- Highmark Health (Trenton, NJ)
- …for proactive and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Performs investigations into ... Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment negotiations.Responsible for recovery/ savings of misappropriated… more
- Ally (Trenton, NJ)
- …industry groups and governmental agencies. Position will work closely with Legal, Compliance , LOB representatives, Risk, Audit , Human Resources, vendors and law ... appropriate channels to ensure reasonable resolution. The Auto Fraud Investigator is responsible for conducting sophisticated investigations and in-depth research… more