- Elevance Health (Mason, OH)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- Insight Global (Blue Ash, OH)
- …in the Blue Ash/Cincinnati, Ohio area is seeking a detail-oriented and analytical Fraud Investigator to join it's retail grocery Asset Protection team. This ... activity. Using data from the MAX Asset Protection system, the Fraud Investigator will identify suspicious patterns and investigate potential internal fraud… more
- Highmark Health (Columbus, OH)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training and filing of … more
- CVS Health (Columbus, OH)
- …every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
- The Goodyear Tire & Rubber Company (Akron, OH)
- …Relocation Assistance Available: No **Primary Purpose of the Position** The Investigator will support our global operations by conducting thorough, confidential ... plus. + Additional training or certifications in behavioral interviewing, surveillance, fraud examination, or private investigation are a plus. **Experience** +… more
- KeyBank (Brooklyn, OH)
- …(ie Certified Anti Money Laundering Specialist - CAMS certification, Certified Fraud Examiner - CFE or other accredited related industrycertification)Key has ... implemented a role-based Mobile by Design approach to our employee workspaces, dedicating space to those whose roles require specific workspaces, while providing flexible options for roles which are less dependent on assigned workspaces and can be performed… more
- CVS Health (Columbus, OH)
- …each and every day. **Position Summary** **Position Summary** TThe SIU Investigator conducts investigations to effectively pursue the prevention, investigation and ... prosecution of healthcare fraud and abuse, to recover lost funds, and to...lost funds, and to comply with state regulations mandating fraud plans and practices. What you will do -… more
- Bausch + Lomb (Columbus, OH)
- …updates on progress and changes in scope, schedule, and resources. + Organize investigator and expert meetings relevant to the indication and assist with the ... forms (queries) are appropriately handled by the CRAs and responded to by the site/ investigator in a timely manner. May assist in the review of queries to determine… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …of clinical facility and system audits at all relevant facilities, investigator sites, and vendors (including contract research organizations) and ensure that ... contacting Accommodation Request ([email protected]) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …Global CNS evidence generation with Phase IIIB and IV studies, including Investigator Sponsored Studies and non-interventional studies + Develops and provides CNS TA ... contacting Accommodation Request ([email protected]) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more