COMPLIANCE INVESTIGATIONS CASE MANAGEMENT jobs in UNITED STATES, United Kingdom

and follow-up claim reviews, data requests, including fraud analytics software, audit case management system. Maintains...General Summary of Position MedStar Family Choice is currently seeking a Coding Compliance Auditor/Investigator...

Case Manager performs case management in the Child Welfare area of Investigations in accordance with DSS Policy, Mission... as assigned. Performs case management (ie, contacts, visitation, case planning) to a caseload of children and families...

Job description The Compliance Investigations Team (iTeam) is responsible for investigating reports of potential... third-party hotline and case management system vendor. The successful candidate will possess strong interpersonal...

2000 16th Street, Denver, Colorado, 80202, United States of America The Compliance Investigations Team (iTeam... as the primary point of contact for the third-party hotline and case management system vendor. The successful candidate...

that such results are communicated appropriately. Manage tools and templates for investigations, hotline, and case management systems... of Conduct, or company policies. This role has direct responsibility for conducting compliance investigations from the initial...

Job Description Summary Global Compliance, Investigations & Ombudsman Leader will set the strategy and lead the GE... conduct significant investigations Review and analyze case data, identify trends and keep key stakeholders apprised...

Job description Location: Hybrid, Denver, Colorado The Compliance Investigations Team (iTeam) is responsible... point of contact for the third-party hotline and case management system vendor. The successful candidate will possess...

do... Applicants must reside within commuting distance of the primary job location Leads claim investigations by conducting ongoing... to determine claim origination; managing media exposure during investigations; synthesizing information from outside counsel...

to Lilly and make an impact today! Litigation Case Management Provide legal support for all litigation and investigations... are determined to make life better for people around the world. Job Description Our Litigation Case Management Team...

will have demonstrated proficiency in case management and/or litigation support and experience performing examinations and appraisal..., case management, or government accounting What Would Be Nice To Have: Demonstrated experience using PowerApps...

Leads claim investigations by conducting ongoing medical and legal reviews; commissioning field investigators..., reconstructionists, and cause and origin specialists to determine claim origination; managing media exposure during investigations...

: Sr. Director - Open Reporting & Investigations Location: Dallas, TX (REQUIRED) McKesson’s Compliance & Ethics... management. Prepare reporting and analysis for McKesson’s Compliance Committee as well as internal senior leadership teams...

for each case. Document investigations and present findings to Management, HR, Compliance, and/or Legal as warranted. Undertake..., Investigations performs investigations or high risk and sensitive compliance matters as directed in support of CVS Health's Corporate...

settlements with providers. Maintain current case related information on all applicable case management tracking systems... overbilling and potential recoveries/ savings. Will be called upon as a subject matter expert for investigations providing...

-forward processes, case and performance management aligned to best practices, and policies and processes compliant with applicable laws..., and timely resolution. Utilize case-management systems and other company tools and resources to document findings, evidence...

investigations and case management activities. Maintains a supportive role through participation in collaborative projects... Organization Management System (QCOMS); to include documentation of case management activity and alignment with QCO Key Performance...

with Incident Supervisor; specific to incident investigations and case management activities. Maintains a supportive role through... as defined by IDD services. Utilization and navigation of the Quality and Compliance Organization Management System (QCOMS...