• Manager Special Investigations Pharmacy Unit

    AmeriHealth Caritas (Newtown Square, PA)
    …; The manager must have the ability to determine correct coding, review claims , medical records and billing data from all types of healthcare providers for ... performance goals. + Proactively identify and analyze patters or anomalies in pharmacy claims and operations indicative of fraud, waste and abuse.; + Lead and manage… more
    AmeriHealth Caritas (08/02/25)
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  • Special Investigation Unit: Coordinator

    Kemper (Dallas, TX)
    …College Degree or equivalent work experience * Three years of insurance claims experience or related fraud analytics background. **Position Requirements:** + Strong ... are desirable. + Certified Insurance Fraud Analyst (CIFA), Fraud Claims Law Specialist (FCLS) or Fraud Claims ...and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are + preferred. + This position… more
    Kemper (07/02/25)
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  • SIU Specialist - Pharmacy Tech - Remote in…

    Prime Therapeutics (Des Moines, IA)
    …Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the ... or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations/ claims experience. + Ability to manage workload while simultaneously working… more
    Prime Therapeutics (06/24/25)
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  • Senior Director Group Audit Americas

    dsm-firmenich (Princeton, NJ)
    …opportunity to work for a company where sustainability is much more than a claim and is core to our strategy and purpose. **You bring:** + Minimum 10 years of ... internal audit experience in a publicly traded multinational B2B or B2C company required + Proven expertise in the field of internal audit; CIA (Certified Internal… more
    dsm-firmenich (06/27/25)
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  • Physician Assistant - #Staff

    Johns Hopkins University (St. Louis, MO)
    …Perform urine drug screening and breath alcohol testing in accordance with company protocol. + Provide onsite assessment for strep pharyngitis, UTI, influenza, ... to workers' compensation or disability, as necessary in adherence with company protocols. + Coordinate annual seasonal influenza vaccination program. + Coordinate… more
    Johns Hopkins University (07/26/25)
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  • Nurse Practitioner - #Staff

    Johns Hopkins University (St. Louis, MO)
    …Perform urine drug screening and breath alcohol testing in accordance with company protocol. + Provide onsite assessment for strep pharyngitis, UTI, influenza, ... to workers' compensation or disability, as necessary in adherence with company protocols. + Coordinate annual seasonal influenza vaccination program. + Coordinate… more
    Johns Hopkins University (07/26/25)
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