- CVS Health (Columbus, OH)
- …are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), dedicated to a specific self-funded ... plan sponsor. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud,...federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud. + Demonstrate high… more
- CVS Health (Columbus, OH)
- …Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding ... practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must… more
- Humana (Dayton, OH)
- …a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will ... Department of Medicaid (ODM) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in Ohio to increase… more
- CVS Health (Columbus, OH)
- …waste, abuse (FWA), and compliance violations. This position is embedded within the International Special Investigations Unit (ISIU) and is designed to lead ... it all with heart, each and every day. **Position Summary** The Senior Analyst, Investigations at Aetna International plays a pivotal role in safeguarding the… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …of VA and community resources and provide the Veteran and their family unit with referrals to services as needed. Work collaboratively with other programs and ... appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time… more
- Veterans Affairs, Veterans Health Administration (Chillicothe, OH)
- …and assisting with admissions of MHC patients to inpatient psychiatry unit when indicated. Establishes and maintains effective therapeutic relationships with ... general knowledge of Veterans' benefits and services relating to special programs, service connected compensation and non-service-connected pension. Facilitates… more
- CDM Smith (Cleveland, OH)
- **42356BR** **Requisition ID:** 42356BR **Business Unit :** TSU **Job Description:** CDM Smith's Construction Engineering and Inspection (CEI) team is seeking a ... Senior Roadway and Bridge Construction Inspector for a dynamic,...used; and that construction conforms to plans, specifications, and special provisions. Use higher-grade of equipment and perform complex… more
- CDM Smith (Columbus, OH)
- **42693BR** **Requisition ID:** 42693BR **Business Unit :** TSU **Job Description:** Are you interested in working on design and construction projects that impact our ... for the successful candidate. We have multiple openings for Senior Professional Electrical Engineers. As a Senior ...white papers and technical design documentation of new or special case designs, studies, etc. Submit technical papers and… more
- APTIM (Findlay, OH)
- **Job Overview:** APTIM is pleased to announce an immediate opening for a ** Senior ** **Civil Engineer** in our Solid Waste Engineering Group to support our exciting ... oversight + Operations and maintenance + Hydrogeologic and geotechnical investigations + Environmental compliance audits Our philosophy centers on developing… more
- Air National Guard Units (Toledo, OH)
- …ranging from senior wing leadership, the NGB, and MAJCOM levels. 3. Conducts Special Studies to assess Health of the Unit Readiness (HUR). Performs in-depth ... comprehensive analysis of complex and prioritized unit readiness issues. In addition, develops a semi-annual report for presentation to senior leadership.… more