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Special Investigator Jobs in New York

126 jobs

Analyst, Special Investigation HVHC Inc. is a privately-held, for-profit holding company for a portfolio of vision companies which includes, among other companies, Davis Vision, Inc., and Visionworks of America, Inc. Together the vertically integrated company is the third largest provider of managed vision care products and services, and the third largest operators of specialty optical retail sto...
AMENDED (Those who previously applied need not re-apply) Position Summary: The Confidential Investigator will have wide latitude for independent action and decision, in the performance of highly confidential and sensitive investigations into allegations of corruption, misconduct, and/or other illegal, unethical, or improper activity by Department of Education employees. The Confidential Investig...
VRC Investigations is currently expanding our Special Investigations division (SIU). Veracity Research Company Investigations (VRC), is one of the nation’s leading and most experienced investigation companies. For 21 years, we have continued to commit ourselves to the utmost degree of integrity and professionalism specializing in all aspects of insurance defense investigations to include; claims i...
VRC Investigations is currently expanding our Special Investigations division (SIU). Veracity Research Company Investigations (VRC), is one of the nation’s leading and most experienced investigation companies. For 21 years, we have continued to commit ourselves to the utmost degree of integrity and professionalism specializing in all aspects of insurance defense investigations to include; claims i...
Fraud Examiner HVHC Inc. is a privately-held, for-profit holding company for a portfolio of vision companies which includes, among other companies, Davis Vision, Inc., and Visionworks of America, Inc. Together the vertically integrated company is the third largest provider of managed vision care products and services, and the third largest operators of specialty optical retail stores in the Unite...
Description: Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you do your life's best work...
Description: Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you do your life's best work...
VRC Investigations is currently expanding our investigations division. Veracity Research Co. Investigations (VRC), is one of the nation’s leading and most experienced investigation companies. We currently have career opportunities for experienced, self-determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat in...
VRC Investigations is currently expanding our investigations division. Veracity Research Co. Investigations (VRC), is one of the nation’s leading and most experienced investigation companies. We currently have career opportunities for experienced, self-determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat in...
Description: Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you do your life's best work...
Description: Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you do your life's best work...
Responsibilities: • Work with multiple stakeholders including other Compliance Testing professionals to promote consistent best practices, testing and sampling methodologies and standards. • Develop, in consultation with other members, best practices and compliance review programs for specific business units and products based upon applicable laws, regulations and internal policies. • Conduct c...
VRC Investigations is currently expanding our Special Investigations division (SIU). Veracity Research Company Investigations (VRC), is one of the nation’s leading and most experienced investigation companies. For 21 years, we have continued to commit ourselves to the utmost degree of integrity and professionalism specializing in all aspects of insurance defense investigations to include; claims i...
Job Description: Our client, a world-class, patient-centered hospital in the Greater NYC area, has an exciting opportunity to their high-functioning cohesive team. This position reports directly to the VP, internal Audit and has 2 direct reports, both Managers. The focus of this position is on Risk Assessment, planning and executing the annual work plan, and producing quality audit reports. The c...
Overview: Job Summary: The purpose of the Quality Assurance and Improvement Specialist is to promote conformance to standards and quality improvement in ICL and affiliate programs through ongoing monitoring, evaluation, consultation, education and the development of quality-related products and processes. Responsibilities: Essential Job Functions: Monitoring and Evaluation Activities Conduct ...
Overview: Job Summary: The purpose of the Quality Assurance and Improvement Specialist is to promote conformance to standards and quality improvement in ICL and affiliate programs through ongoing monitoring, evaluation, consultation, education and the development of quality-related products and processes. Responsibilities: Essential Job Functions: Monitoring and Evaluation Activities Conduct ...
POSITION SUMMARY Successful candidate will be responsible for the preparation of prior authorization, predetermination, medical claim review, high dollar claim review and other as required in a fast paced high volume environment. Fundamental Components: -Data enters requests for services including DME, physical therapy, inpatient and outpatient care, behavioral health services and testing as a...
Description We are Farmers! Join a team of diverse professionals at Farmers to acquire skills on the job and apply your learned knowledge to future roles at Farmers. Farmers Insurance also offers extensive training opportunities through the award winning University of Farmers named by Training magazine amongst top 10 corporate training units in the world. Start your career at Farmers today! Job...
Under the guidance of the Special Investigations Unit (SIU) Management, this position is responsible for the accurate and thorough clinical investigation of potential external fraud and abuse involving commercial and government lines of business. The scope of accountability includes investigating and remediating allegations of fraud, waste and abuse involving providers. Primary activities include...
POSITION SUMMARY: The Senior Associate’s responsibilities consist of assisting and supporting the team in planning, organizing, and executing risk based audits. Geographically, this position covers North, South and Central America, U.K. and Japan. POSITION RESPONSBILITY: · Responsible for assisting and supporting the team on all planned audits, that includes financial, operational, retail, comp...