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.
...Do you like money in your pocket? Domino's Pizza drivers are paid cash nightly, which includes: tips and mileage reimbursement! Our... ...Oriented Basic Math Skills Flexible Schedules Cash Paid Daily (mileage + tips) Paid Training Advancement Opportunities...
...Job Description Involve in the complete process by analyzing business requirements and understanding the functional workflow of... ...according to the Business Requirement Documentation. Analyze high-level business requirements to create use cases and Use case diagrams...
...Position Title: Steel Model Checker Location: Saint Cloud, MN Salary Interval: Hourly Pay Range: N/A Application Instructions... ..., and other critical requirements that affect fabrication, fit-up, installation, and project quality. # Review Against Contract...
...cyber threats. Key Responsibilities: Response to cyber security events and incidents by analyzing forensic data, logs, and... ...experience. ~1-3 years of experience analyzing logs (e.g. endpoint, network, identity), performing data correlation, and using SIEM or log...
...Job Description Job Description Start a Meaningful Career as a HHA or CNAFlexible Schedules | Free Training | $250 Sign-On Bonus Ready for a fresh start doing work that truly matters? Join Guardian Angel Senior Services and build a rewarding career as a Home Health...