- Elevance Health (Hanover, MD)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
- Amergis (Columbia, MD)
- …unmatched staffing experiences to deliver the best workforce solutions. The BCBA Investigator plays a critical role in ensuring clinical quality and safety across ... analyzing trends, and supporting policy and quality improvements. The BCBA Investigator collaborates with risk management, legal, compliance, and clinical ops to… more
- Command Investigations (Baltimore, MD)
- …Visit our website and find out why at www.GoCommand.com. The SIU/WC Investigator should demonstrate proficiency in the following areas: + Multi-lines Investigations ... + Writing accurate, detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Accident scene investigations + Possession of a valid driver's license + Ability to prioritize and organize multiple tasks + Computer… more
- Truist (Baltimore, MD)
- …money laundering, terrorist financing and other criminal activity. A Senior Investigator in CI performs critical functions in the enterprise-wide suspicious activity ... monitoring, identification, investigation, and reporting process and is a critical touch point within the entire BSA/AML function. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Conduct timely, comprehensive investigations of customers by utilizing CIP information,… more
- Highmark Health (Annapolis, MD)
- …Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment ... methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and financial aspects of the health insurance industry + Strong personal computer skills, along with the ability to use fraud/abuse data mining… more
- Meta (Annapolis, MD)
- …activities related to insider threats. **Required Skills:** Security Engineer Investigator , Insider Trust Responsibilities: 1. Perform analysis, and threat hunting ... from a variety of log sources (eg, individual host logs, network traffic logs) to identify potential insider threats 2. Create workflows and automations to streamline signal detection, threat hunts, and investigative processes 3. Collaborate with software and… more
- Meta (Annapolis, MD)
- …activities related to insider threats. **Required Skills:** Security Engineer Investigator , Insider Trust Responsibilities: 1. Develop an understanding of the ... problem space and provide technical guidance during investigations and threat hunts 2. Influence and align the team's mission and strategy by collaboratively prioritizing and delivering multi-year roadmaps and projects 3. Create workflows and automations to… more
- Merck (Annapolis, MD)
- …activities including our Company's sponsored trials and our Company's Independent Investigator Study Programs as prioritized and requested by Research and ... when requested by Research and Development (R&D) leadership, including our Company's Investigator Study Program (MISP), by acting as the primary liaison to… more
- Johns Hopkins University (Baltimore, MD)
- …direct supervision of the GU Clinical Research Program Manager or the Principal Investigator , we are seeking a **_Sr. Research Program Coordinator_** who will be ... according to IRB and Sponsor requirements. + May assist the principal investigator and/or program manager in defining information and plans required to accomplish… more
- Sumitomo Pharma (Annapolis, MD)
- …conducted in compliance with the agreed study plans through regular CRO and/or investigator site contact. + Monitors progress of clinical activity and reports on the ... status of clinical data collection of assigned clinical trials. + Prepares potential investigator site lists and assists with their evaluation for inclusion in the… more
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