• Clinical Investigator Behavioral Health

    Centene Corporation (Harrisburg, PA)
    …Purpose:** Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited ... inpatient, outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding… more
    Centene Corporation (01/11/26)
    - Related Jobs

  • Associate Investigator

    Highmark Health (Pittsburgh, PA)
    …(OFAC) to ensure payments are not issued to unauthorized parties. + Provides 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
    Highmark Health (12/18/25)
    - Related Jobs

  • Investigator

    Highmark Health (Harrisburg, PA)
    …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
    Highmark Health (12/12/25)
    - Related Jobs

  • Fraud and Waste Investigator

    Humana (Harrisburg, PA)
    …with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider ... Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate… more
    Humana (01/10/26)
    - Related Jobs

  • Senior Manager, Global Quality Management…

    Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
    …development of the annual audit plan using risk-based approaches. + Coordinate and support investigator site, vendor, and internal process audits. + Track audit ... throughout the clinical development lifecycle. **Key Responsibilities** **Clinical Study Support ** + Serve as a GCP quality resource to...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)
    - Related Jobs

  • Statistical Analyst B - Epidemiology Division

    University of Pennsylvania (Philadelphia, PA)
    …research in pediatric oncology. Working under the direction of the Principal Investigator (PI), the individual will provide support for research involving ... claims , and echo imaging databases. The incumbent will support manuscript preparation by developing summary data tables, creating analytic-grade datasets,… more
    University of Pennsylvania (10/30/25)
    - Related Jobs

  • Manager, Global Quality Management - Clinical…

    Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
    …compliance** across Contract Research Organizations (CROs), clinical laboratories, and clinical investigator sites. This role plays a critical part in maintaining ... cross-functional stakeholders to identify risks, drive continuous improvement, and support inspection readiness across the clinical research landscape. **Key… more
    Otsuka America Pharmaceutical Inc. (12/16/25)
    - Related Jobs

  • Associate Director, Congress & Medical Education…

    Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
    …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
    Otsuka America Pharmaceutical Inc. (01/07/26)
    - Related Jobs

  • Medical Science Liaison - Rare Diseases East

    Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
    …customers will now experience more coordinated and seamless care with digital-enabled support to bridge care gaps. In Otsuka's evolved customer engagement model, a ... state speakers. + Serve as part of Otsuka's internal speaker bureau in support of product educational needs across the ecosystem. + Collect and submit medical… more
    Otsuka America Pharmaceutical Inc. (12/18/25)
    - Related Jobs

  • Snr Research Consultant

    Oracle (Harrisburg, PA)
    …studies (eg, patient survey studies, large database studies electronic health records, claims , etc.) and provide research consultation to both internal and external ... OUTCOMES As a Senior Research Consultant, you will: + Be the Principal Investigator , lead the design and execution of health outcomes studies including writing… more
    Oracle (01/07/26)
    - Related Jobs