Principal Investigator Care Access Research LLCPrincipal InvestigatorFayetteville, NCRemote$200,000–$400,000 / yearWith programs like Future of Medicine, which makes advanced health screenings and research opportunities accessible to communities worldwide, and Difference Makers, which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Provide medical support to sub-investigators and study staff for protocol-related issues including protocol clarifications, inclusion/exclusion determinations, and issues of patient safety and/or eligibility.
Senior Fraud, Waste and Abuse (FWA) Investigator PacificSource Health PlansSenior Fraud, Waste and Abuse (FWA) InvestigatorNC$65,296.83–$111,004.62 / yearEssential Responsibilities: Independently plan, conduct, and manage prompt, thorough onsite and desk-top investigations of health care claims, Thoroughly document investigative findings and actions to create comprehensive case files in accordance with established policies and procedures. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork.
SIU Investigator Centene Corporation GroupSIU InvestigatorNC$56,200–$101,000 / yearCollaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.
Contract Investigator - Fort Bragg, NC OMNIPLEX World Services Corporation, A Constellis CompanyContract Investigator - Fort Bragg, NCFort Bragg, North CarolinaWork hours vary depending on availability of leads and do not always fall within normal business hours, to include potential weekend hours or third-shift appointments. We are a trusted provider of high quality background investigations programs to Department of Homeland Security (DHS) and the intelligence community at locations throughout the United States.
Contract Investigator - Waynesville, NC OMNIPLEX World Services Corporation, A Constellis CompanyContract Investigator - Waynesville, NCNorth CarolinaWork hours vary depending on availability of leads and do not always fall within normal business hours, to include potential weekend hours or third-shift appointments. We are a trusted provider of high quality background investigations programs to Department of Homeland Security (DHS) and the intelligence community at locations throughout the United States.
Contract Investigator - Fayetteville, AR OMNIPLEX World Services Corporation, A Constellis CompanyContract Investigator - Fayetteville, ARFayetteville, North CarolinaWork hours vary depending on availability of leads and do not always fall within normal business hours, to include potential weekend hours or third-shift appointments. We are a trusted provider of high quality background investigations programs to Department of Homeland Security (DHS) and the intelligence community at locations throughout the United States.
Contract Investigator - Cherry Point, NC OMNIPLEX World Services Corporation, A Constellis CompanyContract Investigator - Cherry Point, NCNorth CarolinaWork hours vary depending on availability of leads and do not always fall within normal business hours, to include potential weekend hours or third-shift appointments. We are a trusted provider of high quality background investigations programs to Department of Homeland Security (DHS) and the intelligence community at locations throughout the United States.
Civilian Traffic Crash Investigator/Public Safety Aid - Part-Time Town of Southern PinesCivilian Traffic Crash Investigator/Public Safety Aid - Part-TimeSouthern Pines, NC$23–$29 / hourAbility to successfully complete the approved training course published through the North Carolina Justice Academy, and complete no less than four weeks (160 hours) of field training with an officer experienced in working traffic crash investigations. Under the direction and oversight of the Operations Captain, the Civilian Traffic Crash Investigator/Public Safety Aid is a Part-Time civilian position which primarily responds to and investigates minor traffic accidents and completes DMV-349 accident reports.
Sub Investigator Care AccessSub InvestigatorFayetteville, NC$120,000–$150,000 / yearWith programs like Future of Medicine, which makes advanced health screenings and research opportunities accessible to communities worldwide, and Difference Makers, which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Perform trial procedures as per delegation which can include the following but not limited to: Prescreen study candidates by telephone and review exclusionary conditions or medications prior to scheduling screening appointment.
Senior Compliance Investigator Centene Corporation GroupSenior Compliance InvestigatorNC$70,100–$126,200 / yearLeads and conducts compliance and ethics investigations across all business units and health plans, including but not limited to assessment of allegations, review of relevant documents, witness interviews, analysis of facts, root cause analysis, and preparation of investigation reports with recommended remedial or disciplinary actions. Education/Experience: A Bachelor's Degree in Related Field or Associates with 5 years of applicable experience, or a High School/GED with 6 years of applicable experience may substitute for the Bachelor's Degree, required.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthNC$56,200–$101,000 / yearPosition requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals.
Senior Fraud, Waste and Abuse (FWA) Investigator PacificSourceSenior Fraud, Waste and Abuse (FWA) InvestigatorNorth CarolinaIndependently plan, conduct, and manage prompt, thorough onsite and desk-top investigations of health care claims, Thoroughly document investigative findings and actions to create comprehensive case files in accordance with established policies and procedures. Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Compensation Disclaimer .