recover corporate and client funds paid on fraudulent claims. - Conduct claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and utilize proprietary... data and claim systems for reviewing facility, professional, and pharmacy claims. - Develop enterprise-wide healthcare inve...
Title: Corporate Counsel, Global IP & Brands Job Responsibilities: - Provide legal counsel, support, and representation for intellectual property and brand-related matters under the guidance of a Vice President – Associate General Counsel or Head of Legal. - Manage and advise the Company...
Title: Pharmacy Investigator Lead Job Responsibilities: - Provide leadership and guidance to the Special Investigations Unit Pharmacy team in investigating, collecting, researching, and analyzing billing data to detect fraudulent, abusive, or wasteful activities/practices. - Apply comprehensive sound judgment in the application of various...
recover corporate and client funds paid on fraudulent claims. - Conduct claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and utilize proprietary... data and claim systems for reviewing facility, professional, and pharmacy claims. - Develop enterprise-wide specific hea...
Title: Pharmacy Investigator Lead Job Responsibilities: - Provide leadership and guidance to the Special Investigations Unit Pharmacy team for investigating, collecting, researching, and analyzing billing data to detect fraudulent, abusive, or wasteful activities/practices. - Assist the team manager with administration and operational activities...