- Elevance Health (Mason, OH)
- …paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use ... ** Investigator Senior** **Hybrid 1:** This role requires associates...week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured… more
- Elevance Health (Columbus, OH)
- ** Investigator Senior** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per week, ... fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office… more
- Highmark Health (Columbus, OH)
- …or alleged fraud/waste and abuse cases or special projects. + Provides advisory support as needed to internal and external law enforcement and regulatory agencies, ... Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …As an **Associate Director, Quantitative Pharmacology, Pharmacometrics,** you will support all **pharmacometrics** activities related to pre-IND, IND, phase1-3, PK, ... clinical pharmacology documents for regulatory filings including annual reports, investigator 's brochure, IND/NDA applications and pediatrics development plans. +… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …and all affiliates are inspection ready, oversee clinical trial and submission support , lead the R&D audit program, engage with regulatory authorities, and maintain ... of clinical facility and system audits at all relevant facilities, investigator sites, and vendors (including contract research organizations) and ensure that… more
- OhioHealth (Columbus, OH)
- …reporting for clinical trials and research projects to provide system-wide support OhioHealth research activities. Activities include a variety of complex and ... varied fiscal administrative support functions such as analyzing and developing coverage analysis...for clinical trial budgets by industry as well as investigator initiated clinical research. Critically evaluates research protocols to… more
- CVS Health (Columbus, OH)
- …**Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within Aetna's Special ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and… more