- Elevance Health (Charleston, WV)
- ** Investigator Senior** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per week, ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** is responsible for the independent identification, investigation… more
- Elevance Health (Charleston, WV)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
- CVS Health (WV)
- …every day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of known or ... suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, those that are national in scope, complex cases involving multi-lines of business, or cases involving multiple perpetrators or intricate healthcare fraud… more
- The Robison Group (Charleston, WV)
- …Candidates must be willing and able to obtain a West Virginia Private Investigator license. + Self-motivated, determined, and intuitive. + Strong initiative and work ... ethic. + Ability to identify critical issues quickly and accurately + Demonstrated observational, organizational, and listening skills. + Excellent oral and written communication. + Ability to work independently, as well as in a team. + Flexible schedule… more
- Highmark Health (Charleston, WV)
- …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
- Meta (Charleston, WV)
- …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
- Merck (Charleston, WV)
- …activities including our Company's sponsored trials and our Company's Independent Investigator Study Programs as prioritized and requested by Research and ... when requested by Research and Development (R&D) leadership, including our Company's Investigator Study Program (MISP), by acting as the primary liaison to… more
- Merck (Charleston, WV)
- …across the USMA strategic pillars: + Scientific Exchange + Company Trials + Investigator -Sponsored Programs + Congresses + Insights The US DMA is an experienced ... new data, indications, and disease areas. + Provide support for the Investigator Studies Program (ISP) for assigned TA, including Areas of Interest consultation,… more
- Sumitomo Pharma (Charleston, WV)
- …writing of clinical study reports + Contributes to the preparation of Investigator Brochures, annual reports, data collection systems and final reports in compliance ... globally + Contributes to the development of presentation materials for investigator meetings, health authority meetings, scientific advisory board meetings, and… more
- Merck (Charleston, WV)
- …and goals for approved, in-development, and active Company-sponsored trials and/or investigator -sponsored research studies. The RMSD serves as a role model for ... Enhances the comprehension of the scientific foundations and goals of investigator -sponsored research + Identifies barriers to patient enrollment and retention… more