• Special Investigations Unit Field…

    The Hartford (VA)
    …timely, efficient and impartial investigations to support the accurate resolution of insurance claims by the Company . Key responsibilities of the role include: * ... claim staff, or losses reviewed by the field investigator proactively which may be appropriate for SIU Involvement....claims partners and other departments within the * Company , which may include identifying training needs; participation in… more
    The Hartford (01/15/26)
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  • Surveillance Investigator

    Allied Universal (Richmond, VA)
    Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... activities and capabilities to assist with the administration of an Insurance claim . + **Private Investigator 's license** **required** **prior to applying**… more
    Allied Universal (01/16/26)
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  • Fraud and Waste Investigator

    Humana (Richmond, VA)
    …fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional ... or equivalent work experience + Minimum 2 years of investigative and/or claims experience + Knowledge of healthcare payment methodologies + Strong organizational,… more
    Humana (01/16/26)
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  • Associate Director, Congress & Medical Education…

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …Advocacy Groups) before during and after congresses + Organize and facilitate investigator meetings and advisory boards in conjunction with congress + Coordinate ... be posted for a minimum of 5 business days. ** Company benefits:** Comprehensive medical, dental, vision, prescription drug coverage,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (01/07/26)
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  • Medical Science Liaison - Rare Diseases East

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …Otsuka's clinical trials program, including registrational, post-marketing and Investigator -Sponsored Trials (ISTs), health economic outcomes research, other ... be posted for a minimum of 5 business days. ** Company benefits:** Comprehensive medical, dental, vision, prescription drug coverage,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (12/18/25)
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  • Senior Manager, Global Quality Management…

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …of the annual audit plan using risk-based approaches. + Coordinate and support investigator site, vendor, and internal process audits. + Track audit findings and ... be posted for a minimum of 5 business days. ** Company benefits:** Comprehensive medical, dental, vision, prescription drug coverage,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (12/16/25)
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  • Researcher

    Elevance Health (Norfolk, VA)
    …sponsorship._ The **Researcher** is responsible for prospective and retrospective claims based health economic and/or epidemiologic research activities under the ... direction of the principal investigator and project manager for Carelon Research Life Science...analytical and statistical techniques, including hands-on analysis of administrative claims data to support study execution and interpretation of… more
    Elevance Health (01/16/26)
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  • Sr. Scientist, Scientific Operations, Real-World…

    Cardinal Health (Richmond, VA)
    …that make healthcare safer and more productive. Join a growing, global company genuinely committed to making a difference for our customers and communities.** ... treatment efficacy, and tolerability through chart review, EMR, or administrative claims databases. The position requires strong verbal and written communications… more
    Cardinal Health (01/07/26)
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  • Snr Research Consultant

    Oracle (Richmond, VA)
    …studies (eg, patient survey studies, large database studies electronic health records, claims , etc.) and provide research consultation to both internal and external ... Senior Research Consultant, you will: + Be the Principal Investigator , lead the design and execution of health outcomes...desirable to have: + Experience using EHR and/or healthcare claims data + Familiarity with Python or other programming… more
    Oracle (01/07/26)
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