Healthcare Investigator

Job SummaryWe are seeking a skilled Healthcare Investigator to join our team at NYC Health + Hospitals. As a key member of our revenue cycle team, you will be responsible for conducting thorough investigations to determine patient eligibility for medical assistance programs and ensuring accurate billing and collection of services rendered.Key...

Job SummaryWe are seeking a skilled Healthcare Investigator to join our team at NYC Health + Hospitals. As a key member of our revenue cycle team, you will be responsible for conducting thorough investigations to determine patient eligibility for medical assistance programs and ensuring accurate billing and collection of services rendered.Key...

Job Title: Healthcare Financial InvestigatorNYC Health + Hospitals is seeking a skilled Healthcare Financial Investigator to join our team. As a key member of our financial operations, you will play a critical role in ensuring the accuracy and efficiency of our patient billing and insurance verification processes.Key Responsibilities:Conduct thorough...

About the RoleWe are seeking a highly skilled and experienced Senior Investigator to join our team at Elevance Health. As a Senior Investigator, you will play a critical role in identifying, investigating, and developing complex cases against perpetrators of healthcare fraud.Key ResponsibilitiesConduct thorough claim reviews to identify potential healthcare...

Job Title: Healthcare Investigator Provisional AppointmentNYC Health + Hospitals/Jacobi is a 457-bed teaching hospital affiliated with the Albert Einstein College of Medicine. The facility has earned numerous Center of Excellence designations, accreditation, and recognition for its renowned Level 1 Trauma Center, Burn Center, Surgical Intensive Care Unit,...

Job SummaryThe Special Investigations Unit (SIU) Investigator plays a critical role in supporting the prevention, detection, investigation, and reporting of healthcare fraud, waste, and abuse. This position is responsible for conducting thorough medical review audits, coding and billing reviews, and analyzing information to draw conclusions on allegations of...

Transforming Healthcare with IntegrityAt Centene Corporation, we're committed to delivering exceptional healthcare services to our 28 million members. As a key member of our team, you'll play a vital role in ensuring the integrity of our operations.Job SummaryWe're seeking a highly skilled and experienced professional to oversee a full range of waste, abuse,...

About MetroPlusHealthMetroPlusHealth is a leading healthcare provider committed to empowering New Yorkers by uniting communities through care. We believe that healthcare is a right, not a privilege. If you have compassion and a collaborative spirit, join our team and work with us to make a difference.Job OverviewThe Corporate Compliance Investigator plays a...

Job Title: Compliance Nurse InvestigatorWe are seeking a highly skilled Compliance Nurse Investigator to join our team at MultiCare Health System, Inc.About the RoleThe Compliance Nurse Investigator will be responsible for conducting compliance audits and reviews, investigating alleged violations, and providing clinical expertise to review and analyze...

Transforming Healthcare with IntegrityCentene is a leading healthcare company that's changing the lives of 28 million members. As a Director of Special Investigations, you'll play a critical role in ensuring the integrity of our operations.Key Responsibilities:Oversee waste, abuse, and fraud investigations, audits, and medical code editing scenarios to...

Job Title: Compliance Nurse Investigator AuditorWe are seeking a highly skilled Compliance Nurse Investigator Auditor to join our team at MultiCare Health System, Inc.About the Role:The Compliance Nurse Investigator Auditor will be responsible for conducting compliance audits and investigations, as well as providing clinical expertise to review and analyze...

Transforming Healthcare, One Investigation at a TimeAt Centene, we're committed to making a difference in the lives of our 28 million members. As a Director, SIU, you'll play a critical role in ensuring the integrity of our healthcare services.Key Responsibilities:Oversee a comprehensive range of investigations, audits, and medical code editing scenarios to...

Transforming Healthcare with IntegrityCentene is a leading healthcare company that's changing the lives of millions. As a Director of Special Investigations, you'll play a critical role in ensuring the integrity of our operations and protecting our members from fraud and abuse.Key Responsibilities:Lead a team of investigators in conducting thorough and...

Job SummaryWe are seeking a highly skilled Disputes and Investigations Manager to join our team at Alvarez & Marsal Europe. As a key member of our Disputes and Investigations practice, you will play a critical role in resolving complex matters that pose a threat or disruption to our clients' normal operations.Key ResponsibilitiesWork closely with a team to...

Job Title: Disputes and Investigations ManagerJoin Alvarez & Marsal Europe as a Disputes and Investigations Manager and take your career to the next level. As a key member of our team, you will be responsible for resolving complex disputes and investigations that pose a threat or disruption to our clients' normal operations.Key Responsibilities:Work closely...

About the RoleThe SIU Investigator, Senior Analyst will be responsible for investigating changes in aberrant behavior observed in claims and enrollment data. This individual will work independently to analyze data, manage investigative caseload, and resolve cases through overpayment recovery, measuring behavior change, and completing necessary reporting to...

Senior Investigator - Waste, Abuse and FraudAs a Senior Investigator at Centene, you will play a critical role in ensuring the integrity of our healthcare services and protecting our members from waste, abuse, and fraud.Key Responsibilities:Lead a team of investigators in conducting thorough and timely reviews of audit results, identifying areas of risk and...

Job SummaryWe are seeking a highly skilled Healthcare Professional to join our team as a Health Care Surveyor in the New York State Department of Health. As a key member of our surveillance team, you will be responsible for conducting investigations and surveys of hospitals and diagnostic treatment centers to ensure compliance with federal and state...

Join Our Team of ExpertsWe are seeking a highly skilled Clinical Investigator to lead our Program in Myelodysplastic Syndromes at Memorial Sloan Kettering Cancer Center.About the RoleThe Leukemia Service at MSKCC is a comprehensive team of clinicians and researchers dedicated to the care and treatment of patients with myeloid and lymphoid malignancies. As a...

Transforming Healthcare: A Leadership OpportunityCentene is revolutionizing the health of our communities, one person at a time. As a leader in our organization, you'll have access to competitive benefits, including a fresh perspective on workplace flexibility.Job Summary:Oversee a full range of waste, abuse, and fraud investigations, audits, and medical...