Sign up to access all features of our service
  • Job search
  • Favorites
  • Create a CV
    New
  • Subscriptions

Healthcare Provider Fraud & Performance Investigator

Ultimate.ai

Allianz seeks an investigator in Doha, Qatar to conduct objective, fair, thorough investigations of healthcare providers for fraud, waste and abuse, across regions. The role requires ingenuity to obtain case information and the ability to work independently with minimal supervision while managing a high volume of cases.

You will perform data mining and analysis, prepare comprehensive investigative reports, and collaborate with legal, finance and claims operations while upholding data governance

#J-18808-Ljbffr

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Healthcare Provider Fraud & Performance Investigator in Doha vacancy
  •  ...Medical Provider Performance Executive Job Overview This position is responsible for conducting objective, fair, thorough, unbiased and timely investigations of healthcare providers for fraud, waste and abuse committed against Allianz group or its Payers by members... 

    NEXTCARE Lebanon SAL QFC Branch

    Doha
    14 days ago
  •  ...Job Purpose Summary The Fraud Monitoring Analyst is responsible...  ...for continuous monitoring, investigation, and escalation of suspicious...  ...Financial Responsibilities Perform continuous (365/7/24)...  ...institutions, payment service providers, in accordance with approved... 

    ECCO Gulf Majorel Qatar

    Doha
    2 days ago
  •  ...We're Hiring: HR Performance Learn & Development Specialist We are supporting our client by hiring an experienced HR Performance...  ...development initiatives. Liaise with internal and external training providers to deliver learning programs. Monitor the implementation... 

    Swan Global

    Doha
    a month ago
  •  ...verifying formulary coverage, and coordinating with pharmacies, healthcare providers, and policyholders. The role ensures accurate and timely...  ...pharmacy records and update medication databases. Support fraud detection by identifying unusual or suspicious medication... 

    Swan Global

    Doha
    23 days ago
  •  ...Whether facing acts of fraud, government investigations or regulatory inquiries, major litigation or transactional...  ...a market leading team capable of providing board level strategic advice and...  ...fraud and anti-bribery frameworks, performance and efficiency improvement and cost... 

    Ernst & Young

    Doha
    14 days ago
  •  ...commercial, residential, mixed-use, healthcare, hospitality, and high-rise...  ...suppression systems. Monitor contractor performance and ensure quality standards are...  ...before project handover. Investigate fire system failures and provide corrective actions. Support... 

    Management Solutions International MSI

    Doha
    16 days ago
  •  ...cash flow reports. Present financial performance reports to hotel management and owners....  .... Safeguard hotel assets and prevent fraud. 8. Audit Coordination Coordinate internal...  ...Conduct performance evaluations and provide coaching. 12. Strategic Business... 

    PULLMAN

    Doha
    27 days ago
  •  ...repair of office equipment. 5. Monitor the performance of duties of all drivers in IOM Qatar....  ...to ensure there is no waste, fraud or misuse of equipment or materials and...  ...position is with direct reports) Leadership: Provides a clear sense of direction, leads by example... 

    International Organization for Migration

    Doha
    more than 2 months ago
  •  ...functions and satisfactory conduct and performance. The following are eligible to apply...  ...mailing lists of target audiences, and provide information through such means as press...  ...of candidates under consideration. Fraud warning The ILO does not charge any fee... 

    International Labour Organization

    Doha
    more than 2 months ago
  •  ...infrastructure used for meter data transmission. Investigate telecom failures, connectivity issues,...  ...activities, pending issues, and overall project performance in accordance with contract requirements. Provide advanced technical support during the installation... 

    Burjline Builders

    Doha
    8 days ago
  •  ...established technology solutions and services provider in Doha, Qatar. Our client is seeking a...  ...Center (SOC) by monitoring, detecting, investigating, and responding to cybersecurity...  ...- Investigate security incidents and perform root cause analysis.  - Analyze malware... 

    Black & Grey HR

    Doha
    18 days ago
  •  ...efficient service and conformance to standards. • Investigates reports and follows-up on employee accidents. •...  ...operations. Understands employee positions well enough to perform duties in employees' absence. • Provides the leadership, vision and direction to bring... 

    Marriott

    Doha
    14 days ago
  •  ...Exhibits culinary talents by personally performing tasks while leading the staff and...  ...exceed budgeted goals. • Effectively investigates, reports and follows-up on employee accidents...  ...Exceptional Customer Service • Provides services that are above and beyond for... 

    Marriott

    Doha
    8 days ago
  • $5000 per hour

     ...nursing team, under direct supervision, to provide basic activities of daily living care...  ...children. Demonstrates an understanding and performs basic infection control procedures...  ...Education High School Diploma Healthcare Assistant/Medical Assistant program graduate... 

    Management Solutions International MSI

    Doha
    15 days ago
  •  ...contribute to ongoing enhancement projects and provide expert technical support for key...  ...business-critical financial applications. Investigate and resolve complex system issues....  ...with vendors and internal stakeholders. Perform application testing and quality... 

    Urban Ridge Supplies

    Doha
    7 days ago
  •  ...quality standards. Monitor contractor performance and verify work progress. Conduct...  .... Prepare progress reports and provide updates to project stakeholders. Technical...  ..., safety audits, and incident investigations where required. Promote a strong safety... 

    Swan Global

    Doha
    23 days ago
  • $22000 per hour

     ...Management Supervise the activities and work performed by direct reports to ensure that it is...  ...individuals are certified. Provide technical support to F&G technicians on...  ...participate in job safety analyses and initial investigation of incidents in order to make sure that... 

    Management Solutions International MSI

    Doha
    6 days ago
  •  ...the Technical Institute. The role provides assurance to the Technical Institute Contract...  ...collection and analysis of performance data, and the identification of risks,...  ...Experience in exam security and malpractice investigation in high-stakes environments. Experience... 

    BAE Systems

    Doha
    5 days ago
  •  ...regulatory reporting, policy administration, investigations, training coordination, and maintaining...  ...& Documentation Gather data, perform basic analysis, and prepare compliance...  ...and external audit activities by providing required documentation and information.... 

    Swan Global

    Doha
    21 days ago
  •  ...Provide diagnostic imaging services within an international healthcare program where radiographic expertise, ultrasound capability, and interdisciplinary collaboration...  ...program excellence. Key Responsibilities Perform plain film radiography and diagnostic... 

    International SOS Government Medical Services

    Doha
    12 days ago
  •  ...functions and satisfactory conduct and performance. *Conditions of employment for external...  ...Qatar, as a team member, the incumbent provides a variety of general office support...  ...for online application procedures. Fraud warning The ILO does not charge any... 

    International Labour Organization

    Doha
    more than 2 months ago
  •  ...results with employees. • Empowers employees to provide excellent customer service within guidelines....  ...new employees. • Participates as needed in the investigation of employee accidents. • Communicates performance expectations to Housekeeping employees in accordance... 

    Marriott

    Doha
    11 days ago
  •  ...levels of hospitality and service are provided. Represents property management in resolving...  ...basis. • Strives to improve service performance. • Ensures compliance with all...  ...Activities • Participates as needed in the investigation of employee and guest accidents. •... 

    Marriott

    Doha
    a month ago
  •  ...Receive and take ownership of any guest complaints. Perform any appropriate investigation and follow-up with guests and associates coaching. Ensure...  ...close relationships with suppliers and service providers, ensuring that expected levels of quality are continuously... 

    Rosewood Hotel Group

    Doha
    14 hours ago
  •  ...market conditions. Egis’ long history of providing comprehensive engineering, consulting,...  ...minimize disruptions Analyze road performance data and maintenance metrics to optimize...  ...project information and asset data Investigate road failures and accidents to determine... 

    Egis Group

    Doha
    7 days ago
  •  ...A leading private healthcare provider in Doha is seeking a highly skilled Plastic Surgeon with a strong focus on facial aesthetic procedures...  ...a high-revenue practice. Key Responsibilities Perform a wide range of facial aesthetic procedures , including:... 

    Sylvcare

    Doha
    7 days ago
  •  ...Management Supervise the activities and work performed by direct reports to ensure that it is...  ...adherence to policies and procedures. Provide feedback in regard to baseload...  ...Report incidents and near misses. Perform investigations, determine root cause, and assign... 

    Management Solutions International MSI

    Doha
    19 days ago
  •  ...experienced engineering professional to provide technical leadership and client support...  ...internal teams and contractors. Investigate and resolve complex technical issues to...  ...Monitor service delivery against agreed performance standards and KPIs. Prepare technical... 

    Burjline Builders

    Doha
    7 days ago
  • $60000 per hour

     ...injuries, and disorders of the eyes and visual system. Perform comprehensive eye examinations and vision assessments....  ...standards and regulations. Collaborate with multidisciplinary healthcare teams to provide high-quality patient care. Participate in quality... 

    Management Solutions International MSI

    Doha
    a month ago
  •  ...across organizational structures. The role provides analytical insights that enable...  ...workforce dashboards, scorecards, and performance indicators. * Identify workforce trends...  ...large organization. * Experience within healthcare, academic medical centers, or complex service... 

    Management Solutions International MSI

    Doha
    27 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Healthcare Provider Fraud & Performance Investigator. Be the first to apply!