- Robert Half Management Resources (Dallas, TX)
- Description We are looking for a Licensed Insurance Claims Investigator /Adjuster to join our team on a contract basis in Dallas, Texas. In this role, you will ... This is a 3-month contract position. 100% REMOTE. Licensed Insurance Claims Investigator /Adjuster (remote contract role): Responsibilities: * Evaluate and… more
- Elevance Health (Grand Prairie, TX)
- ** 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
- Elevance Health (Houston, TX)
- **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the 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 engagement with the autonomy of… more
- Highmark Health (Austin, TX)
- …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. (Austin, TX)
- …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. (Austin, TX)
- …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
- CVS Health (Austin, TX)
- …**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