Healthcare Grievances & Appeals Investigator I
Blue Cross of Idaho
Blue Cross of Idaho is seeking a Grievance & Appeals Specialist I to analyze member appeals and grievances and manage related casework in Meridian, Idaho. The role requires applying policies, preparing case histories, and coordinating with committees. The ideal candidate has 3 years of health industry experience, strong communication skills, and familiarity with ICD-10 and CPT coding to support timely, compliant decisions. #J-18808-Ljbffr Blue Cross of Idaho
$65.3k - $111k
...Senior Fraud, Waste and Abuse Investigator Join PacificSource and help our members access... ...staff in Claims, Provider Network, Appeals and Grievances, Finance, Utilization Management and... ...of 5 years of experience with complex healthcare fraud investigations required. Experience...SuggestedContract workWork experience placementWork at office$65k - $88.6k
...caring community The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud... ...Required Qualifications • Bachelor's degree • 2 years of healthcare fraud investigations and auditing experience • Knowledge of...SuggestedFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- PacificSource seeks a Senior Fraud, Waste and Abuse Investigator to lead complex healthcare fraud investigations in Boise, ID. You will plan, conduct, and document on-site and desk-top reviews, leveraging OSINT to verify provider licenses and histories. You will advise...Suggested
$27.39 - $29.39 per hour
...Medicolegal Death Investigator Print ( Apply Medicolegal Death Investigator Salary $27.39 - $29.39 Hourly Location... ...details regarding our benefits package, including: paid leave, healthcare benefits, retirement benefits, and more! Use our Compensation...SuggestedHourly payFull timeContract workTemporary workWork experience placementWork at officeFlexible hoursWeekend work- Ada County seeks a Medicolegal Death Investigator (MDI) for the Coroner's Office in Idaho. The role covers death investigations, evidence collection, and potential testimony in court. Entry level with progression toward ABMDI certification under supervision. Candidates...SuggestedWork at office
- Ada County is seeking a Medicolegal Death Investigator (MDI) to support the Coroner's Office in medicolegal death investigations. Responsibilities include on-scene investigation, evidence collection, documentation, and potential testimony in court. The role focuses on...Work at office
$62.7k
...Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged... ...experience in the health insurance industry and/or healthcare fraud investigations Preferred 1 year in Financial Analysis...Contract workFor contractorsWork at officeLocal area$105.6k - $135.7k
...expected to report to that location three times a week, at a minimum Department Overview: As a member of the Employee Relations Investigations & Policy team, you will strive to be a role model for the Company by supporting the delivery of high-performance services with...Hourly payFull timeLocal areaRemote workWork from homeRelocation packageFlexible hours$25 - $32 per hour
Ready to put your surveillance skills to work for a national leader? Join Lemieux & Associates, a trusted leader in investigative services, and make an impact with your surveillance expertise. Our leadership team brings over 25 years of field experience and is committed...Part timeFlexible hours$20 - $26 per hour
Job Type: Part‑time, Billable Hours, Non‑exempt Job Title Surveillance Investigator Job Location Boise, ID Description Eager to start your career in a growing industry? Get paid to learn the ropes of fraud investigation and real-world surveillance. Frasco offers fully...Hourly payWeekly payPart timeWork at officeFlexible hoursNight shift- Frasco is seeking a Surveillance Investigator for a Boise, ID-based role. This part-time, non-exempt position offers paid training, weekly pay, and mileage reimbursement, with travel time compensated and a base hourly rate. You will gain hands-on experience in fraud investigation...Hourly payWeekly payPart timeFlexible hours
- Minimum of 1 year of specialized Federal Background investigative experience within the last 5 years; Must have some FIS Experience; Reliable personal vehicle, valid driver's license, and satisfactory driving record; Willing to travel on temporary duty assignments as needed...Contract workTemporary workFor contractorsWork at officeLocal areaImmediate startHome officeShift work
- Criminal InvestigationA description of the business units can be found at: are to be filled in the following area(s): CI - Criminal InvestigationConsider each location carefully when applying. If you are selected for a location, that location will become your official...
- Field Consultant Signature is looking to add a Field Consultant for the following counties: Ada, Boise, Canyon, Elmore, Gem Are you looking for a new career that allows you to work independently, is flexible, and challenging every day, then we have a new and exciting...For contractorsWork from homeHome officeFlexible hours
$14.55 - $20.4 per hour
...maintains confidentiality Observes, apprehends, and/or deters any acts of dishonesty from outside sources Participates in investigations and surveillance as assigned Ensures apprehensions are consistent with store theft activity Completes and distributes...Hourly payLocal areaHome officeFlexible hours- OMNIPLEX World Services Corporation is seeking Contract Investigators for nationwide assignments, based in Boise, ID. The role involves conducting in-person interviews, gathering information from diverse sources, and producing formal reports of investigation. Travel within...Contract workLocal area
- ...Job Description Job Description Description: Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect for a licensed investigator looking for flexible hours while providing expert investigative...Flexible hours
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