Position Summary The Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider,…
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Payments And Product Partnerships Counsel Jobs
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Special Investigation Unit Lead Review Analyst II (Aetna SIU) at Cvshealth in Work From Home, United States. Remote.
Replit is the agentic software creation platform that enables anyone to build applications using natural language. With millions of users worldwide, Replit is democratizing software development by removing traditional barriers to application creation. About the Role We're hiring…
[About the role] We are looking for a dynamic and results-driven Business Development professional to drive strategic growth initiatives for one or more of our games. In this role, you will be responsible for building and managing high-impact partnerships across esports,…
Job Title: Consultant in Adult Psychiatry Grade: Consultant Location: Croydon, Surrey Working Hours: 22.5 hours per week We are currently seeking a highly skilled and experienced Consultant in Adult Psychiatry to join our esteemed client’s team in Croydon, Surrey. This is an…
Zscaler (NASDAQ: ZS) accelerates digital transformation so customers can be more agile, efficient, resilient, and secure. The Zscaler Zero Trust Exchange platform protects thousands of customers from cyberattacks and data loss by securely connecting users, devices, and…
Director - Forward Deployed Engineer is a Senior strategic technical leader who will shape the future of AI-powered solutions for Citi Payment Express. This role sits at the nexus of cutting-edge applied AI, modern software engineering, and high-impact client engagement —…
We're building the bank of The Free, and protecting users and resolving fraud reliably is core to our mission. We're transforming Fraud Ops from a reactive function into an AI-led capability that gets faster, smarter, and more accurate with every case. That transformation needs…
Role Overview We're hiring a Tech Lead for our Hedgi
Role Overview We're hiring a Staff Engineer to own t
INTENSIVE CARE NURSE (ITU) – BURTON Pulse Nursing is seeking skilled and experienced Intensive care nurses to join our team. As an ITU nurse, you’ll thrive in a fast-paced environment, working alongside healthcare professionals to deliver exceptional patient care. This role is…
INTENSIVE CARE NURSE (ITU) – DERBY Pulse Nursing is seeking skilled and experienced Intensive care nurses to join our team. As an ITU nurse, you’ll thrive in a fast-paced environment, working alongside healthcare professionals to deliver exceptional patient care. This role is…
As a Clinical Claim Review Nurse you will be responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems and uses clinical decision making to apply appropriate clinical…
Position Summary As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, those that are complex cases involving or cases involving multiple…
Position Summary Leadership and Team Management: Provide leadership to critical aspects of billing operations while managing smaller teams responsible for day-to-day operations. Team Development: Develop a team focused on managing electronic eligibility responses, timely billing…
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