- CGI Technologies and Solutions, Inc. (Atlanta, GA)
- **Payment Integrity Consultant ** **Category:** Analytics and Emerging Digital Technologies **Main location:** United States, Georgia, Atlanta **Position ID:** ... (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . **Position Description:** CGI is seeking Payment Integrity Consultant for our Emerging Technology team. As a Payment… more
- EFI Global (Wentzville, MO)
- …analysis and engineering projects for clients.** **Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers ... decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global… more
- EFI Global (Houston, TX)
- …analysis and engineering projects for clients.** **Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers ... decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global… more
- State of Indiana (Indianapolis, IN)
- …is an overpayment of benefits to claimants, yet aren't deemed as potential fraud investigations, these issues will be adjudicated by our Crossmatch Unit Specialists. ... + Detection and escalation of potential claimant fraud that are detected through the various Crossmatches. These...of this role could include: + Serves as a claims specialist and subject matter expert for specific program… more
- City and County of San Francisco (San Francisco, CA)
- …This work supports the Commission's overall effectiveness by periodically reviewing operations to identify ways to improve internal controls, standardize and ... and ethics laws and to promote efficient and effective operations within the Commission. The Audit Manager interacts with.... The Audit Division is also responsible for reviewing claims for public financing to ensure that City funds… more
- KPH Healthcare Services, Inc. (Lenexa, KS)
- …looking to add another - possibly you! **Scope of Responsibilities:** Oversees operations of the Pharmacy department. Relies on experience and professional judgment ... + Oversees the initial submission, resubmission and collection of all third party claims + Manages and balances the pharmacy inventory to ensure maximum turns while… more
- CVS Health (Conroe, TX)
- …leader during the selection process. Note: If you are a contractor or external consultant and have reached this page, please logout of this internal employee Career ... audits, monitoring compliance with local, state, and federal regulations, supporting business operations , and assisting with other duties as assigned by the Asset… more
- State of Nevada (NV)
- …providers, clients and computer generated reports in order to identify abuse and potential fraud and to ensure claims were paid properly by the fiscal agent. ... The Position Health Care Coordinators perform professional work related to program operations and auditing providers to ensure compliance with program policies and… more