- State of Massachusetts (Boston, MA)
- …legal support across the office related to human resources, procurements, compliance , litigation and investigations. The Audit , Oversight and Investigations ... and experience:* * At least 7 years of active experience with investigations, audit , compliance , risk and/or oversight. * Demonstrated ability to create and… more
- CareFirst (Baltimore, MD)
- …duties and group benefit contracts to identify control deficiencies and non- compliance . Investigator will develop documentation to substantiate findings ... The role of the Special Investigations Unit (SIU) Senior Investigator is to assist in the reduction and recuperation...including formal reports, spreadsheets, graphs, audit logs, anti-fraud software and appropriately sourced reference materials.… more
- Goodwill of the Finger Lakes (Syracuse, NY)
- …Ensure compliance and understanding of the shortage reduction requirements. 3 . Reporting & Documentation (15%) + Prepare detailed investigative reports for ... SUMMARY: The Risk Management Investigator is responsible for protecting company assets and...protecting company assets and promoting safety through investigation, enforcement, audit , and assessment of company operations. This role requires… more
- Sanford Health (Fargo, ND)
- …degree in health related field or equivalent education is required. - Minimum 3 years' experience in health insurance investigation/ audit . - Master's Degree ... degree in health related field or equivalent education is required. Minimum 3 years' experience in health insurance investigation/ audit . Master's Degree… more
- State of Georgia (Fulton County, GA)
- …to established guidelines. + Provides immediate feedback to staff regarding any blatant compliance issues. + Accurately documents findings from audit on standard ... Nurse Investigator Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/64040/other-jobs-matching/location-only) Hot… more
- Highmark Health (Montgomery, AL)
- …for proactive and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Performs investigations into ... Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment negotiations.Responsible for recovery/ savings of misappropriated… more
- Truist (Baltimore, MD)
- …financial industry or related experience; preferably in a branch, audit , compliance or commercial lending related capacity 3 . Strong knowledge and experience ... money laundering, terrorist financing and other criminal activity. A Senior Investigator in CI performs critical functions in the enterprise-wide suspicious activity… more
- DoorDash (New York, NY)
- …robust safeguards and unwavering vigilance. About the Role The Insider Threat Investigator will be a foundational member of the Internal Investigations team, ... has been reviewed by an independent auditor. Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144) Compensation The successful… more
- Centene Corporation (Frankfort, KY)
- …experience. 3 + years of medical claim investigation, medical claim audit , medical claim analysis, or fraud investigation experience. Knowledge of Microsoft ... + Assist in monitoring business processes and systems to assure integrity and compliance in billing and claims payment + Investigate possible waste , abuse and… more
- University of Miami (Doral, FL)
- …Form and all source documentation required to determine eligibility and maintain compliance . 14. Works closely with the Investigator , Investigational Pharmacist, ... Identifies desired research outcomes and evaluates and monitors subjects' responses. 3 . Conducts initiation visits and registers patients in clinical studies.4.… more