• Lead , Special Investigation

    Molina Healthcare (Atlanta, GA)
    **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager, SIU, the Team Lead is responsible to lead a small team of investigators and provide ... Manager. This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight...provide oversight and guidance throughout the life of an investigation as well as QA reviews and approvals. In… more
    Molina Healthcare (02/20/25)
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  • Special Investigation Unit

    CVS Health (Atlanta, GA)
    …health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional ... responsible for overseeing and managing coding reviews for fraud detection, investigation , and prevention efforts to safeguard the organization's resources and… more
    CVS Health (12/25/24)
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  • Business Change Manager Senior - Special

    Elevance Health (Atlanta, GA)
    **Business Change Manager, Senior - Special Investigation Unit - Fraud and Abuse** **Location:** This position will work a hybrid model (remote and office). ... projects, programs and plans that support achievement of business unit and enterprise goals. **How you will make an...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
    Elevance Health (02/13/25)
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  • Consulting Director, DFIR, Reactive Services…

    Palo Alto Networks (Atlanta, GA)
    …expert-level guidance on all areas of cybersecurity and data breach response to Unit 42 clients across a wide array of industries, geographies, and organizational ... Experience** + Strategic mindset but also detail-oriented and hands-on ability to lead high-level discussion on DFIR technology strategy and approach both internally… more
    Palo Alto Networks (02/20/25)
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  • Roadway Design Segment Lead

    Parsons Corporation (Atlanta, GA)
    …for. **Job Description:** Parsons is now hiring for a talented **Roadway Design** **Segment Lead ** to join our team! In this role you will get to determine methods ... us and grow your professional career ! **What You'll Be Doing:** + Lead design development and engineering decisions on complex Design-Build/P3 projects + Maintain… more
    Parsons Corporation (01/08/25)
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  • ADP Program H&I Lead - Level 4

    Lockheed Martin (Marietta, GA)
    **Description:** ADP Program H&I Lead \- Level 4 b>We are _Lockheed Martin_ Lockheed Martin Aeronautics Company, home of the world\-renowned Skunk Works(R), turns ... ahead of ready\. As a program Harness & Interconnect lead in Skunk Works(R), you will play an integral...Citizen\. Our team supports programs that may require additional special access in addition to a DoD Secret clearance\.… more
    Lockheed Martin (01/09/25)
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  • Sr Integrity & Compliance Specialist (Labor…

    Honeywell (Atlanta, GA)
    …with HR, Legal, and business stakeholders + Provide briefings + Participate in and lead special projects as needed. BENEFITS OF WORKING FOR HONEYWELL In addition ... function, you will be reporting directly to the US&C Investigations Manager. In this role you will perform routine...You will be required to prepare clear and concise investigation reports (in our HR Acuity system) based upon… more
    Honeywell (01/31/25)
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  • Nurse/CPC - Clinical Fraud Investigator Senior

    Elevance Health (Atlanta, GA)
    …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of ... clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims...and risk avoidance based on the outcome of the investigation . + Coordinates with concerned unit /brand as… more
    Elevance Health (02/13/25)
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  • Clinical Provider Auditor I

    Elevance Health (Atlanta, GA)
    …coding and billing issues, trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of ... and risk avoidance based on the outcome of the investigation . **Minimum Requirements** + Requires a AA/AS and minimum...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
    Elevance Health (02/22/25)
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  • Associate Director, Clinical Program Quality

    Takeda Pharmaceuticals (Atlanta, GA)
    …are developed and completed within timelines mandated in internal procedures + Lead investigations into significant quality issues, scientific misconduct and ... and Development (R&D), Plasma Derived Therapy (PDT), Vaccines Business Unit (VBU), Oncology Business Unit (OBU) and...to key stakeholders and Management and appropriate and timely investigations and mitigations are in place. + Leads the… more
    Takeda Pharmaceuticals (02/09/25)
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