Title: Investigator Senior - Pharmacy Job Responsibilities: The Investigator Senior - Pharmacy is tasked with independently identifying, investigating, and developing complex cases against individuals or entities committing healthcare fraud, with the goal of recovering corporate and client funds that were improperly paid...
development of complex cases targeting healthcare fraud perpetrators to recover corporate and client funds lost to fraudulent claims. Key responsibilities include: - Conducting claim reviews for appropriate coding, data mining, entity review, and law enforcement referrals. - Utilizing proprietary data... and clai...
Title: Attorney 5 Job Responsibilities: The Attorney 5 position is integral to the Division of Cannabis Control within the Department at the organization. The primary responsibilities include: - Providing guidance to cannabis industry stakeholders to assist with maintaining regulatory compliance. - Analyzing and evaluating...
recover corporate and client funds paid on fraudulent claims. - Conduct claim reviews for appropriate coding, data mining, entity review, and law enforcement referral. - Utilize proprietary data... and claim systems for reviewing facility, professional, and pharmacy claims. - Develop enterprise-wide specific healthcare...
healthcare fraud to recover corporate and client funds paid on fraudulent claims. The role involves reviewing claims for appropriate coding, data mining, entity review, law enforcement referral, and utilizing proprietary... data and claim systems for the review of facility, profess...
**Members Only** is looking for a highly qualified and motivated individual to join their team as an Assistant Prosecuting Attorney (criminal track). This position offers a competitive salary of $104,778 for those working in specialty units within the Criminal Division. The...
Represent the Child Support Enforcement Agency (CSEA) in assigned... and caseworkers' notes, applicable case law, and relevant codes. - Review incoming enforcement establishments and administrative referrals... to determine appropriate legal actions, such as paternity and/or support establishment, contempt and imposition a...
Assistant Prosecuting Attorney - Family Law Division **Job Responsibilities:** The Assistant Prosecuting Attorney (APA) in the Family Law Division is responsible for representing the Hamilton County Department of Job & Family Services (HCJFS) in cases related to child abuse, neglect, and dependency....
office of a **Members Only** Top Ranked Law Firm seeks a creditors rights and bankruptcy partner-level attorney with significant experience in representing financial institutions both in commercial bankruptcy and commercial loan workouts and restructurings and in complex consumer bankruptcy...