- Humana (Springfield, IL)
- …- What it takes to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with ... part of our caring community and help us put health first** The Special Investigations Unit Manager...of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures;… more
- Travelers Insurance Company (Downers Grove, IL)
- …in or near the Chicago, IL area **What Will You Do?** + Conducts insurance investigations including applicable data base searches with a focus on uncovering ... and local office expectations. + Identifies cases for potential insurance fraud prosecution and submits questionable claims...experience required. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible… more
- Prime Therapeutics (Springfield, IL)
- …& Experience** + Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the ... for work visa or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations /claims experience. + Ability to manage workload while… more
- Elevance Health (Chicago, IL)
- …by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**...new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and… more
- Highmark Health (Springfield, IL)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... Program including auditing/monitoring operational processes, conducting or overseeing compliance investigations , and ensuring that adequate training takes place under… more
- Command Investigations (Chicago, IL)
- … insurance , PTO, 401(k) + Performance incentives + Biweekly pay Benefits: + 401(k) + Dental insurance + Health insurance + Vision insurance + Life ... Command Investigations LLC is a dynamic and forward-thinking investigative...+ Minimum of 1 year experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Be able to hold… more
- Jabil (Gurnee, IL)
- …vibrant and diverse communities around the globe. JOB SUMMARY: The Sr. Environmental, Health , and Safety (EHS) Engineer will establish and promote the maintenance of ... company personnel in compliance with local, state, regional, and national safety and health rules and regulations. + Consults with all departments on design and use… more
- Option Care Health (Bannockburn, IL)
- …-Flexible Spending Accounts -Tuition Reimbursement -myFlexPay -Family Support -Mental Health Services -Company Paid Life Insurance -Award/Recognition Programs ... limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate...relevant businesses. Assist with the oversight of the company's fraud , waste and abuse and self-referral compliance programs, HIPAA… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …process performance, troubleshooting, and improvements. + Lead complex manufacturing investigations and deviations, ensuring thorough root cause analysis and ... strategies and optimize product lifecycle management + Lead root cause investigations for manufacturing deviations and implement corrective and preventive actions +… more
- RELX INC (Springfield, IL)
- …of Anti-Money Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You ... compliance, and a minimum of five years of experience conducting complex investigations involving various typologies + Cross-functional leadership and the ability to… more