- Prime Therapeutics (Columbus, OH)
- …of pharmacy with us. **Job Posting Title** Special Investigations Unit (SIU) Investigator - Remote **Job Description** The Special Investigations Unit (SIU) ... Investigator is responsible for conducting standard investigations of potential...prescriber fraud, waste and abuse (FWA). This position conducts claims data mining, fraud analysis and auditing/monitoring activities and… more
- AmeriHealth Caritas (Columbus, OH)
- …services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported, ... Proactively performs research using the Internet, data analysis tools, etc., to analyze aberrant; claims billing and practice patterns. + Analyzes data as part of the… more
- Humana (Dayton, OH)
- …community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring ... outcomes; work closely with internal and external auditors, financial investigators, and claims processing areas + Adequately staff and manage the program integrity … more
- CVS Health (Columbus, OH)
- …States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), dedicated to a ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. + Research and… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …+ Working closely in collaboration with the Global Medical Evidence Ops lead, support the design, execution, and reporting of studies to support generation ... of medical evidence, (eg, observational studies, registries, and investigator -initiated studies (IISs) / investigator -initiated trials (IITs)) + Manage study… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …congress planning & execution educational programs, and evidence-based content that support Otsuka's mission to improve patient outcomes through deep scientific ... data dissemination plans are timely, consistent, and strategically aligned + Support scientific communication planning across global and regional teams to ensure… more
- Insight Global (Beachwood, OH)
- …manuscripts, conference presentations, and publications. o Provide clinical evidence to support marketing claims and product positioning. - Cross-Functional ... & Oversight o Oversee clinical study activities including site selection, investigator engagement, initiation, monitoring, and study closeout. o Ensure studies are… more
- Elevance Health (Mason, OH)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... plans independently with effective problem solving and decision making as principal investigator across a broad program of studies related to a therapeutic area… more