Payment Integrity SIU Job Description: Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment...Anticipated End Date: 2025-10-31 Position Title: Clinical Fraud Investigator II - Registered Nurse and CPC - Carelon...
Fraud Investigator, you will play a critical role in safeguarding our financial ecosystem by investigating high-risk... accounts and identifying various forms of fraud. You will conduct deep-dive analyses of merchant accounts, lead cross...
Overview GovCIO is currently hiring for a Principal Investigator/ Research Scientist. This position will be located... salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related...
Investigator I is an essential team member of the Special Investigation Unit (“SIU”) responsible for leading complex provider... future loss. This role will be responsible for conducting high-volume Pre-Payment Fraud Waste & Abuse (“FWA”) investigations...
Investigator in beautiful El Dorado County whose office recently moved to a newly renovated modern building, which is fitting... progressive and cutting new programs like Team Lead, Cold Case Task Force, and the use of drone technology for Virtual Jury View...
a job offer. A Senior Housing Investigator plans, organizes and directs the work of Housing Investigators and clerical support staff engaged... settlements and case closures; may act as an Assistant Director for Rent Stabilization or as a lead over other Senior Housing...
investigator grant budgets according to protocol specifications. Negotiate clinical study budgets with investigators or designated... site personnel, typically through a CRO adhering to published service levels. Review and negotiate investigator-prepared...
Principal Investigator solves complex technical problems and is responsible for providing technical direction to federal program... - ability to guide and lead colleagues on projects and initiatives Business Acumen - understanding and insight...
requirements. Assist in managing end to end Investigator Payments forecasting service. This role will work with client facing... experience Clinical Trial Industry Experience Clinical Trial Payment Experience CTP, TDSE and/or IQVIA Experience...
. The Director of Payment Integrity will lead the strategic development, implementation, and oversight of payment integrity...Job Category: Leadership Administration Job Description: HealthPartners is hiring a Director of Payment Integrity...
. The Director of Payment Integrity will lead the strategic development, implementation, and oversight of payment integrity...Job Category: Leadership Administration Job Description: HealthPartners is hiring a Director of Payment Integrity...
. The Director of Payment Integrity will lead the strategic development, implementation, and oversight of payment integrity...Job Category: Leadership Administration Job Description: HealthPartners is hiring a Director of Payment Integrity...
's receipt and follows appropriate procedure for securing payment. 20. Processes all support documentation and forms to complete... criticism as demonstrated by positive behavior change. 31. Provides lead support to admitting department staff 32. Adheres...
Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contracting Analyst Lead to analyze and report the... matter expert on contract modeling, payment methodologies, pricing strategy, market competitive intelligence and payer...
Position Summary: The CRC/Operations Lead is a senior team member responsible for conducting clinical trials.... The CRC/Operations Lead supports training and onboarding, helps troubleshoot day-to-day challenges, and assists...
to customers? Are you a skilled investigator, negotiator and communicator? If you thrive in an environment where you can problem... appropriate Medicare query. Ongoing responsibility for Medicals and total payment obligation to claimant reports. Provides...
as Principal Investigator on complex multi-disciplinary programs that typically include field demonstration of real-time hardware... wiring diagrams etc. Serve as Technical Lead on complex multi-disciplinary proposals. Generate low level front end...
that all responsibilities are met. - Schedule and lead department team meetings - Attend and actively participate in Program Manager... process. - Obtain Certified Investigator Training/Certification and complete investigations when needed. Assessment Process...
. The Director collaborates closely with medical staff, vendors, case management, and payers to secure payment and benefits... for beneficiaries that is in alignment with the clinical care provided. Responsibilities Lead and manage the pre appeals department...
that all responsibilities are met. - Schedule and lead department team meetings - Attend and actively participate in Program Manager... process. - Obtain Certified Investigator Training/Certification and complete investigations when needed. Assessment Process...