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Online Resumes with "Medical fraud"


11 Years of Experience in Asset Protection, Safety and Loss Prevention Management with High-Profile Companies, including Home Depot, Blockbuster, and General Nutrition Centers Consistent Track Record of Success in Reducing Shrink and Associated Costs, Achieving High Success Rate on Internal and External Theft Cases, and Strengthening Capabilities of Teams Over 18 years’ combined experience in law enforcement, safety and...

Tags for this Online Resume: Public and Private Sector Leadership Experience, Management-Professional Team Management, Loss Prevention Strategies and Best Practices, Advanced Interview and Interrogation Techniques, Security Technology Usage and Modifications, Asset Protection Policy and Process Integration, Risk Management Strategy Design and Execution, Senior Management Consultations/Support, Process and Organizational Change Solutions, Safety Planning and Prevention Techniques, CFI Certification, Basic Wicklander, Advanced Wicklander

Lead Compliance Analyst, Investigations Baltimore, Maryland

Medical legal professional with more than 14 years industry experience. Successfully investigate a wide-range of cases involving the practice of medicine, medical fraud, drug diversion, substance abuse and criminal related matters. Exceptional interviewing skills, ability to analyze complex data and provide effective testimony in administrative and criminal proceedings. Proficient in medical terminology and applying laws...

Tags for this Online Resume: Healthcare Investigations, Medical-Legal Investigations, Regulatory Compliance, Fraud, Medical Malpractice, Grievance/Complaints

Admissions Director

Tags for this Online Resume: Medical practice office manager, Weight management, Medical Spa manager, Medical fraud, Medical documentation, Laison, Medical documentation information analysis, Physician Laison, Medical records documentation analysis

R.N. Case Manager

Prefer telecommuter position with large health insurer.

Tags for this Online Resume: utilization review, discharge planning, disease management, medical fraud investigator, case manager

Administrative Services Manager

Tags for this Online Resume: Reimburstment , Dallas TX, Collection Manager, Public Health, Workers compensation, Medical Fraud investigation, Billing and Coding Manger

Board Certified Legal Nurse Consultant; Registered Nurse Auditor

Registered Nurse with 30 years experience recently certified as RN Auditor seeks challenging position working with Medical Fraud Investigation.

Tags for this Online Resume: Legal Nurse Consultant, Medical Chart Review, RN Auditor, Legal Nurse, Boston, Mass, Providence RI

Project Manager

QUALIFICATIONS PROFILE Highly accomplished professional, with both domestic and international experience in general and project management, strategic planning, and technology development with multinational, national and government organizations. Work experience of over 15 years in design, development and implementation of various healthcare oriented administrative, educational and software solutions. PROFESSIONAL CAREER STR...

Tags for this Online Resume: Business Development, Fraud, Services, Billing, Business Requirements, Coding, Documentation, Health Insurance Portability And Accountability Act, Interface Design, Jad, Electronic Medical Records, Clinical Improvement, Start Up, Practice Administration, Cybersecurity


Tags for this Online Resume: medical records review, time lines, medical, medical fraud, insurance defense audits, reports, osha compliance, HEDIS Reviews, CARA reviews, Diagnose coding, electronic medical records, research, billing audits, investigate cps cases, special investigations, Define applicable standars of care

Experenced Investigator-25 years experence

Seeking a corporate management position in an organization with growth potential where my extensive skills in corporate and professional investigation, marketing, technical and personnel management can help grow your organization in the field of Investigation, Insurance Fraud Investigation and Medical Fraud Investigation.