- CVS Health (Atlanta, GA)
- …deliver solutions to make health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our team of ... Certified Professional Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation , and prevention… more
- Humana (Atlanta, GA)
- …enforcement authorities to coordinate investigations and supervises the activities of the Special Investigations Unit (SIU) to ensure accurate and timely ... caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of...field or equivalent. 7+ years of related compliance and/or special investigation experience in managed care or… more
- Justice, Bureau of Prisons/Federal Prison System (Atlanta, GA)
- …develop good neighbors. Responsibilities Responsible for the total administration of the unit as well as the planning, development and implementation of individual ... programs tailored to meet the particular needs of inmates in the unit . Responsible for supervising a staff which consists of correctional treatment specialists,… more
- Elevance Health (Atlanta, GA)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- Travelers Insurance Company (Alpharetta, GA)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc.… more
- Elevance Health (Atlanta, GA)
- …coding and billing issues, trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of ... and risk avoidance based on the outcome of the investigation . + Trains new associates. + Develops, designs and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Travelers Insurance Company (Alpharetta, GA)
- …as Social Security, Workers Compensation or others relevant to the jurisdiction. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigation ... nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings.… more
- Travelers Insurance Company (Alpharetta, GA)
- …on application of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim ... Control, Salvage and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings. +… more
- Travelers Insurance Company (Alpharetta, GA)
- …on application of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim ... nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings.… more
- Synchrony (Alpharetta, GA)
- …Report, monthly validation, disposition/correction of items in the Pending file, business unit engagement as well as internal/external exam support + Manage and ... other regulatory reporting enhancements + Perform other duties and/or special projects as assigned **Qualifications/Requirements:** + Bachelor's degree and minimum… more
- Synchrony (Alpharetta, GA)
- …software into the company's products + Perform other duties and/or special projects as assigned **Qualifications/Requirements:** + Bachelor's degree and a minimum ... Expertise with continuous integration environments + Experience with writing unit , integration, and UI test cases + Deep experience...to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding… more
- Synchrony (Alpharetta, GA)
- …Bank's compliance at all times + Conduct targeted risk reviews of business unit compliance (aligned with 2LOD) with the third-party risk management program and ... control programs + Previous work experience as a vendor manager , or in an operational risk or sourcing function...to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding… more
- Centers for Disease Control and Prevention (Atlanta, GA)
- …both work and administrative matters; interview candidates for positions in the unit ; recommend appointment, promotion, or reassignment to such positions; hear and ... and more serious unresolved complaints to a higher level supervisor or manager ; effect minor disciplinary measures, such as warnings and reprimands, recommending… more
- CDM Smith (Atlanta, GA)
- **38268BR** **Requisition ID:** 38268BR **Business Unit :** TSU **Job Description:** With high-level goals provided, creates excavation, dewatering, shallow/deep ... white papers and technical design documentation of new or special case designs, studies, etc.. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- CDM Smith (Atlanta, GA)
- **40059BR** **Requisition ID:** 40059BR **Business Unit :** TSU **Job Description:** We are seeking a skilled and motivated Civil Engineer with a strong focus on ... white papers and technical design documentation of new or special case designs, studies, etc.. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- CDM Smith (Atlanta, GA)
- **39995BR** **Requisition ID:** 39995BR **Business Unit :** TSU **Job Description:** Under direct supervision, develops large scale projects such as highways, ... white papers and technical design documentation of new or special case designs, studies, etc. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- CDM Smith (Atlanta, GA)
- **37113BR** **Requisition ID:** 37113BR **Business Unit :** TSU **Job Description:** *This position is open to a hybrid work schedule allowing work from home several ... white papers and technical design documentation of new or special case designs, studies, etc.. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- CDM Smith (Atlanta, GA)
- **39767BR** **Requisition ID:** 39767BR **Business Unit :** TSU **Job Description:** At CDM Smith, we are committed to tackling the complex challenges facing our ... white papers and technical design documentation of new or special case designs, studies, etc.. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- CDM Smith (Atlanta, GA)
- **39486BR** **Requisition ID:** 39486BR **Business Unit :** TSU **Job Description:** Under direct supervision, develops large scale projects such as highways, ... white papers and technical design documentation of new or special case designs, studies, etc. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- CDM Smith (Atlanta, GA)
- **38354BR** **Requisition ID:** 38354BR **Business Unit :** TSU **Job Description:** We are currently accepting resumes for future project work. Qualified candidates ... used; and that construction conforms to plans, specifications, and special provisions. - Uses higher grade of equipment and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more