- AmeriHealth Caritas (Columbus, OH)
- …services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported, ... **Major Accountabilities:** + Ensures compliance with all requirements related to Special Investigation Units and fraud, waste and abuse investigations. + Conducts… more
- Centene Corporation (Columbus, OH)
- …investigative findings for referral to Federal and State agencies + Complete various special projects and audits + Performs other duties as assigned + Complies with ... all policies and standards **Education/Experience:** Bachelor's Degree in Business, Criminal Justice, Healthcare, related field or equivalent experience. 1+ years of medical claim investigation, medical claim audit, medical claim analysis, or fraud… more
- Humana (Columbus, OH)
- …and help us put health first** Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit. Do you ... an in-depth evaluation of variable factors. The Fraud and Waste Investigator collaborates in investigations with law enforcement authorities. Assembles evidence and… more
- Sumitomo Pharma (Columbus, OH)
- …Study Reports and other clinical documents. + Complete and/or lead other special projects. + Review and summarize relevant literature. + Contribute to drafting ... + Provide support for advisory boards, consultant meetings, and investigator meetings, including preparation and/or delivery of presentations. + Understand… more