- Command Investigations (Richmond, VA)
- …for hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, ... Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience… more
- Elevance Health (Richmond, VA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work virtually ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
- CVS Health (Richmond, VA)
- …every day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of known or ... or intricate healthcare fraud schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business + Researches and prepares… more
- Oracle (Richmond, VA)
- …studies (eg, patient survey studies, large database studies electronic health records, claims , etc.) and provide research consultation to both internal and external ... Senior Research Consultant, you will: + Be the Principal Investigator , lead the design and execution of health outcomes...desirable to have: + Experience using EHR and/or healthcare claims data + Familiarity with Python or other programming… more