- Elevance Health (Gilbert, MN)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office… more
- City of New York (New York, NY)
- …Safety seeks to hire an Environmental, Health and Safety Incident/Workplace Violence Investigator located in Flushing, New York. Under general direction, but with ... selected candidate will be responsible for the following: 1) As a lead Investigator or part of an investigation team conduct investigations into incidents such as… more
- CVS Health (Hartford, CT)
- …every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In this role, ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. + Researches and… more
- University of Washington (Seattle, WA)
- …and offers guidance on legal and regulatory matters, risk financing and claims , and supports institution-wide initiatives related to safety, civil rights, Title IX, ... and inclusive excellence. Reporting to the Manager of Civil Rights Investigations, the ** Investigator ** will focus on a wide range of complex and impactful cases… more
- University of Rochester (Rochester, NY)
- …the University community and meet the University's legal obligations to address claims of hostile work environment, discrimination, harassment or other kinds of ... whether identified by the parties, witnesses or at the investigator 's discretion + Completes all investigations in a timely...Create - and Make the World Ever Better. In support of our values and those of our society,… more
- Highmark Health (Dover, DE)
- …or alleged fraud/waste and abuse cases or special projects. + Provides advisory support as needed to internal and external law enforcement and regulatory agencies, ... Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment… more
- US Secret Service (Washington, DC)
- …is to provide hazardous agent mitigation, emergency medical intervention, and extrication support to our protective details. In close coordination with other United ... were taken on a pass/fail or similar basis, your claim must be based on class standing or membership...unit, Chemical Biological Incident Response Force (CBIRF), or Civil Support Team (CST) Served as a member of a… more
- V2X (Phoenix, AZ)
- …from base to battlefield. We bring 120 years of successful mission support to improve security, streamline logistics, and enhance readiness. Aligned around a ... Professional Services (VPS) is looking for Automotive Product Investigators to support vehicle investigations throughout the United States. This position is… more
- New York State Civil Service (White Plains, NY)
- NY HELP Yes Agency Insurance Fund, State Title Claims Service Representative 1/Trainee 1/2 Occupational Category Other Professional Careers Salary Grade NS ... 10601 Duties Description Under the general supervision of a Claims Services Representative 2, the incumbent will oversee all...with case analysis over the anticipated life of the claim ; recommend cases for appeal to WCB; negotiate and/or… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... and practices. Provides direct supervision for administrative and office support staff such as secretarial/administrative assistants, medical assistants, schedulers,… more