- Idaho Division of Human Resources (ID)
- Pesticide Investigator , Senior - Lewiston and Post Falls Posting Begin Date: 2025/09/09 Category: Agriculture Sub Category: Natural Resources Work Type: Full ... Consumers". The Idaho Department of Agriculture is currently recruiting for a Pesticide Investigator , Senior in the division of Agriculture Resources located in… more
- CVS Health (Columbus, OH)
- …we do it all with heart, each and every day. **Position Summary** As a Senior Investigator you will conduct high level, complex investigations of known or ... fraud schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business +...+ The ability to understand and analyze health care claims and coding + Ability to travel up to… more
- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This ... of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will… more
- EFI Global (St. Paul, MN)
- …buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large ... fire loss, and multiple claims .** **Ensures that assigned cases are investigated and reported back to the requesting party in adherence to best practices.… more
- Allied Solutions (Plano, TX)
- …all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and lender ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...Total Losses ; refer timely and accurately to more senior level adjusting staff for adjudication and collection; +… more
- Elevance Health (Atlanta, GA)
- …in order to recover corporate and client funds paid on fraudulent Medicaid claims . **How You Will Make an Impact:** + Responsible for identifying and developing ... more than one company health plan, line of business and/or state + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and… more
- Aramco Services Company (Houston, TX)
- …Audit on special assignments beyond the normal scope of the audit function. The Senior Lead Investigator handles hotline reports or calls and manages cases of ... Special assignments include assistance to external auditors or special auditors. The Senior Lead Investigator handles hotline reports or calls and manages… more
- Mount Sinai Health System (New York, NY)
- …Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible ... to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The… more
- Otsuka America Pharmaceutical Inc. (Waltham, MA)
- **Job Summary** The Senior Director will serve as the Translational Medicine CNS Therapeutic Area Head, reporting to the VP, Translational Medicine and Early ... Clinical Development within OPDC's Early Development Organization (EDO). The Senior Director Translational Medicine will oversee a small team of CNS Translational… more
- MyFlorida (Tallahassee, FL)
- SENIOR ASSISTANT ATTORNEY GENERAL-DLA - 41000379 Date: Dec 11, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 866755 Agency: Office of the Attorney General Working Title: SENIOR ASSISTANT ATTORNEY GENERAL-DLA - 41000379 Pay Plan: SES...cases under state and federal antitrust laws, Florida False Claims Act, Florida securities law, Civil Racketeering and as… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Director, Patient Financial Services (Backend) Corporate East 42nd Street-Full-Time Days** The Senior Director Patient Financial ... and Accounts Receivable performance across the medical center. The Senior Director will report to the Vice President Patient...workflows align with revenue cycle best practices to reduce claim denials, improve cash collections and enhance clean … more
- Otsuka America Pharmaceutical Inc. (Olympia, WA)
- **Job Summary** The Senior Manager of Global Quality Management (GQM) supports the execution of clinical quality activities to ensure compliance with Good Clinical ... of the annual audit plan using risk-based approaches. + Coordinate and support investigator site, vendor, and internal process audits. + Track audit findings and… more
- Mount Sinai Health System (New York, NY)
- …Opportunity for advancement within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System and external organizations ... + Opportunity for mentorship from senior MSHP leaders + Opportunity to be part of...preferred. + Firm understanding of Facility, Professional and Pharmacy claim reimbursement preferred. + Oral presentation experience, especially with… more
- University of Southern California (Los Angeles, CA)
- …excellence, and private and public sector engagement, is looking for a Senior SAS Research Programmer to provide programming support on research projects examining ... health behavior research and related health policy topics. The Senior SAS Research Programmer will serve as lead programmer and technical specialist on research… more
- Mount Sinai Health System (New York, NY)
- …Opportunity for advancement within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System and external organizations ... + Opportunity for mentorship from senior MSHP leaders + Opportunity to be part of...In-depth knowledge of healthcare revenue cycle processes, including billing, claims management, and payment reconciliation. + Familiarity with **Stratajazz**… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Senior Clinical Risk Manager The Senior Clinical Risk Manager serves as a resource to staff to enhance patient safety, promote patient ... loss to protect the assets of the facility. The Senior Risk Manager supports the Risk Management staff on...with the HRA/TDC on-site Professional Liability Investigators: reporting potential claims as well as cases of concern by preparation… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Reporting Analyst (Revenue Cycle Operations) Patient Financial Services- Corporate 42nd Street-Full-Time Days (Hybrid)** The Senior ... systems (Epic Clarity HB/PB, Epic) and all bolt-on software solution (MPV, Experian Claim Manager, FPSC/UHC) and any additional system as needed. + Participate as… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Revenue Accountant-(Revenue Cycle) Patient Financial Services- Corporate 42nd Street-Full-Time Days (Hybrid)** The Senior Revenue ... in revenue trends. This position will report to the Senior Director of Revenue. This role will ensure the...performance based on analytical findings. + Support investigation into claims patterns, payor mix evaluation, and other strategic analytics… more
- Insight Global (Beachwood, OH)
- …& Oversight o Oversee clinical study activities including site selection, investigator engagement, initiation, monitoring, and study closeout. o Ensure studies are ... presentations, and publications. o Provide clinical evidence to support marketing claims and product positioning. - Cross-Functional Collaboration o Work closely… more
- Travelers Insurance Company (Hartford, CT)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The hourly salary range provided for this position is a ... receiving valuable on-the-job training, and learns about the Fire Investigator professions available at Travelers. Interns receive challenging work assignments… more