- Allied Universal (Des Moines, IA)
- …Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with red ... + Ability to be properly licensed as a Private Investigator as required by the state where work Is...of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator … more
- Molina Healthcare (Des Moines, IA)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
- Command Investigations (IA)
- …excellence. What you'll get: + A dedicated position as a surveillance investigator . + A steppingstone into the realms of investigations, security, and law ... surveillance + Be able to hold a valid Private Investigator license - where applicable. + Possession of a...damages. What a day in the life of an investigator looks like: + Surveillance involves monitoring, tracking, and… more
- Robert Half Accountemps (Davenport, IA)
- …Our client is growing and we are recommending a detail-oriented and driven Fraud Investigator to join their team. As part of the Fraud and Risk department, you ... and collaboratively, this could be a great role for you. As a Fraud Investigator , you will: + Monitor, review, and analyze fraud alerts to identify potential… more
- Highmark Health (Des Moines, IA)
- …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
- Molina Healthcare (Davenport, IA)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... providers. This position uses information from a tip, member benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely turn around. This position… more
- Meta (Des Moines, IA)
- …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
- RTX Corporation (Cedar Rapids, IA)
- …Clearance:** DoD Clearance: TS/SCI Sr Principal Systems Engineer - Principal Investigator (Onsite) - Advanced Technology & Capabilities Collins Aerospace, an RTX ... company, is a leader in technologically advanced and intelligent solutions for the global aerospace and defense industry. Collins Aerospace has the capabilities, comprehensive portfolio, and expertise to solve customers' toughest challenges and to meet the… more
- Humana (Des Moines, IA)
- …+ Bachelor's Degree or equivalent years of relevant work experience in Fraud & Abuse Investigations required + At least 2 years of healthcare fraud investigations and ... **Become a part of our caring community and help us put health first** The Senior Fraud and Waste Professional (Program Integrity Lead) is responsible for overseeing the monitoring and enforcement of the Fraud, Waste, and Abuse (FWA) program. This role aims to… more
- Parexel (Des Moines, IA)
- …CTA templates, Fallback languages, Site Contract Plan, etc. + Advise on investigator grant budgets/parameters in collaboration with a global team of Grant Strategy ... and Investigator fees + Ensuring that all terms and conditions...to cross-functional teams including Start up, Global Clinical Operations, Investigator Payments, Business Development and Feasibility + Provide regular… more
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