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Company :
Highmark Inc.
Job Description :
JOB SUMMARY
This job is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by provider...

ARIZONA BOARD OF NURSING
The mission of the Arizona State Board of Nursing is to protect and promote the welfare of public by ensuring that each person holding a nursing license or certificate is competent to practice safely. The Board fulfills its mission through the regulation of the practice of nursing and the approval of nursing education programs. The mission, derived from the Nursi...

JOB DESCRIPTION
Job Summary
The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely turn around. T...

Location:
Work from home (Minnesota)
Shift:
Days (United States of America)
Scheduled Weekly Hours:
40
Worker Type:
Regular
Exemption Status:
Yes
Job Summary:
Provides high-level professional, clinical and/or technical leadership in the design, implementation, operations and dissemination of findings from research, demonstration and evaluation projects. Assume a leadership role in program ...

JOB DESCRIPTION
Job Summary
The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is ...

CORPORATION COMMISSION
The Arizona Corporation Commission (ACC) is one of the most unique state agencies in Arizona and one of only 13 public utility commissions in the country where commissioners are elected. Established by the Arizona Constitution, the ACC is a medium-sized agency with offices in Phoenix and Tucson. Our mission is diverse—spanning utility rate making; securities regist...

Overview
Treliant is an essential consulting firm serving banks, mortgage originators and servicers, fintechs, and other companies providing financial services globally. We are led by practitioners from the industry and the regulatory community who bring deep domain knowledge to help our clients drive business change and address the most pressing compliance, regulatory, and operational challen...

⚡️ About Merkle Science
Merkle Science provides blockchain transaction monitoring and intelligence solutions for web3 companies, digital asset service providers, financial institutions, law enforcement and government agencies to detect, investigate, and prevent illicit use of cryptocurrencies. Our vision is to make cryptocurrencies safe and provide infrastructure for the safe and compliant gro...

We’re looking for people who put their innovation to work to advance our success – and their own. Join an organization that ensures a more secure world through connecting and protecting our customers with inventive electrical solutions.
The Compliance Investigator is responsible for conducting investigations of alleged or suspected violations of the company’s ethical standards or non-complian...

Job Type
Full-time
Description
The Research Investigator is to perform desktop based investigations using electronic data searches which may include, but are not limited to locates, assets and backgrounds including county criminal court searches; county civil court searches; federal criminal court searches; federal civil court searches; sex offender searches; and debarment and sanction searche...

LOCATION: Remote – must live in or/near Vaya’s catchment area. Must also reside in North Carolina or within 40 miles of the NC border.
GENERAL STATEMENT OF JOB
The Special Investigator works under the direct supervision of the Special Investigations Operations Manager. The Special Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste ...

About the Company
Founded in 2018 by professors of Yale University and Columbia University, CertiK is a pioneer in blockchain security, utilizing best-in-class AI technology to secure and monitor blockchain protocols and smart contracts. CertiK’s mission is to secure the cyber world. Starting with blockchain, CertiK applies cutting-edge innovations from academia into enterprise, enabling missio...

We have an exciting opportunity to join the SIU team as a Senior Field Security Investigator! As a Senior Field Security Investigator, you will conduct investigations of suspected cases of fraud or other illegal activities against the Company, including interviewing, database inquiries, taking statements, and locating sources of information and witnesses. Responsibilities include evaluating inf...

Position:
Employment Compliance Investigator
Job Description:
This position will be a member of the Employment Law Team in Arrow’s Legal & Compliance Department and play a key role in maintaining a complaint and respectful equal-opportunity work environment. It will be primarily responsible for conducting investigations into employee complaints that implicate legal risk, such as those all...

Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communiti...

At Lyft, our purpose is to serve and connect. To do this, we start with our own community by creating an open, inclusive, and diverse organization.
The Workplace Investigator will conduct workplace investigations company-wide. This role will involve taking ownership of investigations from inception to conclusion. The ideal candidate possesses exceptional listening skills, adeptness in conducti...

Employee Applicant Privacy Notice
Who we are:
Shape a brighter financial future with us.
Together with our members, we’re changing the way people think about and interact with personal finance.
We’re a next-generation financial services company and national bank using innovative, mobile-first technology to help our millions of members reach their goals. The industry is going through an ...

Binance is a leading global blockchain ecosystem behind the world’s largest cryptocurrency exchange by trading volume and registered users. We are trusted by over 250 million people in 100+ countries for our industry-leading security, user fund transparency, trading engine speed, deep liquidity, and an unmatched portfolio of digital-asset products. Binance offerings range from trading and finan...

We’re on a mission to make money work for everyone.
We’re waving goodbye to the complicated and confusing ways of traditional banking.
With our hot coral cards and get-paid-early feature, combined with financial education on social media and our award winning customer service, we have a long history of creating magical moments for our customers!
We’re not about selling products - we want ...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
****POSITION IS REMOTE FOR UNITED STATES***
***CANDIDATES MUST HAVE FRAUD, WASTE AND ABUSE EXPERIENCE***
...