- Humana (Dayton, OH)
- …community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring ... and enforcement of the fraud, waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities pursuant to state and federal rules and… more
- Elevance Health (Mason, OH)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
- Humana (Columbus, OH)
- …and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of reported, alleged or suspected ... fraud involving Florida's Medicaid Program. The Fraud and Waste Professional 2 coordinates investigation with law enforcement authorities. Assembles evidence and… more
- Parexel (Columbus, OH)
- …discipline knowledge to contribute to achievement of client business objectives ** Compliance with Parexel standards** + Complies with required training curriculum + ... and other applicable requirements **Skills:** + Balance of general business, compliance , finance, legal, and drug development experience + Precise communications and… more
- Molina Healthcare (Cincinnati, OH)
- …coverage audit policies and be able to apply them in ensuring program compliance via payment integrity programs. The position must have the ability to determine ... Managed Care Organization or health insurance company + Minimum of two ( 2 ) years' experience working on healthcare fraud related investigations/reviews + Proven… more
- Parexel (Columbus, OH)
- …the quality of investigator sites (eg patient safety, site quality and compliance with GCP), to maintain investigator and site staff engagement and ... the site management, site monitoring and close-out of assigned clinical trials investigator sites to ensure patient safety and quality study execution in accordance… more
- IQVIA (Cleveland, OH)
- IQVIA Early Clinical Development is hiring for CRA 2 . Ideal candidates will have Phase 1 and/or Phase 2 experience across a variety of therapeutics. Seeking ... be responsible for monitoring and managing clinical sites to ensure compliance with study protocols, regulatory requirements, and sponsor expectations. Your work… more
- Merck (Columbus, OH)
- …for approved, in-development, and active Company-sponsored trials and/or investigator -sponsored research studies. The Regional Medical Scientific Director serves ... Enhances the comprehension of the scientific foundations and goals of investigator -sponsored research + Identifies barriers to patient enrollment and retention… more
- Cleveland Clinic (Cleveland, OH)
- …Campus. A hybrid schedule, 3 days working remotely at home in Northeast Ohio and 2 days working in-person at Main Campus, may be a possibility.** A caregiver who ... and IRM, OSR and CCR correspondence/activities. + Be an educator, coach and co- investigator . + Collaborate to meet Nursing Institute and Office on Research and… more
- Parexel (Columbus, OH)
- …members of writing staff, prepares clinical study reports (CSRs), protocols, investigator brochures (IBs), submission data summaries, and other regulatory documents ... representing Medical Writing * Conducts appropriate literature searches, as needed Compliance with Parexel Standards * Complies with required training curriculum *… more