- CVS Health (Atlanta, GA)
- …deliver solutions to make health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our team of ... Certified Professional Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation , and prevention… more
- Elevance Health (Atlanta, GA)
- **Business Change Manager , Senior - Special Investigation Unit - Fraud and Abuse** **Location:** This position will work a hybrid model (remote and ... of our Elevance Health PulsePoint locations The **Business Change Manager , Senior** is Responsible for working with management to...projects, programs and plans that support achievement of business unit and enterprise goals. **How you will make an… more
- 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 ... daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on.... This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight… more
- Honeywell (Atlanta, GA)
- …in the greater Labor/Employee function, you will be reporting directly to the US&C Investigations Manager . In this role you will perform routine and complex ... You will be required to prepare clear and concise investigation reports (in our HR Acuity system) based upon...You will report directly to our US & Canada Investigations Manager , and you'll work out of… more
- Lockheed Martin (Marietta, GA)
- …We ensure those we serve always stay ahead of ready\. As a Production Engineering Manager \(L5\) in Skunk Works(R), you will play a critical role serving as the ... support\. Our team supports programs that may require additional special access in addition to a DoD Secret clearance\....network across organizations * Active DoD Clearance with an Investigation within the last 5 years **Desired Skills:** *… more
- 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
- Justice, Bureau of Prisons/Federal Prison System (Atlanta, GA)
- …basis. Requirements Conditions of Employment US Citizenship is Required. See Special Conditions of Employment Section. The Career Transition Assistance Plan (CTAP) ... Information This position IS NOT included in the bargaining unit . In accordance with 5 USC 3307, a maximum...this position is $122,587 per annum ($58.73 per hour). Special Conditions of Employment Section: Initial appointment to a… more
- Travelers Insurance Company (Alpharetta, GA)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc.… more
- 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...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Travelers Insurance Company (Alpharetta, GA)
- …as Social Security, Workers Compensation or others relevant to the jurisdiction. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigation ... nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings.… more