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Investigator jobs at Public Company Accounting Oversight Board

- 2 jobs
  • Sub Investigator

    Care Access 4.3company rating

    Memphis, TN jobs

    Care Access is working to make the future of health better for all. With hundreds of research locations, mobile clinics, and clinicians across the globe, we bring world-class research and health services directly into communities that often face barriers to care. We are dedicated to ensuring that every person has the opportunity to understand their health, access the care they need, and contribute to the medical breakthroughs of tomorrow. With programs like Future of Medicine, which makes advanced health screenings and research opportunities accessible to communities worldwide, and Difference Makers, which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Through partnerships, technology, and perseverance, we are reimagining how clinical research and health services reach the world. Together, we are building a future of health that is better and more accessible for all. To learn more about Care Access, visit ******************* How This Role Makes a Difference The Sub-Investigator will be responsible for regional travel mixed with remote tele-medicine work to support our clinical research. Care Access is looking for Nurse Practitioners or Physicians Assistants to support clinical trial related activities in states throughout the USA. How You'll Make An Impact * Work closely with the Principal Investigator to oversee the execution of study protocols, delegating study related duties to site staff, as appropriate, and ensuring site compliance with study protocols, study-specific laboratory procedures, standards of Good Clinical Practice (GCP), Standard Operating Procedures (SOPs), quality (QA/QC) procedures, OSHA guidelines, and other state and local regulations as applicable * Attends and participates in meetings with the director, other managers, and staff as necessary * Complies with regulatory requirements, policies, procedures, and standards of practice * Read and understand the informed consent form, protocol, and investigator's brochure * Be available to see subjects virtually or in-person as dictated by project design, answer their questions, and resolve medical issues during the study visit * Sign and ensure that the study documentation for each study visit is completed * Perform all study responsibilities in compliance with the IRB approved protocol * Review screening documentation and approves subjects for admission to study * Review admission documentation and approves subject for randomization * Provide ongoing assessment of the study subject/patient to identify Adverse Events * Ensure that serious and unexpected adverse events are reported promptly to the Pl * Review and evaluates all study data and comments to the clinical significance of any out of range results * Perform physical examinations as part of screening evaluation and active study conduct * Provide medical management of adverse events as appropriate The Expertise Required * Excellent working knowledge of medical and research terminology * Excellent working knowledge of federal regulations, good clinical practices (GCP) * Ability to communicate and work effectively with a diverse team of professionals * Strong organizational skills: Able to prioritize, support, and follow through on assignments * Communication Skills: Strong verbal and written communication skills as evidenced by positive interactions with coworkers, management, clients and vendors * Team Collaboration Skills: Work effectively and collaboratively with other team members to accomplish mutual goals. Bring positive and supportive attitude to achieving these goals * Strong computer skills with demonstrated abilities using clinical trials database, IVR systems, electronic data capture, MS word and excel * Ability to balance tasks with competing priorities * Critical thinker and problem solver * Curiosity and passion to learn, innovate, able to take thoughtful risks and get things done * Friendly, outgoing personality; maintain a positive attitude under pressure * High level of self-motivation and energy * Ability to work independently in a fast-paced environment with minimal supervision * Must have a client service mentality Certifications/Licenses, Education, and Experience: * Nurse Practitioner or Physician Assistant with 5+ years of clinical experience * Currently licensed in good standing in one or more states listed above * A minimum of 1 year of relevant work experience as Sub-Investigator (preferred) in a Clinical Research setting How We Work Together * Location: This role is 100% on-site at our Memphis, TN clinic. * Travel: This is a remote position with less than 10% travel requirements. Occasional planned travel may be required as part of the role. * Physical demands associated with this position Include: The ability to use keyboards and other computer equipment. Benefits & Perks * Paid Time Off (PTO) and Company Paid Holidays * 100% Employer paid medical, dental, and vision insurance plan options * Health Savings Account and Flexible Spending Accounts * Bi-weekly HSA employer contribution * Company paid Short-Term Disability and Long-Term Disability * 401(k) Retirement Plan, with Company Match Diversity & Inclusion We work with and serve people from diverse cultures and communities around the world. We are stronger and better when we build a team representing the communities we support. We maintain an inclusive culture where people from a broad range of backgrounds feel valued and respected as they contribute to our mission. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to, and will not be discriminated against on the basis of, race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Care Access is unable to sponsor work visas at this time. If you need an accommodation to apply for a role with Care Access, please reach out to: ********************************
    $56k-95k yearly est. 60d+ ago
  • Fraud Waste & Abuse (FWA) Investigator

    Summa Health 4.8company rating

    Akron, OH jobs

    Special Investigations Unit (SIU) Investigator SummaCare - 1200 E Market St, Akron, OH Full-Time / 40 Hours / Days Hybrid / Remote Protect Integrity. Uncover the Truth. Join Us as an FWA Investigator! Are you fueled by curiosity, driven by justice, and relentless in your pursuit of the facts? Step into a high-impact role where your investigative skills help safeguard healthcare systems from fraud, waste, and abuse - and ensure that resources go where they're truly needed. We're looking for a Fraud, Waste, and Abuse (FWA) Investigator to lead complex investigations, analyze patterns, ensure compliance, communicate via phone or in writing with members and providers and collaborate across teams to uphold compliance and accountability. Summary: Conducts medium to high complexity investigations under general supervision to effectively pursue the identification, prevention, and investigation of healthcare fraud, waste and abuse (FWA), to facilitate the recovery of lost funds, and to comply with state and federal regulations mandating fraud plans and practices. Maintains knowledge of current schemes and determines impact to the plan. Ensures the SIU processes and procedures reflect current industry norms. Formal Education Required: a. Bachelor's Degree, or equivalent combination of education and experience. Experience & Training Required: a. Five (5) years Fraud, Waste and Abuse identification and investigation. b. Special Investigations Unit (SIU) experience in a managed care setting. Essential Functions: 1) Works within industry groups, and known fraud, waste and abuse (FWA) data repositories to ensure a current knowledge and understanding of FWA schemes and industry practices. 2) Performs data mining to determine if identified FWA schemes are impacting the plan, summarize those findings and make recommendations for action including reporting and prevention. Documents all findings, decisions, and actions. 3) Maintains working knowledge of relative enterprise and local information systems, databases, data schemas, software packages, and business operations to facilitate precise, reliable and accurate fulfillment of information needs related to corporate operations. 4) Maintains employee, provider and member education as it relates to FWA. 5) Investigates assigned cases of FWA including coordinating and conducting on-site and desk-top audits, member and stakeholder interviews, outlier billing identification, contract and regulatory guidance analysis. 6) Manages the SIU prepay review process which includes requesting the implementation of prepay reviews, organizing the records, and reviewing submitted records or sending to the appropriate area for a medical/coding review. 7) Complies with SIU Policies and procedures as well as goals set by SIU leadership. 8) Prepares SIU documentation for arbitrations, legal procedures, and settlements. 9) Recommends claim handling based on medical record review and compliance with industry standard claim coding (CPT, HCPCs, ICD10. etc,) and payment policies. 10) Ability to effectively interact with populations of patients/customers with an understanding of their needs for self-respect and dignity. 3. Other Skills, Competencies and Qualifications: a. Demonstrate intermediate proficiency in MS Office, Project, and database management. b. Maintain excellent working knowledge of process improvement techniques, methodologies and principles applying these in the normal course of operations. c. Demonstrate excellent analytical and problem-solving skills. d. Apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions. e. Organize and manage time to accurately complete tasks within designated time frames in fast paced environment. f. Skilled at conducting analysis of claims data to identify aberrant patterns and support investigative activities. g. Maintain current knowledge of and comply with regulatory and company policy and procedures. h. Accredited Healthcare Fraud Investigator (AHFI) or Certified Fraud Examiner (CFE) preferred. i. Lean Six Sigma Yellow Belt preferred 4. Level of Physical Demands: a. Sit for prolonged periods of time. b. Bend, stoop, and stretch. c. Lift up to 20 pounds. d. Manual dexterity to operate computer, phone, and standard office machines As a regional, provider-owned health plan, SummaCare values the relationship between the members and their doctors. SummaCare is a part of Summa Health, an integrated healthcare delivery system that includes Summa Health System hospitals, its community-based health centers, dedicated clinicians and SummaCare. Based in Akron, Ohio, SummaCare provides Medicare Advantage, individual and family and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2025 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits. Equal Opportunity Employer/Veterans/Disabled $28.10/hr - $42.15/hr The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits. * Basic Life and Accidental Death & Dismemberment (AD&D) * Supplemental Life and AD&D * Dependent Life Insurance * Short-Term and Long-Term Disability * Accident Insurance, Hospital Indemnity, and Critical Illness * Retirement Savings Plan * Flexible Spending Accounts - Healthcare and Dependent Care * Employee Assistance Program (EAP) * Identity Theft Protection * Pet Insurance * Education Assistance * Daily Pay
    $29k-39k yearly est. 40d ago

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