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Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare Alliance

Program Integrity Investigator (Healthcare Fraud Waste & Abuse)
Chicago, IL
Remote
  • Full time

Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

6 days ago

Post-Doctoral Fellow, Research Shirley Ryan AbilityLab

Post-Doctoral Fellow, Research
Chicago, IL
  • $47,300–$78,700 / year

The Post-Doctoral Fellow, Research will consistently demonstrate support of the Shirley Ryan AbilityLab statement of Vision, Mission and Core Values by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute. The fellow will lead interdisciplinary, translational research bridging muscle mechanics and multi-omics to uncover mechanisms of muscle dysfunction in chronic diseases (such as cancer) and inform precision rehabilitation strategies.

30+ days ago

Senior R&D Engineer UL Solutions Inc

Senior R&D Engineer
Northbrook, IL
  • $105,000–$125,000 / year

Stay ahead of changing technologies in the field by reading journals and scientific publications, attending academic conferences, writing, and collaborating on original publications, and delivering presentations on research engineering topics. UL Solutions delivers testing, inspection and certification services, together with software products and advisory offerings, that support our customers' product innovation and business growth.

30+ days ago

Special Agent U.S. Department of Homeland Security

Special Agent
Chicago, IL
  • $48,854–$118,204 / year

You are minimally qualified for the GL-07 Level starting base salary 48854 if you possess one of the following: A bachelors degree from an accredited college or university with Superior Academic Achievement (S.A.A.), which is based on: Class standing: Applicants must be in the upper third of the graduating class in the college, university, or major subdivision (such as the College of Liberal Arts or the School of Business Administration) based on completed courses. Grade-point average (G.P.A.): Applicants must have a grade-point average of 3.0 or higher out of a possible 4.0 (B or better) as recorded on their official transcript or as computed based on 4 years of education or as computed based on courses completed during the final 2 years of the curriculum.

30+ days ago

Clinical Research Coordinator Northwestern Memorial HealthCare

Clinical Research Coordinator
IL

Maintains research files, designs forms as needed, reports findings as appropriate, assists in preparation or review of material for submission to an IRB including reviewing and editing protocols and consent documents, where applicable. Attends investigator's meetings, coordinates and attends pre-study site visits, study initiation visits, and all other study-related visits by Monitors or Sponsor representatives, when required.

30+ days ago

Clinical Research Coordinator 3 University of Chicago

Clinical Research Coordinator 3
Chicago, IL
  • $65,000–$80,000 / year

Areas of expertise include anxiety and mood disorders, autism spectrum disorders, bipolar disorder and schizophrenia, dementia and cognitive disorders, eating disorders, obesity and related behavioral health conditions, substance use disorders, and impulse control and related disorders. The Clinical Research Coordinator III serves as a key point of contact for participating sites, study personnel, and research participants and their families, helping ensure study activities are completed accurately, consistently, and according to established timelines and requirements.

11 days ago

Parking Community Service Officer Northwestern University

Parking Community Service Officer
Evanston, IL

When assigned to the Residential Hall Security Program, under the general supervision of the CSO Supervisor: Monitors residents, visitors, employees, and vendors entering and exiting residence halls to ensure only authorized individuals are provided access; ensures residence hall entrances are locked, when required; conducts campus safety checks on foot or in a vehicle; reports to the University Communications Center safety and security issues such as broken doors, locks, and windows, suspicious or prohibited activity, hazards, and other issues affecting the safety and security of the residence halls; maintains close working relationships with residence hall staff and other campus partners; maintains guest logs and activity reports, provides room lockout assistance, and performs other related clerical duties as necessary; maintains professionalism while enforcing safety and security protocols; provides courteous and respectful information and assistance to students and others. Specific Responsibilities: When assigned to Parking Enforcement duties, under the general supervision of the Associate Director of Transportation & Parking: issues citations, boots and tows vehicles; maintains PARCs equipment; performs parking office duties when assigned including selling parking permits, enters permit data and violations, and performs related clerical duties; may operate departmental vehicles and is responsible for general condition and cleanliness of assigned vehicle.

30+ days ago

Project Manager- Data Centers (Design and Construction) Brailsford & Dunlavey Inc

Project Manager- Data Centers (Design and Construction)
Chicago, IL
  • $100,000–$150,000 / year

An opportunity for an experienced project management professional who enjoys leading complex, technically sophisticated projects and collaborating with clients, design teams, contractors, consultants, and other project stakeholders in a fast-paced environment. 5+ years of experience in project management, construction, real estate development, architecture, engineering, or related fields, with experience managing data center, mission-critical, technology, or other technically complex projects preferred.

14 days ago

Senior Design Specialist HBK Engineering, LLC

Senior Design Specialist
New Lenox, Illinois
  • Full time

We have successfully performed engineering work for a complete spectrum of utility infrastructure projects providing solutions and construction support from Coast to Coast in areas ranging from complex urban city centers, to rural greenfields, to limited access rights-of-way. The position involves independently applying extensive and diversified knowledge of engineering design principles and practices to solve complex project challenges while working on major projects or several projects of moderate scope with complex features.

7 days ago

Fraud Specialist II Banterra Corp.

Fraud Specialist II
Eldorado, IL
  • $19.86–$23.83 / hour
  • Part time

Expand on existing knowledge of fraud channels and activities, continually building skills regarding response procedures, identifying suspicious activity, and reporting structures while serving as a subject matter expert in at least one concentration. All employees are expected to protect the information and assets of the organization through heightened awareness of information security, cybersecurity, and risk management best practices, as well as complying with all applicable laws, regulations, and organizational policies.

30+ days ago

Senior Finance Solutions Specialist Marsh McLennan

Senior Finance Solutions Specialist
Chicago, Illinois

We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. This role encompasses solution architecture, technical support, application administration, stakeholder engagement, and team leadership, bridging business, finance, and technology to optimize our cloud-based service operations.

30+ days ago

Construction Compliance Specialist Consertus-US

Construction Compliance Specialist
Chicago, Illinois

Our integrated services span digital, advisory, and delivery, empowering organizations to navigate complexity, manage risk, and achieve strategic goals in sectors including aviation, transportation, transit, water, healthcare, energy, education, government, commercial, life sciences, and technology. This role supports projects delivered under various construction project delivery methods and focuses on ensuring that billed costs are properly authorized, supported, and compliant with contract requirements, applicable policies, and established invoice review procedures.

29 days ago

Sr. Client Accounts Specialist Alston & Bird

Sr. Client Accounts Specialist
Chicago, IL
  • $80,000–$90,000 / year

Manager of Client Accounts, this role supports a high‑performing team responsible financial operations, with a focus on delivering accurate and timely client account management across the firm. The ideal candidate is a proactive self‑starter with strong analytical and problem‑solving skills who enjoys working with financial data, taking ownership of the billing lifecycle, and ensuring a seamless client experience.

30+ days ago

Technical Service Specialist (Automotive Diagnostic Technician experience needed) Elgin Sweeper

Technical Service Specialist (Automotive Diagnostic Technician experience needed)
Elgin, IL
  • Full time

Lead and review CRM information for the inside service team and yourself, provide guidance and answer questions by dealers, customers and inside service in evaluating if product repairs and/or issues are covered under products warranty policy or should be considered for a good will or policy adjustment. With more than 100 years of experience, Elgin Sweeper offers municipalities, contractors and industries the most sweeper options in the country, using the latest sweeping technologies—mechanical, pure vacuum, regenerative air, alternative fuel and waterless dust control.

15 days ago

Crop Insurance Specialist Ryan Specialty Group

Crop Insurance Specialist
Chicago, Illinois

Differences in race, creed, color, religious beliefs, physical or mental capabilities, gender identity or expression, sexual orientation, and many other characteristics bring together varied perspectives and add value to the service we provide our clients, trading partners, and communities. The wage range for this role considers many factors, such as training, transferable skills, work experience, licensure and certification, business needs, and market demands.

30+ days ago

Field Services Specialist Vantive Health LLC

Field Services Specialist
Deerfield, IL
  • $60,000–$75,000 / year

Able to work in healthcare environments while adhering to PPE protocols (e.g., gowning, mask), and meet the physical demands of the role including standing, kneeling, bending, and regularly lifting up to 50 lbs, with occasional heavier lifting using appropriate aids. Contribute to team and organizational success by mentoring peers, sharing best practices, recommending service improvements, and keeping leadership informed of operational needs and challenges.

7 days ago

Senior RMF Specialist/ISSO Integral

Senior RMF Specialist/ISSO
Rock Island Arsenal, Illinois
  • Full time

Overview: The Senior RMF Specialist/ISSO is responsible for guiding IT systems through the entire Risk Management Framework (RMF) lifecycle to achieve and maintain the Authority to Operate (ATO) for US Army G2’s Intelligence Division (AMIS-IN), Security Division (AMIS-SE), and the Special Projects Office (SPO) (AMIS-SEP). · Stakeholder Coordination: Serve as the primary security advisor to the system owner and liaise with the Authorizing Official (AO) and other key stakeholders to ensure a clear understanding of system risks and compliance status.

30+ days ago

Electrical Specialist, 2nd Shift AWS Perfetti Van Melle Group BV

Electrical Specialist, 2nd Shift AWS
Loves Park, IL
  • $34–$38 / hour

At Perfetti Van Melle, we are committed to fostering a diverse, equitable, and inclusive workplace, where all individuals, regardless of background or identity, are valued, respected, and empowered to contribute their unique perspectives to the sweet success of our candy-loving community. Perfetti Van Melle (makers of Mentos, Airheads, Dentyne, Trident and Bubblicious!) is one of the world''s largest manufacturers and distributors of confectionery and chewing gum with global brands that are being enjoyed in more than 150 countries worldwide.

18 days ago

Field Service Specialist Vantive Health LLC

Field Service Specialist
Deerfield, IL
  • $60,000–$75,000 / year

Able to work in healthcare environments while adhering to PPE protocols (e.g., gowning, mask), and meet the physical demands of the role including standing, kneeling, bending, and regularly lifting up to 50 lbs, with occasional heavier lifting using appropriate aids. Contribute to team and organizational success by mentoring peers, sharing best practices, recommending service improvements, and keeping leadership informed of operational needs and challenges.

30+ days ago

Assessment Specialist FlexTG

Assessment Specialist
Chicago, IL
Remote
  • $25–$30 / hour

As a brand-neutral leader with a nationwide footprint, FlexTG delivers tailored managed print services to organizations of all sizes. The data you collect is essential in supporting our internal teams to design custom solutions and deliver exceptional results for our clients.

11 days ago
12

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