- Independent Health (Buffalo, NY)
- …first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Fraud Investigator develops, implements and administers the IH anti- ... fraud program, including a regular fraud risk assessment, and project managing the program, facilitating...course of action + Collect, analyze and interpret the clinical data + Summarize the clinical findings… more
- Providence (OR)
- …in health care fraud investigation, such as Accredited Healthcare Fraud Investigator (AHFI), Certification as an Internal Auditor (CIA), Healthcare ... people, we must empower them._** **Providence Health Plan is calling an Investigator , Special Investigation Unit who will:** + Support timely completion of… more
- State of Georgia (Fulton County, GA)
- …Job Alerts The Office of the Attorney General Georgia Department of Law Nurse Investigator - Medicaid Fraud Division *To move forward in the recruiting process ... Nurse Investigator Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/51086/other-jobs-matching/location-only) Hot...will serve within the Audits section of the Medicaid Fraud Division. Job Summary Under the direction of the… more
- CVS Health (Hartford, CT)
- …to effectively pursue the prevention, detection, investigation and prosecution of healthcare fraud , waste, and abuse. Also reports suspected fraud , waste, and ... Conducts investigations of known or suspected acts of healthcare fraud , waste, and abuse - Communicates with federal, state,...waste, and abuse - Researches and prepares cases for clinical and legal review - Documents all appropriate case… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Associate Investigator works with a growing team conducting and managing Health Care Fraud , Waste and Abuse ... interviews and data analysis to identify, evaluate and measure potential healthcare fraud and abuse to determine valid cases for appropriate action. + Document… more
- CVS Health (Hartford, CT)
- …investigations to effectively pursue the prevention, investigation, and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state ... regulations mandating fraud plans and practices. - Conducts investigations of known... and abuse. - Researches and prepares cases for clinical and legal review. - Documents all appropriate case… more
- Bausch + Lomb (Bridgewater, NJ)
- …eye health in the future. **Position Objectives** Reporting directly to VP, Clinical Services, this role is responsible for providing administrative support to the ... Clinical Services department, coordinating logistics for the department, and...protocol development, essential document development, IRB submissions, CDAs and investigator agreements, and Trial Master File preparation and oversight… more
- Bausch Health (Philadelphia, PA)
- …the MSL has significant responsibility and is expected to provide in-depth scientific, clinical and educational support to KMEs, as well as to internal clinical ... with the medical community on Bausch Health's behalf in both academic, clinical , and community settings + Provide support to KMEs regarding assigned products… more
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