- Allied Universal (Charlottesville, VA)
- …professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law ... an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant… more
- Elevance Health (Norfolk, VA)
- **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... employment, unless an accommodation is granted as required by law. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more
- Elevance Health (Richmond, VA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- Highmark Health (Richmond, VA)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year… more
- Command Investigations (Richmond, VA)
- …investigative excellence. What you'll get: + A dedicated position as a surveillance investigator on a full-time basis. + A steppingstone into the realms of ... need to apply: + Minimum of 1 year experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance (Experienced candidates) + Be able to hold a… more
- Elevance Health (Richmond, VA)
- ** 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
- Parsons Corporation (Springfield, VA)
- …for. **Job Description:** Parsons is looking for an amazingly talented **Insider Threat Investigator ** to join our team! In this role you will get to **Identify ... . **What You'll Be Doing:** + Investigate complaints of fraud , waste and abuse, data spills, and network penetrations....as medical, dental, vision, paid time off, 401(k), life insurance , flexible work schedules, and holidays to fit your… more
- Bausch + Lomb (Richmond, VA)
- …updates on progress and changes in scope, schedule, and resources. + Organize investigator and expert meetings relevant to the indication and assist with the ... handled by the CRAs and responded to by the site/ investigator in a timely manner. May assist in the...including:** + Medical, Dental, Eye Health, Disability and Life Insurance begins on your hire date + 401K Plan… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …clinical pharmacology documents for regulatory filings including annual reports, investigator 's brochure, IND/NDA applications and pediatrics development plans. + ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …of clinical facility and system audits at all relevant facilities, investigator sites, and vendors (including contract research organizations) and ensure that ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more