- Highmark Health (Springfield, IL)
- …**Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year ... fraud , waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to...in Financial Analysis in an acute care hospital or health insurance setting + 1 year in… more
- CVS Health (Springfield, IL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...federal policies. - Identify potential billing errors, abuse, and fraud . - Identify opportunities for savings related to potential… 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
- 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
- EFI Global (Springfield, IL)
- …the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a ... limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and… more
- EFI Global (Springfield, IL)
- …the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a ... limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and… more
- CIBC (Chicago, IL)
- …Innovation (US TI&I) spans the areas of Technology, Information Security, Fraud Management, Corporate Investigations , Deposit Operations, Loan Operations, ... benefits and programs to meet our employee's needs; including Medical, Dental, Vision, Health Savings Account, Life Insurance , Disability, and Other Insurance… more