• Nurse and CPC - Clinical

    Elevance Health (Richmond, VA)
    ** Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ... locations. **Hybrid Workplace Strategy:** 1-2 days in office per week The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
    Elevance Health (10/01/24)
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  • Special Investigation Unit Manager Clinical

    CVS Health (Richmond, VA)
    …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 ... healthcare costs. This role involves leading a team of CPC 's, working closely with internal and external stakeholders and...Lead and mentor a team certified coders who support fraud detection and prevention efforts. Establish team goals, monitor… more
    CVS Health (12/25/24)
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