Healthcare Fraud Investigator

Job Title: Healthcare Fraud InvestigatorAmeriHealth Caritas is seeking a skilled Healthcare Fraud Investigator to join our team. As a key member of our Special Investigations Unit, you will be responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving our healthcare products.Key Responsibilities:Conduct thorough...

Job Title: Healthcare Fraud InvestigatorWe are seeking a skilled and detail-oriented Healthcare Fraud Investigator to join our team at AmeriHealth Caritas. As a key member of our Special Investigation Unit, you will be responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving our healthcare products.Key...

Job Title: Healthcare Fraud InvestigatorAt AmeriHealth Caritas, we are seeking a skilled Healthcare Fraud Investigator to join our team. As a key member of our Special Investigation Unit, you will be responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving our full range of products.Key Responsibilities:Ensure...

About the RoleWe are seeking a highly skilled and detail-oriented Healthcare Fraud Investigator to join our team at AmeriHealth Caritas. As a key member of our Special Investigation Unit, you will be responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving our products.Key ResponsibilitiesEnsure compliance...

Job Title: Special InvestigatorJob Summary:AmeriHealth Caritas is seeking a highly skilled Special Investigator to join our team. As a Special Investigator, you will be responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving the full range of products at the AmeriHealth Caritas Family of Companies (ACFC).Key...

Job Title: Special InvestigatorJob SummaryAmeriHealth Caritas is seeking a highly skilled Special Investigator to join our team. As a Special Investigator, you will be responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving the full range of products at the AmeriHealth Caritas Family of Companies (ACFC).Key...

Job Title: Special InvestigatorWe are seeking a highly skilled and experienced Special Investigator to join our team at AmeriHealth Caritas. As a Special Investigator, you will play a vital role in ensuring compliance with all requirements related to Special Investigation Units and fraud, waste, and abuse investigations.Key Responsibilities:Conduct thorough...

About Patelco Credit UnionPatelco Credit Union is a not-for-profit financial institution dedicated to building financial health and wellbeing for its members. With a rich history dating back to 1936, the credit union has grown from humble beginnings to become one of the largest in California, with branches throughout Northern California.We are committed to...

Fraud Prevention Analyst Job DescriptionInnova Solutions is seeking a highly skilled Fraud Prevention Analyst to join our team. As a Fraud Prevention Analyst, you will play a critical role in identifying and preventing financial crimes, ensuring the integrity of our clients' financial systems.Key Responsibilities:Conduct thorough investigations into...

Job SummaryMacy's Inc is seeking a skilled Asset Protection Detective to join our team. As an Asset Protection Detective, you will play a critical role in protecting our company's assets and ensuring a safe shopping environment for our customers.Key ResponsibilitiesInvestigate and apprehend shoplifters and dishonest employeesRecover stolen merchandise and...

Job SummaryMacy's Inc. is seeking a skilled Asset Protection Detective to join our team. As an Asset Protection Detective, you will play a critical role in protecting our company's assets and ensuring a safe shopping environment for our customers.Key ResponsibilitiesDetect and apprehend shoplifters and dishonest employeesRecover stolen merchandise and...

About the RoleWe are seeking a highly skilled Casualty Claims Attorney to join our team at Universal Shield Insurance Group. As a key member of our claims team, you will be responsible for managing insurance claims and disputes, with a focus on resolving claims efficiently and effectively.Key ResponsibilitiesClaims Investigation and Resolution: Investigate,...

Job SummaryWe are seeking a highly motivated and empathetic Patient Service Representative to join our team at Quantum Health. As a key member of our healthcare navigation organization, you will play a vital role in providing exceptional customer service to our members, clinicians, and service providers.Key ResponsibilitiesProvide empathetic member guidance,...

About the RoleThe Patient Service Representative (PSR) is a critical role at Quantum Health, serving as the entry point into healthcare navigation. This position requires a tech-savvy individual who can interact with members, clinicians, and service providers on the phone, using leading technology to simplify the complex healthcare landscape.Key...

Job SummaryQuantum Health is seeking a Patient Service Representative to join our team. As a Patient Service Representative, you will be the first point of contact for our members, providing exceptional customer service and navigating the complex healthcare landscape.Key ResponsibilitiesProvide empathetic member guidance, including verification of benefits...

Job Title: Patient Service RepresentativeAt Quantum Health, we're committed to making healthcare simpler and more effective for our members. As a Patient Service Representative, you'll be the first point of contact for our members, providing exceptional customer service and navigating them through the complex healthcare landscape.Key Responsibilities:Provide...

About the RoleThe Patient Service Representative is a key member of our team, serving as the first point of contact for our members. This role requires exceptional customer service skills, a caring personality, and the ability to navigate complex healthcare systems.Key ResponsibilitiesProvide empathetic member guidance, including verification of benefits and...

About the RoleAt Quantum Health, we're on a mission to make healthcare simpler and more effective for our millions of members. As a Patient Service Representative, you'll be our entry point into healthcare navigation, interacting with members, clinicians, and service providers on the phone, using leading technology to simplify the complex healthcare...

About the JobWe are seeking a highly skilled Real Estate & Construction Budget Analyst to join our team at Tailored Brands, Inc. This role is responsible for coordinating various aspects of budgeted and expense analysis for the real estate department.Key ResponsibilitiesAssist in the analysis of project timelines, budgets, and schedules to recommend and...

Job Brief This position is remote based but will be required to make Ohio provider visits as needed. Healthcare SIU / FWA experience required. Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As...

Job Brief This position is remote based but will be required to make Ohio provider visits as needed. Healthcare SIU / FWA experience required.   *** REMOTE w/ required geography - OHIO resident *** Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping...

Job DescriptionJob BriefThis position is remote based but will be required to make Ohio provider visits as needed. Healthcare SIU / FWA experience required.Your career starts now. We are looking for the next generation of health care leaders.At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As...

Job DescriptionJob BriefThis position is remote based but will be required to make Ohio provider visits as needed. Healthcare SIU / FWA experience required.  *** REMOTE w/ required geography - OHIO resident ***Your career starts now. We are looking for the next generation of health care leaders.At AmeriHealth Caritas, we are passionate about helping people...

Job Brief This position is remote based but will be required to make Ohio provider visits as needed. Healthcare SIU / FWA experience required.   *** REMOTE w/ required geography - OHIO resident *** Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping...

Job DescriptionJob BriefThis position is remote based but will be required to make Ohio provider visits as needed. Healthcare SIU / FWA experience required.  *** REMOTE w/ required geography - OHIO resident ***Your career starts now. We are looking for the next generation of health care leaders.At AmeriHealth Caritas, we are passionate about helping people...

Fraud Prevention Analyst Job DescriptionInnova Solutions is seeking a highly skilled Fraud Prevention Analyst to join our team. As a Fraud Prevention Analyst, you will play a critical role in identifying and preventing financial crimes, ensuring the integrity of our clients' financial systems.Key Responsibilities:Review and investigate 500+ ATM fraud cases,...

About Patelco Credit UnionPatelco Credit Union is a not-for-profit financial institution dedicated to building financial health and wellbeing for its members. With a rich history dating back to 1936, the credit union has grown from humble beginnings to become one of the largest in California, with branches throughout Northern California.We are committed to...

Fraud Prevention Analyst Job DescriptionInnova Solutions is seeking a highly skilled Fraud Prevention Analyst to join our team. As a Fraud Prevention Analyst, you will play a critical role in identifying and preventing financial crimes, ensuring the integrity of our clients' financial systems.Key Responsibilities:Conduct thorough investigations into...

Fraud Prevention Analyst Job DescriptionInnova Solutions is seeking a highly skilled Fraud Prevention Analyst to join our team. As a Fraud Prevention Analyst, you will play a critical role in identifying and preventing financial crimes, ensuring the integrity of our clients' financial systems.Key Responsibilities:Investigate and analyze financial...

About Patelco Credit UnionWe are a not-for-profit credit union with a purpose to build financial health and wellbeing for our members. With over 85 years of experience, we have grown from $500 in assets to over $9 billion in assets and are the 7th largest credit union in California with branches throughout Northern California.Our MissionWe are here to help...

Job SummaryThis role is responsible for ensuring the effective execution of Asset Protection initiatives and programs within a designated region. The Regional Asset Protection Manager will analyze and manage regional shrink performance, detect and investigate theft and fraud, and deliver shrink goals while ensuring Asset Protection processes are executed by...

This position is considered multi-site (supports multiple locations). Preferred candidates would reside in the San Francisco Bay Area, California. Position Purpose: Regional Asset Protection Manager (RAPM) is responsible for ensuring Asset Protection initiatives and programs are executed within the region. Key responsibilities include but not limited to;...

Casualty Claims Attorney: A Claims Attorney specializes in managing insurance claims and disputes, with expertise in reviewing insurance policies, contracts, and related documents to assess coverage, liability, and damages. This role requires strong negotiation skills and a focus on resolving claims efficiently. The Claims Attorney does not represent the...

The Director of Clinical Excellence – RN / LPN Develops, implements, and maintains a facility-wide infection prevention and control program.  Why Work For Us?Excellent pay with multiple incentives:Shift pick upMore available, ask us for details! Excellent health benefits packages Career advancement opportunitiesEducation reimbursement program of up to...

The Director of Clinical Excellence – RN / LPN Develops, implements, and maintains a facility-wide infection prevention and control program. Why Work For Us?Excellent pay with multiple incentives:Shift pick upMore available, ask us for details! Excellent health benefits packages Career advancement opportunitiesEducation reimbursement program of up to...

About the RoleThe Night Shift Medical Technologist plays a vital role in the laboratory team at Fairview Park Hospital. As a key member of our staff, you will be responsible for the accurate and timely performance of laboratory tests as assigned.Key ResponsibilitiesPerform laboratory tests with precision and accuracyProvide quality control guidance and...

Job DescriptionJob DescriptionWhy Wells Fargo:Are you looking for more? Find it here. At Wells Fargo, we believe that a meaningful career is much more than just a job. It's about finding all of the elements that help you thrive, in one place. #LivingTheWellLife means you're supported in life, not just work. It means having a competitive salary, a...

Description At a glance Hiring Classes: Next hiring classes scheduled for October 2024+ Location: This position is located at our Dublin, OH campus. Starting Pay: $18+ per/hour Shift Differential: + $0.50 per/hour between 11:00am-8:30pm EST; + $1.50 between 12:00pm-10:00pm EST Who we are Founded in...

Description At a glance Hiring Classes: Next hiring classes scheduled for October and November 2024+ Location: This position is located at our Dublin, OH campus. Starting Pay: $18+ per/hour Shift Differential: + $0.50 per/hour between 11:00am-8:30pm EST; + $1.50 between 12:00pm-10:00pm EST Who we are ...