Investigator PositionThe Investigator will be responsible for triaging, investigating and resolving instances of healthcare waste and billing errors conducted by the medical profession, insured members or the broker community. You will be utilizing information from claims data analysis, tips, complaints from plan members, the medical community and law enforcement agencies to conduct confidential investigations, document relevant findings and report any illegal activities in accordance with all laws and regulations. The Investigator may also conduct onsite provider claim and/or clinical audits (utilizing appropriate personnel) to gather and analyze all necessary information and documents related to the investigation. They will act as a subject matter expert with identifying, communicating and recovering losses as deemed appropriate. Where applicable, they will provide testimonials regarding the investigation. May also complete root cause analysis.Min USD $77,099.34/Yr.Max USD $92,519.21/Yr.
...organized, resourceful, and execution-driven Events Manager to own the end-to-end planning... .... From industry conferences to company-hosted customer events and executive gatherings... ..., and manage relationships with venues, production companies, caterers, AV providers, and...
...Licensed Practical Nurse (LPN) - Admitting | Full-Time | Fresh Meadows, Queens Pay: $31.83 per hour Schedule: Full-time, Monday through Friday 1:00 PM to 9:00 PM Union: 1199SEIU Make a difference at the first step of recovery. Cornerstone Treatment...
...with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce...
...Growth-stage fintech company, backed by top venture and banking investors, is looking for an Executive Assistant & Office Manager to support their leadership team. This is an exciting opportunity to join a tight-knit, highly organized team as their first in-house admin...
...Pipe Welder Tradesmen International is immediately hiring experienced Pipe Welders for projects located in the Anna, OH area. This... ...chance to advance your career! Job Scope: TIG and MIG welding on stainless steel piping Stainless steel & structural welding...