healthcare fraud to recover corporate and client funds paid on fraudulent claims. Key responsibilities include: -... Reviewing claims for appropriate coding, data... mining, entity review, law enforcement referral, and utilizing proprietary data and claim systems to review facility, professional, and phar...
with the goal of recovering corporate and client funds that have been paid out on fraudulent claims. The primary duties... include, but are not limited to, the following: - Conducting reviews of claims to ensure appropriate coding,... engaging in data minin...
The following jobs are no longer active but were real openings previously posted by employers.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.
Department Of Labor Agency: Employment Standards Administration Sub Agency: . Department of Labor Job Announcement Number: MS-09-DAL-WH-297 Job Title: Wage and Hour Investigator (English/Spanish) Salary Range: 46, - 60, USD per year Series & Grade: GS-1849-09/09 Promotion Potential: 12 Open Period: Tuesday, August 25, 2009 to Tuesday, September 08, 2009 Position Information: Full Time Permanent Duty Locations: 1 vacancy - New Orleans, LA... 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Note: This job is no longer active.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
Investigator 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Note: This job is no longer active.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
Investigator I, II, or Senior The candidate will be responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. Will 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... 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
Investigator I, II, or Senior The candidate will be responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. Will 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... 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
for reasonable accommodations will be addressed on a case-by-case basis. Senior Investigator - Virginia Medicaid: $77,028 to $132,048 salary range H1: Senior Investigator - Virginia Medicaid 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
Job Title: Senior Investigator - Virginia Medicaid H1: Join Our Team as a Senior Investigator - Virginia Medicaid H2: Investigate Healthcare Fraud and Make an Impact with **Members Only** - Full-time position with hybrid work model (remote and office) - Responsible for identifying and investigating complex healthcare fraud cases - Must have knowledge of Virginia Medicaid - Opportun... 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
Job Title: Senior Investigator Department: Fraud Investigation Salary Range: $73,360 to $132,048 Experience: Minimum of 5 years in healthcare insurance and insurance investigation Responsibilities: - Independently identify and investigate complex cases of healthcare fraud - Develop initiatives to prevent and recover corporate and client funds from fraudulent claims - Review claims... for appropriate coding and... use of proprietary data systems - Interface with senior man... 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
Senior Fraud and Waste Investigator The candidate conducts clinical investigations of allegations of fraudulent and abusive practices that... play a key role in determining provider recommendations. Coordinates investigation with law enforcement authorities and assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site and virtual audits of provider records ensuring appropriateness of billing practices. Prepares complex investig... 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
Investigator - Healthcare Fraud Detection and Recovery H1: Join Our Team as a Senior Investigator and Help Us Fight Healthcare Fraud! H2: Make a Difference in the Healthcare Industry with Your Investigative Skills About the Position: Job Title: Senior Investigator Job Type: Full-Time, Hybrid Schedule Experience: Minimum of 5 years in Healthcare Insurance and Investigation Location: Hybrid (Remote and Office), within 50 miles 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
Ref No.: 14-01738 Location: New Orleans, Louisiana Position Type: Contract Start Date: 03/07/2014 Investigations Support T ea m L e ad Re p orts to: Ma na ger of Investigations Nat u re and Scope of Position: Re sponsi ble for overseeing and managing claimant communications and prosecution support aspects of those cases resonating from the Court Supervised Settlement Program (CSSP) which have been determined to be fraudulent and referred to external... l... 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