and reporting, data analysis, and assisting leadership with overall strategy. Focus on recording and analysing financial transactions, paying and receiving invoices, maintaining financial statement ledger accounts, and preparing analysis and reconciliations of bills to detect fraud. Help the team provi......
The following jobs are no longer active but were real openings previously posted by employers. These listings provide valuable insight into employer hiring trends and frequently lead to job offers. In many cases, employers are still hiring or open to strong candidates even if no new job is posted. Applying to these listings often makes you the only applicant, increasing your chances of being hired.
II - Telecommute The candidate will investigate, collect, research and analyze billing data in order to detect fraudulent, abusive or wasteful activities/practices. Will use appropriate system tools, analyzes data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Prepare statistical/financial analyses and reports to document findings and maintain up-to-date case files for management review. Prepare final report and notification of... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
I, II, III, Senior Duties for Investigator I is responsible for investigating, collecting, researching and analyzing billing data in order to detect fraudulent, abusive or wasteful activities/practices. Primary duties may include: Using appropriate system tools, analyzes data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Prepares statistical/financial analyses and reports to document findings and maintains up-to-date case files... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
President, Compliance The candidate will be responsible for the compliance program for Federal Services and for the Federal Services Compliance Committee. Ensure Federal Services is in compliance with all applicable federal program regulations, contract requirements and Centene Corporate policies. Responsible for maintenance and updates to a formal, documented Compliance Program covering all programs in Federal Services. Maintain and track laws and regulations, contract... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
VP, Special Investigation Unit The candidate will identify and detect fraud through the use of... technology and analysis as well as facilitate an effective exchange of information/intelligence that will support anti fraud initiatives. Will lead all... aspects of the Special Investigation Unit; including setting strategic vision, strategy, establishing best practices, and execution and follows through for Commercial Claims, Personal Lines Claims and Premium Fraud Detection. Provid... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Director - Special Investigations The candidate will be responsible for staffing and managing associates in multiples locations to ensure that adequate resources exist to investigate fraud and abuse. Will assist... the VP in setting priorities, goals and objectives for the fraud and abuse department. Collaborate... with the legal and business departments to determine the best course of action against a perpetrator of fraud or abuse. Establish process... for establishing cases and ass... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Specialist II The candidate will, with moderate direction, handle Employment Practices Liability commercial claims of moderate exposure and complexity. Will resolve claims according to Best Practices and within authority limits. May handle multi-party claims. Regularly communicates with customers and brokers. May be dedicated to handle claims for specific accounts. Document claims file by accurately capturing and updating claims data/information in compliance with bes... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Liability Technical Specialist Duties: Investigate, evaluate, reserve, negotiate and resolve assigned claims in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned claims while engaging in indemnity & expense management. Promptly manage claims by completing essential functions including contact, investigation, damages development, evaluation, reserving, litigation management, and disposition. Provides consulting and... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Technical Specialist, Construction Liability Duties: Investigate, evaluate, reserve, negotiate and resolve assigned claims in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned claims, while engaging in indemnity & expense management. Promptly manage claims by completing essential functions including contact, investigation, damages development, evaluation, reserving, litigation management, and disposition. Provid... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Staff VP Program Integrity/Investigations The candidate will be responsible for providing leadership to the Commercial Special Investigations Unit, Provider Audit and Data Mining teams. Primary duties include development and implementation of program strategies, goals, deliverables, and overall program execution. Develops and administers a strategy that continually reduces the inappropriate provider payments and optimizes opportunities to drive fraud, waste and abuse savings...... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Staff VP, Program Integrity / Investigations The candidate will provide leadership to the Commercial Special Investigations Unit, Provider Audit and Data Mining teams. Primary duties include: development and implementation of program strategies, goals, deliverables, and overall program execution. Develop and administer a strategy that continually reduces the inappropriate provider payments and optimizes opportunities to drive fraud, waste and abuse savings... including identify... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here