- Highmark Health (Columbus, OH)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training and filing of … more
- CVS Health (Columbus, OH)
- …every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
- Command Investigations (Youngstown, OH)
- …excellence. What you'll get: + A dedicated position as a surveillance investigator . + A steppingstone into the realms of investigations, security, and law ... + Minimum of 1 year experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Be able to hold...surveillance + Be able to hold a valid Private Investigator license - where applicable. + Possession of a… more
- Elevance Health (Mason, OH)
- ** Investigator Senior** **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while ... to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator Senior is responsible for the independent identification, investigation and… more
- Elevance Health (Columbus, OH)
- ** Investigator Senior** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per week, ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** is responsible for the independent identification, investigation… more
- KeyBank (Brooklyn, OH)
- …(ie Certified Anti Money Laundering Specialist - CAMS certification, Certified Fraud Examiner - CFE or other accredited related industrycertification)Key has ... implemented a role-based Mobile by Design approach to our employee workspaces, dedicating space to those whose roles require specific workspaces, while providing flexible options for roles which are less dependent on assigned workspaces and can be performed… more
- CVS Health (Columbus, OH)
- …each and every day. **Position Summary** **Position Summary** TThe SIU Investigator conducts investigations to effectively pursue the prevention, investigation and ... prosecution of healthcare fraud and abuse, to recover lost funds, and to...lost funds, and to comply with state regulations mandating fraud plans and practices. What you will do -… more
- Bausch + Lomb (Columbus, OH)
- …updates on progress and changes in scope, schedule, and resources. + Organize investigator and expert meetings relevant to the indication and assist with the ... forms (queries) are appropriately handled by the CRAs and responded to by the site/ investigator in a timely manner. May assist in the review of queries to determine… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …clinical pharmacology documents for regulatory filings including annual reports, investigator 's brochure, IND/NDA applications and pediatrics development plans. + ... contacting Accommodation Request ([email protected]) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …of clinical facility and system audits at all relevant facilities, investigator sites, and vendors (including contract research organizations) and ensure that ... contacting Accommodation Request ([email protected]) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more