CoventBridge Group

The investigator will conduct discreet, vehicle-based field investigations, including initial research, mobile and stationary surveillance to capture high-quality video evidence, and writing court-ready reports documenting findings. Daily duties involve uploading reports and video footage from a personal laptop and staying connected with a field supervisor for support.

The investigator will conduct discreet, vehicle-based field investigations, including initial research via social media and databases, followed by mobile and stationary surveillance to capture high-quality video evidence. Key duties also involve writing court-ready reports and submitting all findings and footage through the company system.

The investigator will conduct discreet, vehicle-based field surveillance to track subjects and capture high-quality video evidence related to insurance fraud cases. Key duties also include performing initial research, writing thorough court-ready reports, and submitting all evidence digitally.

The investigator will conduct discreet, vehicle-based field investigations, including mobile and stationary surveillance, to gather high-quality video evidence related to insurance fraud cases. Key duties also involve thorough case preparation through research and writing court-ready reports documenting findings and submitting evidence daily.

The investigator will conduct discreet, vehicle-based field investigations, including mobile and stationary surveillance, to gather high-quality video evidence related to insurance fraud cases. Key duties also involve initial case preparation using research tools and writing thorough, court-ready reports documenting findings.

The role involves conducting thorough reviews of medical records and billing documentation to assess accuracy, consistency, and medical necessity, while identifying patterns of overutilization or potential fraud. The clinician will also provide clinical expertise to investigators and legal personnel, prepare detailed summary reports, and potentially testify as a clinical expert.

The Program Integrity Audit Analyst II evaluates leads for performance audits of Medicaid Managed Care Plans to detect fraud, waste, and abuse, issuing findings and recommendations to identify improper payments. This role involves planning, coordinating, and conducting these audits in compliance with Government Auditing Standards and developing supportable written reports.