- Elevance Health (Nashville, TN)
- …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 II** **Locations:** Indianapolis, IN, Nashville, TN, Columbus,...week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured… more
- Amrize (Nashville, TN)
- …the end-to-end leak coordination process - overseeing approximately $500,000 in annual claims expenses - while providing critical administrative support to the ... Warranty Investigator Coordinator Requisition ID: 15358 Location: Nashville, TN,...owners to justify expenditures while maintaining strong business relationships. ** Claims & Administrative Support ** + Material Logistics:… more
- USAA (Nashville, TN)
- …us special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). This is a desk position. Within defined guidelines and framework, ... protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance… more
- Humana (Nashville, TN)
- …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
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …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. (Nashville, TN)
- …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. (Nashville, TN)
- …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. (Nashville, TN)
- …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
- Oracle (Nashville, TN)
- …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
- Cardinal Health (Nashville, TN)
- …the generation of high-quality real-world research studies using chart review, administrative claims , and electronic medical record methods/data + Support the ... treatment efficacy, and tolerability through chart review, EMR, or administrative claims databases. The position requires strong verbal and written communications… more