Jobs: healthcare investigator

Job DescriptionJob DescriptionSGI Global is seeking a Civil Investigator (Healthcare Fraud and Opioid Matters) to support Affirmative Civil Enforcement ("ACE") Program for the United States Attorney's Office for the Eastern District of North Carolina. The investigator will be assigned cases and matters that vary in scope and complexity, but...

The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU...

JOB DESCRIPTION Job Summary The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse.  Duties include performing accurate and reliable medical review audits that may also include coding and...

Job Description JOB DESCRIPTION Job Summary The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include...

Job DescriptionJOB DESCRIPTIONJob SummaryThe Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse.  Duties include performing accurate and reliable medical review audits that may also include...

JOB DESCRIPTION Job Summary The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse.  Duties include performing accurate and reliable medical review audits that may also include coding and...

Job Description Allied Universal® is hiring a Surveillance Investigator . The Investigator’s primary focus is to investigate the insurance claims field for a variety of coverage to include workers’ compensation, general liability, property and casualty, disability, life, and healthcare. This individual must have investigative skills to independently...

Job Description Allied Universal® is hiring a Surveillance Investigator . The Investigator’s primary focus is to investigate the insurance claims field for a variety of coverage to include workers’ compensation, general liability, property and casualty, disability, life, and healthcare. This individual must have investigative skills to independently...

Job Description Allied Universal® is hiring a Surveillance Investigator . The Investigator’s primary focus is to investigate the insurance claims field for a variety of coverage to include workers’ compensation, general liability, property and casualty, disability, life, and healthcare. This individual must have investigative skills to independently...

Job Description Allied Universal® is hiring a Surveillance Investigator . The Investigator’s primary focus is to investigate the insurance claims field for a variety of coverage to include workers’ compensation, general liability, property and casualty, disability, life, and healthcare. This individual must have investigative skills to independently...

Investigator – Public Advocacy for Industrial Workers Rights A national plaintiff’s law firm with a focus on public advocacy has partnered with Staffing Technologies in their search for an in-house legal investigator. With a national footprint and a mission driven culture coupled with generous benefits this will be an excellent opportunity for anyone...

Job Family: FRD > Investigation - Type: Full time - Date Posted: Apr 17, 2024 - Anticipated End Date: May 01, 2024 - Reference: JR112654 **Description**: **Investigator II** **Carelon Payment Integrity **is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate, and...

Job DescriptionJob DescriptionFraud Investigator-Nassau, NYTruView Background Screening and Investigations, a New York based Investigations Company is seeking qualified individuals to work within a squad of investigators to investigate public assistance fraud in Nassau County. Individuals MUST meet the following criteria for consideration:Minimum of 2- 5...

Job DescriptionJob DescriptionThe SIU Investigative Intake Coordinator (IIC) is part of a team focused on the prevention, detection, investigation, and reporting of healthcare fraud, waste, and abuse (FWA), program integrity initiatives, and the recovery of overpayments in a multi-payer environment. The IIC provides critical support services to the unit, by...

Summary Statement This position is responsible for the investigation of significantly complex allegations of insurance fraud in all lines of insurance including property and casualty, life, and healthcare. Additionally, the position involves interaction with the insurance industry, Federal, State and Local Law Enforcement as well as the Criminal...

Job Title: Physician Investigator (Primary Care)Location: Pittsburgh, PACompany Overview:We are recruiting a Physician Investigator for a leading clinical research firm dedicated to advancing medical knowledge and improving patient outcomes. Their team of dedicated professionals collaborates with healthcare providers, pharmaceutical companies, and regulatory...

Job DescriptionJOB DESCRIPTIONJob SummaryPerforms research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant...

Job DescriptionJob DescriptionThe Compliance Specialist oversees the Compliance Program for the Home Care agency, ensuring adherence to local, state laws, and regulations outlined by the New York State Department of Health, Office of Medicaid Inspector General, and company policies. This role includes the continual implementation of the Code of Conduct and...

Job DescriptionJob DescriptionScreening and Investigations AnalystCompliance Resource Center (CRC) is seeking a highly motivated individual with a passion for detail-oriented work and strong analytical skills for a full-time entry-level Screening and Investigations Associate position in our Alexandria, VA office. (Hybrid Position - Must Live in the...

All about us You likely know us as an insurance company, but that’s just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. It’s a mission we take seriously. We also work with entities throughout the state to challenge the cost and complexity of health care in...