Behavioral Health Senior Investigator (BCBA), Special Investigations Unit (Aetna SIU) CVS Health CorpBehavioral Health Senior Investigator (BCBA), Special Investigations Unit (Aetna SIU)Hartford, CT$46,988–$112,200 / yearAnalyze clinical documentation, treatment plans, progress notes, billing records, and utilization patterns for indicators of inappropriate services, overutilization, unbundling, duplicate billing, or services not supported by clinical documentation. The Behavioral Health Senior Investigator is responsible for conducting complex investigations involving Applied Behavior Analysis (ABA) services and behavioral health providers to identify, detect, and prevent potential fraud, waste, and abuse (FWA).
SIU Investigator Centene Corporation GroupSIU InvestigatorCT$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.
Asset Protection Investigator Saks OFF 5THAsset Protection InvestigatorWest Hartford, ConnecticutAchieve targets of investigative performance by identifying and addressing internal and external theft exposures; complete accident investigations and general liability claims reports. Drive Asset Protection excellence by facilitating selling process through consistent adherence to policies and procedures that safeguard customers, associates and company assets.
Surveillance Investigator VRC InvestigationsSurveillance InvestigatorHartford, ConnecticutVRC provides their investigators with necessary equipment and comparable pay, to include drive time, above normal commute mileage reimbursement, company paid licensing fees in most states and allowance for non-reimbursed business expenses. 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 insurance fraud.
Investigator Ethos Risk ServicesInvestigatorHartford, CTFull timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
Director, Special Investigations Unit CVS Health CorpDirector, Special Investigations UnitHartford, CT$100,000–$231,540 / yearReporting to the SIU Executive Director, the Investigative Lead Director is responsible to detect, investigate, and mitigate Fraud, Waste and abuse across our Commercial and Medicare business lines. Provides guidance to and ensures training for Managers and investigators regarding obtaining evidence, sufficiency of evidence, investigative interviews, and other investigatory techniques and practices.
Special Agent U.S. Department of Homeland SecuritySpecial AgentNew Haven, CT$48,854–$118,204 / yearYou 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.
Clinical Research Coordinator 2 Yale UniversityClinical Research Coordinator 2New Haven, CT$65,000–$101,000 / yearHealthcare workers (HCW) are defined as university employees working a healthcare setting who have the potential for direct or indirect exposure to patients, human research subjects or infectious materials including body substance, contaminated medical supplies, devices and equipment, surfaces, or air. HCW have specific health requirements that must be met prior to starting work, including MMR vaccine or immunity, varicella (chickenpox) vaccine or immunity, TB screening, COVID vaccine according to University policy, hepatitis B vaccine or immunity, and annual flu vaccination.
MSL/Senior Medical Science Liaison, Neurology (Alzheimer's Disease) - Field Based, Adirondacks (Connecticut/ Western NY/ Bronx) EisaiMSL/Senior Medical Science Liaison, Neurology (Alzheimer's Disease) - Field Based, Adirondacks (Connecticut/ Western NY/ Bronx)Bridgeport, ConnecticutRemote$144,300–$189,400 / yearThe impact that a Medical Science Liaison will have on the organization includes the following: a) as a representative of Eisai, a MSL will communicate key information about Eisai, the company and its hhc mission; b) provide key scientific and clinical information about Eisai’s products/pipeline; serve as a conduit for communication between Eisai Research and the medical community regarding ideas for future research, and c) provide corporate value through demonstrated leadership, teamwork, participation in strategic thinking, and special projects. Training/Education Resource · Maintain and demonstrate thorough and up-to-date knowledge of disease state, study methodology, clinical information, and product data· Demonstrate full knowledge of and ability to execute on approved medical platforms/strategies and MSL initiatives· Serve as technical/scientific subject matter resource to Eisai cross functional partners· Teach, coach and mentor new or less experienced MSLs; assist with supervision/performance evaluation; assume responsibility for special projects.
MSL/Senior Medical Science Liaison, Neurology (Alzheimer''''s Disease) - Field Based, Adirondacks (Connecticut/ Western NY/ Bronx) Eisai IncMSL/Senior Medical Science Liaison, Neurology (Alzheimer''''s Disease) - Field Based, Adirondacks (Connecticut/ Western NY/ Bronx)New Haven, CTRemote$144,300–$189,400 / yearThe impact that a Medical Science Liaison will have on the organization includes the following: a) as a representative of Eisai, a MSL will communicate key information about Eisai, the company and its hhc mission; b) provide key scientific and clinical information about Eisai's products/pipeline; serve as a conduit for communication between Eisai Research and the medical community regarding ideas for future research, and c) provide corporate value through demonstrated leadership, teamwork, participation in strategic thinking, and special projects. MSLs will be trained and certified on AD and Eisai's dementia pipeline data in order to fulfill educational gaps with KOLs/HCPs and gather medical insights to refine medical strategy and continue to close the gap on unmet educational needs for AD HCPs.