personnel. Keep abreast of Federal and State Anti-Fraud investigation and reporting requirements including HIPAA, CMS, Medicare... and continuous improvement. To achieve this, we're looking for a Clinical Investigator to join #TeamMVP. This is the opportunity...
personnel. Keep abreast of Federal and State Anti-Fraud investigation and reporting requirements including HIPAA, CMS, Medicare... and continuous improvement. To achieve this, we're looking for a Clinical Investigator to join #TeamMVP. This is the opportunity...
personnel. Keep abreast of Federal and State Anti-Fraud investigation and reporting requirements including HIPAA, CMS, Medicare... and continuous improvement. To achieve this, we're looking for a Clinical Investigator to join #TeamMVP. This is the opportunity...
an experienced and highly skilled Senior Fraud Investigator. Ideal candidates will bring advanced investigative expertise... and support complex investigations into healthcare fraud, waste, and abuse, leveraging extensive experience with Medicare...
an experienced and highly skilled Senior Fraud Investigator. Ideal candidates will bring advanced investigative expertise... and support complex investigations into healthcare fraud, waste, and abuse, leveraging extensive experience with Medicare...
. We are looking to add a Fraud Investigator to our SGS team of talented professionals. What you'll do: The Fraud Investigator is expected..., and/or developing fraud cases Knowledge of investigative practices regarding healthcare providers. Knowledge of Medicare...
. We are looking to add a Fraud Investigator to our SGS team of talented professionals. What you'll do: The Fraud Investigator is expected..., and/or developing fraud cases Knowledge of investigative practices regarding healthcare providers. Knowledge of Medicare...
. We are looking to add a Fraud Investigator to our SGS team of talented professionals. What you'll do: The Fraud Investigator is expected..., and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse...
Healthcare Fraud Investigator – Medicare Los Alamitos, CA hybrid (OR) Work from Home in CA, AZ, ID, NV, OR, UT, or WA... Healthcare Anti-Fraud Investigator Prior successful experience with CMS and OIG/FBI or similar agencies Medicare investigation...
Healthcare Fraud Investigator – Medicare Los Alamitos, CA hybrid (OR) Work from Home in CA, AZ, ID, NV, OR, UT, or WA... Healthcare Anti-Fraud Investigator Prior successful experience with CMS and OIG/FBI or similar agencies Medicare investigation...
, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse... enforcement and the Medicare Administrative Contractor throughout the life of the action. Monitor workload to ensure all actions...
, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse... enforcement and the Medicare Administrative Contractor throughout the life of the action. Monitor workload to ensure all actions...
, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse... enforcement and the Medicare Administrative Contractor throughout the life of the action. Monitor workload to ensure all actions...
, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse... to complaint analyst, data analysis and investigator teams. Activities include logging cases, filing and general clerical support...
analytics or related field The following certifications are preferred: Accredited Healthcare Fraud Investigator (AHFI... across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed...
analytics or related field The following certifications are preferred: Accredited Healthcare Fraud Investigator (AHFI... across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed...
. Performs in-depth evaluation and makes field level judgments related to audits/investigations of potential Medicare fraud waste... Healthcare Anti-fraud Investigator preferred Work Experience (experience can be substituted for education) Minimum of 5-7...
Investigator II investigates and analyzes incidents of suspected fraud, waste, and abuse in accordance with regulatory requirements... Experience Requirements above Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified...
be required) POSITION PURPOSE Umpqua Health Alliance is seeking a seasoned Senior Program Integrity Investigator to lead complex fraud... (Accredited Health Care Fraud Investigator) designation required. Minimum six (6) years of FWA investigation experience...
. Now, that doesn't even consider the millions of lives that are held in the balance as well. This is fraud on a scale you couldn't... begin to imagine. As a Senior Investigator, you will play a part in putting a stop to it. It's critical work...