- AmeriHealth Caritas (Columbus, OH)
- …services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported, ... **Major Accountabilities:** + Ensures compliance with all requirements related to Special Investigation Units and fraud, waste and abuse investigations. + Conducts… more
- Centene Corporation (Columbus, OH)
- …investigative findings for referral to Federal and State agencies + Complete various special projects and audits + Performs other duties as assigned + Complies with ... all policies and standards **Education/Experience:** Bachelor's Degree in Business, Criminal Justice, Healthcare, related field or equivalent experience. 1+ years of medical claim investigation, medical claim audit, medical claim analysis, or fraud… more
- CVS Health (Columbus, OH)
- …- Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with ... state regulations mandating fraud plans and practices. - Conducts investigations of known or suspected acts of healthcare fraud and abuse. - Communicates with federal, state, and local law enforcement agencies as appropriate in matters pertaining to the… more
- Family Dollar (Kettering, OH)
- General Summary: The Market Investigator is responsible for confirming that the market's stores operations and daily functions comply with Company programs and ... suspected fraudulent activity to Loss Prevention Business Partners. + Assist with special projects that impact given market (ie Target Program and Shrink Impact… more
- J&J Family of Companies (Cincinnati, OH)
- …in site feasibility and/or pre-trial site assessment visits. + Attend/participate in investigator meetings as needed. + Partners with the clinical trial team to ... contribute to process improvement and training. + Lead and/or participate in special initiatives as assigned. + May assume additional responsibilities or special… more