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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...

This position is located in the Risk Management Agency, Deputy Administrator for Compliance, Central Regional Compliance Office.
The position may be virtual within the states of COLORADO, KANSAS, MISSOURI, or NEBRASKA for highly qualified candidates. Location will be determined upon selection.
This is a Bargaining Unit position. For Kansas City, MO this is an NFFE Bargaining Unit position.
...

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...

Investigator IV-V (Remote)
The Texas Workforce Commission (TWC) is seeking an experienced Investigator to join the Civil Rights Division, Employment Section.
This is a multi-faceted job which includes, but is not limited to, interviewing customers, performing legal analysis for potential violation of Equal Employment laws, and writing reports.
Who We Are:
TWC connects people with careers all...

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...

ARIZONA BARBERING AND COSMETOLOGY BOARD
The Arizona Barbering and Cosmetology Board's mission is to protect the public's health and safety by licensing qualified schools, establishments, and individuals, and ensure compliance with state statutes and regulations.
INVESTIGATOR III
Job Location:
Phoenix & Flagstaff
https://bcb.az.gov/
Posting Details:
H...

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...

Cisive leads the industry in background screening, monitoring accuracy, quality, and trust for 40+ years. We work to empower the world’s largest and most highly regulated industries to optimize their talent programs and make their workspaces safer. Our PreCheck and Driver iQ vertical-specialized brands lead the healthcare and transportation industries with the most accurate background screeni...

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...

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 ...

This position is located in the Risk Management Agency, Deputy Administrator for Compliance, Central Regional Compliance Office.
The position may be virtual within the states of COLORADO, KANSAS, MISSOURI, or NEBRASKA for highly qualified candidates. Location will be determined upon selection.
This is a Bargaining Unit position. For Kansas City, MO this is an NFFE Bargaining Unit position.
...

⚡️ 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...

This is a U.S. Public Health Service position within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of the Chief of Staff, IHSC Investigations Unit (IIU). This is a non-supervisory position.
This position is only open to current USPHS officers with IHSC experience.
Duties
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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...

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware
Job Summary:
The Nurse Investigator II is responsible for performing highly complex healthcare fraud investigations including but not limited to, complex surgical operations, inpatient hospital coding including diagnostic related grouping (DRG), and anesthesia cases. The incumbent is responsible ...

Why Patients Need You
Creating value though procurement processes is keeping our products in production and our innovators innovating. Whether you are part of negotiating contracts, managing vendors or forecasting requirements, your role is critical to getting our medicines in the hands of the people who need them most, faster and more efficiently than ever before .
You Will Achieve
Wo...

We’re First Central Insurance & Technology Group (First Central for short), an innovative, market-leading insurance company. We protect the things customers love so they can get on with what matters to them in life.
Data drives us. It fuels our outstanding distribution, finance, technology and legal services. Our underwriting skills are built on data expertise; it creates the insights we need...

As the Principal Response Investigator within the Cyber Defense organization, you will work with a team of highly technical security professionals focused on the continued enhancement of enterprise capabilities tied to responding to cyber security incidents. You will bring strategic vision and technical capability to the team to further enhance and develop the cyber incident response program.
...

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...

JOB SUMMARY
Investigator Contracts Lead is responsible for direct site-facing contract and budget negotiations through contract execution with assigned clinical investigator sites including initial agreements and amendments and oversight of other contracting professionals on assigned studies. This also includes managing the Per-Subject Cost (PSC) process for assigned studies, managing escala...