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-LjbffrVacancy 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...
- ...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...
- ...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...
- ...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...
- ...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...
- ...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...
- ...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...
- ...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...
- ...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...
- ...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...
- ...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...
- ...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...
- ...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...
$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...- ...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...
- ...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...
$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...- ...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...
- ...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....
- ...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...
- ...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...
- ...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...
- ...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. •...
- ...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...
- ...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...
- ...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:...
- ...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...
- ...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...
$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...- ...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...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare Provider Fraud & Performance Investigator. Be the first to apply!

