- State of Georgia (Fulton County, GA)
- …AND two (2) years of clinical experience AND one (1) year experience working with medical claims . Preference will be given to applicants who hold a Bachelor's of ... Nurse Investigator Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/51086/other-jobs-matching/location-only) Hot...experience; additional years of experience in the analysis of medical claims and/or claims data;… more
- Elevance Health (Atlanta, GA)
- …Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical -expense spending. The **Senior Investigator ** is responsible for the ... **Senior Investigator ( Investigator Sr)** _Location: This position...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim… more
- Elevance Health (Atlanta, GA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** Investigator II** is responsible for the ... ** Investigator II** **Supporting the Payment Integrity line of...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim… more
- Allied Universal (Atlanta, GA)
- …will reflect in our communities and customers we serve. We offer medical , dental and vision coverage, life insurance, retirement plan, employee assistance programs, ... and investigation jobs! Allied Universal(R) is hiring a Surveillance Investigator . Surveillance Investigators perform discreet mobile and stationary surveillance of… more
- Merck (Atlanta, GA)
- **Job Description** **Global Senior Director of Medical Affairs for Thoracic Malignancies** + The Global Senior Director of Medical Affairs (GDMA) for Thoracic ... Malignancies coordinates the development of the Global Scientific and Medical Affairs Plans for their assigned asset(s). + The GDMA contributes substantially to and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …in database research, which encompasses the analysis of national cancer registries, medical claims databases, and electronic health record (EHR) data. They ... programming in R and/or Python. COMPETENCIES: Experience in working with EHR and medical claims data. Strong interest in cancer prevention and control. Strong… more
- State of Georgia (Fulton County, GA)
- …meeting the minimum qualifications, meet one or more of the following: . Audit experience in medical claims and/or claims data. . Certification as a CPA or a ... typically includes a prosecutor, investigators, an auditor, a nurse investigator , and an intelligence analyst. Duties & Responsibilities +...with an accounting degree as well as auditing experience, medical claims and/or claims data.… more
- Highmark Health (Atlanta, GA)
- …specific to professional, hospital, ambulatory surgical center, home health and durable medical equipment to identify key areas of risk exposure and develop plans ... recover identified overpayments, performing a follow-up review to ensure that the claims were adjusted correctly, resulting in expected recovery/savings. + Perform … more