To manage comprehensive fraud, waste, and abuse investigations, the full-time remote CPC Certified Senior SIU Investigator will develop investigative strategies, analyze data, and prepare detailed reports while collaborating with various stakeholders. Key responsibilities Conduct and manage fraud investigations, including audits and data analysis, to identify suspicious patterns and ensure compliance with regulations Prepare detailed investigatory reports and present findings to internal departments, law enforcement, and regulatory agencies Provide guidance and training to SIU Investigators and recommend process improvements to enhance departmental efficiency Required qualifications Minimum of 7 years of experience in fraud investigations or related healthcare insurance roles Bachelor's degree or a combination of education and work experience CPC certification is required Proven ability to manage and prioritize a caseload independently Strong computer skills, including proficiency in Microsoft Excel, Access, Outlook, Word, and PowerPoint
...This role is based out of a warehouse and involves manual labor in a manufacturing environment. The hours for this role are Monday through Friday 7 AM - 3:30 PM. Key Responsibilities: Packing and Inspection: Inspect finished cabinets for quality and completeness...
...Job Description Job Description Company Description Lumina Agency INC is a dynamic and growing company focused on building meaningful... ...Lumina Agency INC is seeking enthusiastic and professional Event Staff to join our growing team in Philadelphia. In this role...
...Position Summary The Education & Events Coordinator supports the day-to-day logistics that keep Harper Ellis education events organized... ...carries out assigned details for workshops, summits, and company events from initial preparation through post-event follow-up....
Must no PCC and must have nursing home facility experience. Must no PCC and must have nursing home facility experience. Travel LPN Opportunity Rutland, VT Location: Rutland, Vermont (05702) Facility: Mountain View Center Position: Travel Licensed...
...Benefits:Pension401(k)Competitive salaryDental insuranceHealth insurancePaid time offParental leaveVision insuranceThe Union Organizer represents, organizes, develops and creates inspiring relationships with members. Along with being the face of the Union, the...