- Elevance Health (Norfolk, VA)
- …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 (Richmond, VA)
- ** 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 (Norfolk, VA)
- **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
- Defense Human Resources Activity (Alexandria, VA)
- …for the EEO and HR investigation programs. Responsibilities As a EQUAL OPPORTUNITY INVESTIGATOR at the GS-1860-13 some of your typical work assignments may include: ... complex EEO discrimination complaints as hostile work environment and harassment claims , and other unresolved dispute cases filed by employees. Obtaining sworn… more
- Highmark Health (Richmond, VA)
- …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
- Pentagon Force Protection Agency (Falls Church, VA)
- …level. ARE YOU USING YOUR EDUCATION TO QUALIFY? You MUST provide transcripts to support your educational claims . Education must be accredited by an accrediting ... objectives, instructional methods & techniques, training materials and aids for the Criminal Investigator 1811 Series for PFP A. Develops guidance to be shared with… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …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. (Richmond, VA)
- …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