NewDirector of Investigative Science (Principal Scientific Investigator) Macpower Digital Assets Edge Private LimitedDirector of Investigative Science (Principal Scientific Investigator)Seattle, WA$221,100–$260,100 / yearThe Director Investigative Science Division provides sponsorship of strategic efforts; oversight of the Investigative Science Division including assuring adequate staffing and ongoing quality improvement; supervision and mentorship of the managers and scientists in the Investigative Science Division; budgetary oversight; and oversees hiring and promotion policies and practices within the division. Applications are most welcome from well-qualified candidates with a strong track record of scientific administrative leadership in addition to having a proven track record of sustained extramural research funding and scholarly productivity as a Senior Investigator (or equivalent Full Professor) in Health Services Research, Behavioral Science, Health Policy, Epidemiology or other health science disciplines well-aligned with our mission and environment.
NewInvestigator - Asset Protection Operations Center - Corporate NordstromInvestigator - Asset Protection Operations Center - CorporateSeattle, Washington$23.75–$41.25 / hourJob Posting Description The Asset Protection Operations Center Investigator monitors Nordstrom alarm systems, supports overnight business operations, calls for assistance and provides basic Asset Protection support to corporate employees on alarm details. Ability to maintain a calm presence in the face of issues, disasters, trauma, etc. in support of your team and to drive the necessary support to ensure the best outcome for the issue(s) and/or incident(s) under your watch.
Surveillance Investigator Allied UniversalSurveillance InvestigatorSeattle, Washington$20–$24 / hourThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Seattle, WARemoteFull timeComplies 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).
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthWA$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.