Data Scientist - REMOTE   The Data Scientist develops algorithms and codes packages using a variety of data mining/data analysis methods and data tools, builds and implements models, and creates simulations. Responsibilities include:  interpreting data, analyzing results using statistical techniques, and providing ongoing reports. Works collaboratively throughout the organization to identify opportunities to leverage Medicare and Medicaid data for the identification of potential fraud, waste, and abuse. This position will also serve as a data lead, and in addition to carrying out data analysis workload, the Data Scientist is expected to assist the management team with ad hoc tasks as well as mentor other data analysts.     In assuming this position, you will be a critical contributor to meeting CoventBridge Group's objective:  To provide services to our clients that exceed their expectations and contribute to improved healthcare delivery by identifying and eliminating fraud, waste and abuse.    The Data Scientist will report to the Data Manager and will work in our Grove City, OH office, or if not local, remotely from a home office.

Medicaid/Medicare Program Integrity Analyst I -  REMOTE   This position is responsible for assisting the Program Integrity Analyst II (PI2) and Program Integrity Supervisor with processing timely administrative actions.   In assuming this position, you will be a critical contributor to meeting CoventBridge Group's objective:  To provide services to our clients that exceed their expectations and contribute to improved healthcare delivery by identifying and eliminating fraud, waste and abuse.   This position will report directly to the Program Integrity Supervisor and will work in our Grove City, OH office. If not local, remotely from a home office. 

Medicare Medical Review RN (Medical Reviewer III) - REMOTE    The Medicare Medical Review RN (Medical Reviewer III) will primarily be responsible for conducting clinical reviews of medical records during the course of fraud investigations or other program integrity initiatives such as requests for information or in support of proactive data analysis efforts.  In addition, this position applies Medicare and Medicaid guidelines in making clinical determinations as to the appropriateness of payment coverage.      In assuming this position, you will be a critical contributor to meeting CoventBridge Group's objective:  To provide services to our clients that exceed their expectations and contribute to improved healthcare delivery by identifying and eliminating fraud, waste and abuse.   This position will report directly to the Medical Review Supervisor and will work in our Grove City, OH office.  If not local, remotely from a home office. 

Data Analyst II - REMOTE   The Data Analyst II will perform in-depth evaluation and analysis of potential fraud cases and requests for information using claims information and other sources of data. Support the development of complex cases that involve high dollar amounts, sensitive issues, or that otherwise meet criteria for referral to law enforcement, recoupment of overpayment, and/or administrative action based on reactive and proactive data analysis.   In assuming this position, you will be a critical contributor to meeting CoventBridge Group's objective: To provide services to our clients that exceed their expectations and contribute to improved healthcare delivery by identifying and eliminating fraud, waste and abuse. The Data Analyst II position will report to the Data Supervisor and will work in our Grove City, OH office, or if not local, remotely from a home office. 

Medical Records Technician Team Lead   This position provides onsite team leadership to the Medical Records Technician (MRT) staff, and provides clerical and administrative support for the Medical Review and Program Integrity (PI) Departments.   In assuming this position, you will be a critical contributor to meeting CoventBridge Group's objective:  To provide services to our clients that exceed their expectations and contribute to improved health-care delivery by identifying and eliminating fraud, waste and abuse.   This position will report directly to the Scanning Manager, and will work in our Grove City, OH office.