and continuous improvement. To achieve this, we're looking for a Clinical Investigator to join #TeamMVP. This is the opportunity... of professional investigation experience involving economic or insurance related matters. * A clinical investigator...
investigation/audit. - Master's Degree preferred - Accredited Health Care Fraud Investigator (AHFI) certification or Certified... Fraud Examiner (CFE) preferred - Nursing or other clinical experience highly preferred Summary Responsible for conducting...
Anticipated End Date: 2025-10-31 Position Title: Clinical Fraud Investigator II - Registered Nurse and CPC - Carelon... Payment Integrity SIU Job Description: Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment...
and continuous improvement. To achieve this, we're looking for a Clinical Investigator to join #TeamMVP. This is the opportunity... of professional investigation experience involving economic or insurance related matters. * A clinical investigator...
and continuous improvement. To achieve this, we're looking for a Clinical Investigator to join #TeamMVP. This is the opportunity... of professional investigation experience involving economic or insurance related matters. * A clinical investigator...
is responsible for preventing, detecting, investigating, and resolving health care fraud, waste, and abuse. The Special... Investigations Investigator, Consultant will report to the SIU Manager. In this role you will conduct investigations in accordance...
or suspected fraud, waste, and/or abuse (FWA) by providers or enrolled members. As an investigator, you will conduct various...We are recruiting for a motivated Payment Integrity Investigator to join our team! We are here for life’s journey...
with a minimum of two years of experience in the healthcare field working in fraud, waste, and abuse investigations and audits... OR An associate's degree, with a minimum of four years of experience working in healthcare fraud, waste, and abuse investigations...
of experience working in healthcare fraud, waste, and abuse investigations and audits. Experience and training/certifications.... Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive...
. Preferred Qualifications: Current certification as an Accredited Healthcare Fraud Investigator (AHFI) upon hire..., healthcare compliance and fraud, waste and abuse to Health Plan staff, vendors and contracted providers/facilities. Providence...
of related clinical experience in the field of obtained license Experience in healthcare fraud investigations, auditing, data... analytics or related field The following certifications are preferred: Accredited Healthcare Fraud Investigator (AHFI...
of related clinical experience in the field of obtained license Experience in healthcare fraud investigations, auditing, data... analytics or related field The following certifications are preferred: Accredited Healthcare Fraud Investigator (AHFI...
, and external requirements. Lead the preparation of, conduct, and reporting of Clinical Audits including clinical investigator.... We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united...
deadlines. Job Responsibilities: Manage multiple Investigator Initiated Clinical studies, which may include collecting... strides in healthcare innovation, is supported by medical societies around the world, cleared for use in the US, UK, Europe...
Job Description: Registered Nurse - Nursing Home Surveyor/Complaint Investigator - New York, NY (#6045) Location...: New York, NY Employment Type: Temporary-to-permanent Hourly Rate: $45 per hour About Greenlife Healthcare Staffing...
Registered Nurse - Nursing Home Surveyor/Complaint Investigator - New York, NY (#6045) Location: New York, NY... Employment Type: Temporary-to-permanent Hourly Rate: $45 per hour About Greenlife Healthcare Staffing: Greenlife Healthcare...
facilitation of research collaborations such as investigator-initiated trials and collaboration with Clinical Development... MSL will build scientific partnerships with Healthcare Professionals and decision makers using evidence-based science...
Reviewer III) will primarily be responsible for conducting clinical reviews of medical records during the course of fraud... efforts. In addition, this position applies Medicare and Medicaid guidelines in making clinical determinations as to the...
physician, provides day to day organizational and clinical direction and leadership of the healthcare provider team. Performs... Nurse Practitioner's collaborative written agreement. * Clinical Responsibilities In collaboration with the attending...
physician, provides day to day organizational and clinical direction and leadership of the healthcare provider team. Performs... Nurse Practitioner’s collaborative written agreement. * Clinical Responsibilities In collaboration with the attending...