FWA Auditor - Medicare/Medicaid Claims Investigator
Yoh Services LLC
Yoh Services LLC in Bowie, MD seeks an experienced FWA investigator to validate detection signals and produce substantiated findings to support fraud, waste, and abuse (FWA) product development. Responsibilities include reviewing claims flagged by detection logic, detailing billing patterns driving each case, advancing selects to substantiated findings, and collaborating with product and data science to refine rules. On-site three days per week in Bowie. #J-18808-Ljbffr Yoh Services LLC
$45.5 per hour
...Waste Abuse exp Commercial Medicare/ Medicaid on site Bowie MD 3 days a week... ...: Validate whether the FWA detection approach surfaces... ...development. Responsibilities Review claims flagged by detection logic... ...science teams to translate investigative judgment into refined...Suggested3 days per week$45.5 per hour
...Abuse exp\n \n Commercial Medicare/ Medicaid\n \n on site Bowie MD 3 days... ...: Validate whether the FWA detection approach surfaces... ...Responsibilities \n \n Review claims flagged by detection logic... ...science teams to translate investigative judgment into refined...SuggestedRemote job3 days per week$45.5 per hour
...Waste Abuse exp Commercial Medicare/ Medicaid on site Bowie MD 3 days a... ...: Validate whether the FWA detection approach surfaces... ...Responsibilities Review claims flagged by detection logic and... ...science teams to translate investigative judgment into refined detection...SuggestedContract workRemote work3 days per week$665 - $760 per week
Pay: $665-760 Weekly Location: Jessup, MD Shift: 1st | Monday - Friday | 6:30 am - Until Finish People want to work at Capstone because of our high-performance culture. We build strong relationships, challenge the status quo, work hard to deliver results, and pay it ...SuggestedWeekly payMonday to FridayShift work- Capstone Logistics, LLC is hiring for a warehouse associate in Jessup, MD. The role involves physically demanding pallet audits, equipment checks before each shift, and verifying product counts as part of daily site operations. You will work a fast-paced environment with...SuggestedWeekly payShift work
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$17 per hour
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...SOX & Regulatory Compliance (GovCon Focus) SOX Stewardship: Lead the Section 404 compliance program and coordinate with external auditors to ensure a seamless year-end execution. GovCon Oversight: Evaluate internal controls specific to government contracting environments...Remote jobPermanent employmentContract workWork at office- ...Job Description Job Description CyberLinx Solutions, LLC is seeking a SOC Analyst (Tier 2) / Security Incident Investigator to join our Security Operations Center(SOC). This role is responsible for conducting in-depth investigations of security alerts escalated by...
- ...on ensuring allowability, allocability, and reasonableness of subcontractor costs. The Senior Project Manager will lead a team of auditors and financial analysts in conducting incurred cost audits, evaluating accounting and estimating systems, reviewing cost/price proposals...Contract workWork experience placementFor subcontractor
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