- CVS Health (Columbus, OH)
- …can be work from home anywhere in the United States. **Position Summary** The Special Investigations Unit (SIU) is looking for an analytically driven ... data extraction and analysis, dedicated to a specific self-funded plan sponsor. The lead reviewer is accountable for the validation of existing fraud waste and abuse… more
- Molina Healthcare (Cincinnati, OH)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager, SIU, the Team Lead is responsible to lead a small team of investigators and provide ... Manager. This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight...provide oversight and guidance throughout the life of an investigation as well as QA reviews and approvals. In… more
- Sedgwick (Cincinnati, OH)
- …Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | OH Jurisdictions (potential for MI, KY & IN) + **Licensing not ... IN)** + **requires experience with direct claims handling and investigation ** **Are you looking for an opportunity to join...control; may delegate some duties to others within the unit . + Identifies and advises management of trends, problems,… more
- CDM Smith (Wadsworth, OH)
- **41226BR** **Requisition ID:** 41226BR **Business Unit :** IND **Job Description:** We are seeking a highly skilled Electrical Engineering Leader to provide expert ... Contribution: Develop white papers and technical design documentation for new or special case designs, and submit technical papers for publication in journals.… more
- Elevance Health (Mason, OH)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- OhioHealth (Van Wert, OH)
- …allow him/her to respond fully to strenuous and or critical physical activity. Takes lead on special projects as assigned, maintains minimum training levels each ... violent, disruptive, hazardous, and emergency situations through preventative patrol, investigation , and complaint resolution. During the initial training period… more
- Elevance Health (Columbus, OH)
- …coding and billing issues, trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of ... and risk avoidance based on the outcome of the investigation . + Assists with training of new associates. **Minimum...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Coinbase (Columbus, OH)
- …collaboration, connection, and alignment. Attendance is expected and fully supported. Coinbase's Unit 0x is a specialized on-chain investigations team at the ... from emerging risks. As an Onchain Data Analyst & Researcher, you'll lead challenging investigations into illicit activity, proactively research threat actors,… more
- Panera, Flynn Group (St. Clairsville, OH)
- …a Market Leader. Reporting to the ML are Area Directors, who are multiple unit operators, responsible for the overall functions of the cafes in their areas. ... General Manager, you will be a part of something special where you will have the opportunity to connect...according to company guidelines, achieving established objectives of the unit on customer feedback reports. + Directs overall activities… more
- KeyBank (Brooklyn, OH)
- …Assist in the response to ongoing regulatory and legal inquiries and investigations . - Develop and maintain positive working relationships with internal clients, ... assigned Subcommittees and/or Working Groups. - Provide leadership and/or support on special projects, as assigned. - Proactively works with assigned business … more
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