• Investigator , Special

    Evolent (Atlanta, GA)
    …more connected care journey. We are hiring for an Investigator to join our Special Investigations Unit . Evolent's Special Investigation Unit ... and abuse. **Collaboration Opportunities:** As an investigator with Evolent's Special Investigations Unit , you will have the opportunity to work closely… more
    Evolent (02/21/25)
    - Related Jobs
  • Nurse/CPC - Clinical Fraud Investigator

    Elevance Health (Atlanta, GA)
    …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... **Nurse/CPC - Clinical Fraud Investigator Senior - SIU Fraud & Abuse** **Location:**...clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims… more
    Elevance Health (02/13/25)
    - Related Jobs
  • Investigator , SIU RN

    Molina Healthcare (Atlanta, GA)
    **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to make medical determinations… more
    Molina Healthcare (01/21/25)
    - Related Jobs
  • Sr Integrity & Compliance Specialist (Labor…

    Honeywell (Atlanta, GA)
    …(Labor & Employee function) Charlotte, Atlanta, Houston, Phoenix As a Sr. HR Investigator in the greater Labor/Employee function, you will be reporting directly to ... the US&C Investigations Manager. In this role you will perform routine...stakeholders + Provide briefings + Participate in and lead special projects as needed. BENEFITS OF WORKING FOR HONEYWELL… more
    Honeywell (01/31/25)
    - Related Jobs
  • Associate Director, Clinical Program Quality

    Takeda Pharmaceuticals (Atlanta, GA)
    …programs in Research and Development (R&D), Plasma Derived Therapy (PDT), Vaccines Business Unit (VBU), Oncology Business Unit (OBU) and Global Medical Marketed ... compliance risks to key stakeholders and Management and appropriate and timely investigations and mitigations are in place. + Leads the clinical pre-approval… more
    Takeda Pharmaceuticals (02/09/25)
    - Related Jobs