819 investigator ii jobs found

Investigator II Supporting the Payment Integrity line of business Location: Location: This position will work a hybrid model (remote and office). Alternate locations may be considered. The Ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator II is responsible for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. How you will make an impact: Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for identifying and developing...

Investigator II Supporting the Payment Integrity line of business Location: Location: This position will work a hybrid model (remote and office). Alternate locations may be considered. The Ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator II is responsible for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. How you will make an impact: Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for identifying and developing...

Investigator II Supporting the Payment Integrity line of business Location: Location: This position will work a hybrid model (remote and office). Alternate locations may be considered. The Ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator II is responsible for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. How you will make an impact: Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for identifying and developing...

Investigator II Supporting the Payment Integrity line of business Location: Location: This position will work a hybrid model (remote and office). Alternate locations may be considered. The Ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator II is responsible for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. How you will make an impact: Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for identifying and developing...

Investigator II Supporting the Payment Integrity line of business Location: Location: This position will work a hybrid model (remote and office). Alternate locations may be considered. The Ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator II is responsible for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. How you will make an impact: Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for identifying and developing...

Investigator II Supporting the Payment Integrity line of business Location: Location: This position will work a hybrid model (remote and office). Alternate locations may be considered. The Ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator II is responsible for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. How you will make an impact: Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for identifying and developing...

Investigator II Supporting the Payment Integrity line of business Location: Location: This position will work a hybrid model (remote and office). Alternate locations may be considered. The Ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator II is responsible for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. How you will make an impact: Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for identifying and developing...

Investigator II Supporting the Payment Integrity line of business Location: Location: This position will work a hybrid model (remote and office). Alternate locations may be considered. The Ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator II is responsible for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. How you will make an impact: Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for identifying and developing...

Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The Investigator II is responsible for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. How You Will Make An Impact Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company health plan, line of business and/or...

Investigator II Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The Investigator II is responsible for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. How you will make an impact: Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company health plan, line of business and/or...

Investigator II Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The Investigator II is responsible for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. How you will make an impact: Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company health...

The mission of the Colorado Department of Revenue (CDOR) is to become a trusted partner to every Coloradan to help them navigate the complexities of government so they can thrive. We are driven by our values of service, teamwork, accountability, integrity, and respect.  The vision of the department is to empower businesses and individuals through quality customer service, innovation, and collaboration. We celebrate diversity and support an equitable and inclusive culture. We embrace our differences because we believe this brings innovation to our work. For more exciting information about the Department of Revenue, please  enjoy this brief video !  Helpful tips for applying:  Applying for a Job with the State of Colorado . What Happens After You Apply. Natural Medicine Division  The Natural Medicine Division (NM D) is a dynamic and innovative regulatory agency tasked with implementing the...

Department Information The mission of the Colorado Department of Revenue (CDOR) is to become a trusted partner to every Coloradan to help them navigate the complexities of government so they can thrive. We are driven by our values of service, teamwork, accountability, integrity, and respect. The vision of the department is to empower businesses and individuals through quality customer service, innovation, and collaboration. We celebrate diversity and support an equitable and inclusive culture. We embrace our differences because we believe this brings innovation to our work. For more exciting information about the Department of Revenue, please enjoy this brief video! Helpful tips for applying: Applying for a Job with the State of Colorado. What Happens After You Apply. Description of Job Natural Medicine Division The Natural Medicine Division (NM D) is a dynamic and innovative regulatory agency tasked with implementing the regulated Natural...

Department Information The mission of the Colorado Department of Revenue (CDOR) is to become a trusted partner to every Coloradan to help them navigate the complexities of government so they can thrive. We are driven by our values of service, teamwork, accountability, integrity, and respect. The vision of the department is to empower businesses and individuals through quality customer service, innovation, and collaboration. We celebrate diversity and support an equitable and inclusive culture. We embrace our differences because we believe this brings innovation to our work. For more exciting information about the Department of Revenue, please enjoy this brief video ! Helpful Tips For Applying Applying for a Job with the State of Colorado . What Happens After You Apply. Description Of Job Natural Medicine Division The Natural Medicine Division (NM D) is a dynamic and innovative regulatory agency tasked with implementing the regulated Natural Medicine program in...

LAW ENFORCEMENT INVESTIGATOR II - 43005054 Date: Nov 5, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website (http://www.dms.myflorida.com/workforce\operations/human\resource\management/for\job\applicants/e\verify) . Requisition No: 840466 Agency: Financial Services Working Title: LAW ENFORCEMENT INVESTIGATOR II - 43005054 Pay Plan: Career Service Position Number: 43005054 Salary: $54,075.00 - $58,000.08 Posting Closing Date: 11/19/2024 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) **OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY** DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD CITY: LAKELAND COUNTY: POLK ATTENTION CANDIDATES THIS POSITION IS A POOL ANNOUNCEMENT. MULTIPLE POSITIONS MAY BE HIRED FROM THIS ANNOUNCEMENT. The Criminal Investigations Division encompasses all law enforcement and forensic components residing within the Department of Financial Services. With this broad...

Full job description Requisition No: 840466 Agency: Financial Services Working Title: LAW ENFORCEMENT INVESTIGATOR II - 43005054 Pay Plan: Career Service Position Number: 43005054 Salary: $54,075.00 - $58,000.08 Posting Closing Date: 11/19/2024 Total Compensation Estimator Tool *****OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY***** DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD CITY: LAKELAND COUNTY: POLK ***ATTENTION CANDIDATES*** THIS POSITION IS A POOL ANNOUNCEMENT. MULTIPLE POSITIONS MAY BE HIRED FROM THIS ANNOUNCEMENT. The Criminal Investigations Division encompasses all law enforcement and forensic components residing within the Department of Financial Services. With this broad responsibility, the division investigates a wide range of fraudulent and criminal acts including: Insurance Fraud Investigations Workers' Compensation Fraud Investigations Fire, Arson, and Explosives...

Job Description And Duties Job Description and Duties Why Join DHCS? The Department of Health Care Services (DHCS) is the backbone of California ' s health care safety net. Our success is made possible by the hard work of more than 4,800 DHCS team members and through collaboration with the federal government and other state agencies , counties, and partners for the care of low-income families , children, pregnant women, older adults, and persons with disabilities . This is an exciting opportunity to join our diverse team in the following role . If you are interested in joining our team, apply today! About this Role: Under the general direction of the Supervising Fraud Investigator II : Functions as a working supervisor and directs a team of investigators responsible for coordinating and conducting sworn and non-sworn background investigations for Peace Officer Investigations Branch (POIB) applicants. The Supervising Fraud Investigator I (SFI I) may be assigned internal...

Job Description and Duties Why Join DHCS? The Department of Health Care Services (DHCS) is the backbone of California's health care safety net. Our success is made possible by the hard work of more than 4,800 DHCS team members and through collaboration with the federal government and otherstate agencies, counties, and partners for the care of low-income families, children, pregnant women, older adults, and persons with disabilities. This is an exciting opportunity to join our diverse team in the following role. If you are interested in joining our team, apply today! About this Role: Under the general direction of the Supervising Fraud Investigator II : Functions as a working supervisor and directs a team of investigators responsible for coordinating and conducting sworn and non-sworn background investigations for Peace Officer Investigations Branch (POIB) applicants. The Supervising...

SHIFT: Day (United States of America) Seeking Breakthrough Makers Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career. CHOP’s Commitment to Diversity, Equity, and Inclusion CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children. We...

Job Requisition ID: 42949 Closing Date/Time: 11/26/2024 Agency: Department of Corrections Class Title: INTERNAL SECURITY INV II - 21732 Skill Option: None Bilingual Option: None Salary: Anticipated Starting Salary: $7,279; Anticipated Starting Salary Range: $7,279 - $8,000/Month Job Type: Salaried Category: Full Time County: Sangamon Number of Vacancies: 2 Plan/BU: Confidential Exclusion 090 **************** A RESUME IS REQUIRED FOR THIS JOB POSTING **************** Please attach a DETAILED Resume/Curriculum Vitae (CV) to the MY DOCUMENTS section of your application. You WILL NOT be considered for the position if you attach a CMS100, CMS100b or any other document that is not a Resume or CV. Posting Identification Number 42949 Why Work for Illinois? Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you’re helping to improve...

Alfred Health Alfred Health is a leader in health care delivery, improvement, research and education. We are the main provider of health services to people living in the inner southeast suburbs of Melbourne, from ambulatory to inpatient and home and community-based services. 6-month fixed term position Full time (76 hours per fortnight) Medical Scientist Grade 1 Year 1 (RX1) Alfred Health location Great staff benefits! The Department The Medical Oncology Unit provides co-ordinated multidisciplinary management for adult patients with malignancies. An important component of this care are the Clinical Trial/Research activities we participate in, which enable us to offer forthcoming investigational treatments to our patients. The Unit conducts phase I, II and III trials, and is a participating member of both National and International Clinical Trials Groups, incorporating both pharmaceutical industry sponsored and investigator driven studies across a wide...

Full job description Job Requisition ID: 42949 Closing Date/Time: 11/26/2024 Agency: Department of Corrections Class Title: INTERNAL SECURITY INV II - 21732 Skill Option: None Bilingual Option: None Salary: Anticipated Starting Salary: $7,279; Anticipated Starting Salary Range: $7,279 - $8,000/Month Job Type: Salaried Category: Full Time County: Sangamon Number of Vacancies: 2 Plan/BU: Confidential Exclusion 090 **************** A RESUME IS REQUIRED FOR THIS JOB POSTING **************** Please attach a DETAILED Resume/Curriculum Vitae (CV) to the MY DOCUMENTS section of your application. You WILL NOT be considered for the position if you attach a CMS100, CMS100b or any other document that is not a Resume or CV. Posting Identification Number 42949 Why Work for Illinois? Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state....

Full job description Position Details Position Information Requisition Number S4091P Home Org Name Human Devlmnt Family Science Division Name College of Human Sciences Position Title Administrator, Outreach Programs Job Class Code CA06B-C Appointment Status Full-time Part-time FTE Limited Term Yes Limited Term Length one year Job Summary...

Alfred Health Alfred Health is a leader in health care delivery, improvement, research and education. We are the main provider of health services to people living in the inner southeast suburbs of Melbourne, from ambulatory to inpatient and home and community-based services. 6-month fixed term position Full time (76 hours per fortnight) Medical Scientist Grade 1 Year 1 (RX1) Alfred Health location Great staff benefits! The Department The Medical Oncology Unit provides co-ordinated multidisciplinary management for adult patients with malignancies. An important component of this care are the Clinical Trial/Research activities we participate in, which enable us to offer forthcoming investigational treatments to our patients. The Unit conducts phase I, II and III trials, and is a participating member of both National and International Clinical Trials Groups, incorporating both pharmaceutical industry sponsored and investigator driven studies across a...