range of medical , dental, and vision benefits. Eligible employees may enroll in the Company's 401(k)… more
- University of Colorado (Aurora, CO)
- Biostatistician - Open Rank: Instructor/ Senior Instructor - 31698 Faculty **Description** **University of Colorado Anschutz Medical Campus** **Department: Adult ... Department of Medicine** **Job Title:** **Biostatistician - Open Rank: Instructor/ Senior Instructor** **Position #00638606 - Requisition #31698** **Job Summary:**… more
- Ventura County (Ventura, CA)
- Revenue Officer I/II/ Senior Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4474521) Apply Revenue Officer I/II/ Senior Salary $46,131.43 - ... up to $23,530 annually to offset the purchase of medical , dental, and/or vision insurance for you and your...than one type of special collections for the unit. Senior Revenue Officer under general supervision, provides lead direction… more
- The Mount Sinai Health System (New York, NY)
- …of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The ... Senior Clinical Risk Manager The Senior ...to develop educational plans for instructing staff about the medical center's activities and the daily administration of its… more
- Stryker (Tempe, AZ)
- …visiting stryker.com **What you will do** Stryker is a global leader in medical technologies and, together with its customers, is driven to make healthcare better. ... information is available at www.stryker.com We are currently seeking a ** Senior Regulatory Affairs Specialist** to join our **Sustainability Solutions** team; this… more
- Stryker (Mahwah, NJ)
- …award-winning organization by visiting stryker.com We are currently seeking a ** Senior Regulatory Affairs Specialist** to join our Joint Replacement Division based ... developed and launched with precision. **What you will do** As the ** Senior ** **R** **egulatory Affairs Specialist** , you will evaluate the regulatory environment… more
- Stryker (Denver, CO)
- …our award-winning organization by visiting stryker.com We are currently seeking a ** Senior Regulatory Affairs Specialist** to join our Sport Medicine business unit, ... Village, CO. Stryker is one of the world's leading medical technology companies and, together with its customers, is...proposals, and presentations. **What you will do** As the ** Senior Regulatory Affairs Specialist** , you will support product… more
- Point32Health (Boston, MA)
- …experience to meet the investigator 's needs + Lead analysis of large medical claims and/or electronic health record data in support of surveillance or ... Therapeutics Research and Infectious Disease Epidemiology (TIDE) within Harvard Medical School's Department of Population Medicine (www.populationmedicine.org) as a … more