- CVS Health (Springfield, IL)
- …ensure the team articulates findings effectively to investigators, Medicaid plan leadership, law enforcement, legal counsel , providers, and state regulators. + ... oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices...with arrest or conviction records will be considered for employment in accordance with all federal, state and local… more
- R1 RCM (Chicago, IL)
- …compliance, regulatory analysis and interpretation, and/or compliance investigations . **Responsibilities:** + Receiving, documenting, tracking, investigating, and ... with others on the R1 privacy team, Human Resources and legal counsel , as applicable + Developing compliance-based metrics and reporting mechanisms to track… more
- Nestle (Franklin Park, IL)
- …initiatives, strategies, programs and procedures, responsibilities include via hands on counsel , supervision, assessment and implementation of : + Champions and ... Site leadership. Provide expertise and participate to all SH&E incident investigations as conducted by Site Leadership. + Coordinate/facilitate all environmental… more
- CVS Health (Springfield, IL)
- …all aspects of claim resolution, including outreach, financial reserving, investigations , negotiations and resolution of mostly pre-suit druggist and professional ... Adjuster will have extensive interaction with multiple internal departments, legal counsel , and field employees to ensure timely and appropriate investigation and… more