Senior Healthcare Fraud Investigator
$46.99k - $122.4kHispanic Alliance for Career Enhancement
CVS Health is seeking an experienced professional for a full-time role in health care fraud investigations in United States, Kentucky. The position requires a minimum of 3 years of experience in related fields and knowledge of health care coding systems. This role offers a competitive salary range of $46,988.00 - $122,400.00 and a comprehensive benefits package designed for the well-being of employees and their families. Join a passionate team at CVS Health to help simplify health care while making a positive impact in the community. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
- CVS Health in Pennsylvania is seeking a skilled professional to manage complex cases involving health care fraud. The candidate will investigate claims, collaborate with law enforcement, and ensure adherence to health care regulations. Interested individuals must hold a...SeniorFull timeWork at office
$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is hiring for a position focused on investigating healthcare fraud cases. The ideal candidate will have a Bachelor’s degree and at least 3 years of experience in fraud, waste, and abuse investigations. Responsibilities include...SeniorFull time$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is seeking a professional for health care fraud investigations. The role requires at least three years of experience in related fields and a Bachelor's degree or equivalent. You will investigate and document cases related to...Senior- CVS Health is seeking a qualified professional to manage health care fraud investigations. This role requires expertise in CPT/HCPCS/ICD coding and 3 years of experience in fraud investigations. You will investigate cases, document findings, and participate in legal proceedings...SeniorFull time
- A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates...Senior
$81k - $123k
...Adjuster experienced in handling General Liability claims. The candidate should have at least 4 years of experience and strong investigative and communication skills. Responsibilities include evaluating claims, analyzing coverage, and guiding clients through the claims...SeniorFull time- A government services firm in New York is seeking a Healthcare Fraud Investigator to provide legal support for government projects. The role requires proficiency in Microsoft Office and a bachelor's degree in a relevant field, along with three years of investigative experience...Full timeWork at office
- ...processes in Idaho. The role involves conducting audits and investigations into customer claims, analyzing data, and communicating... ...minimum Bachelor's Degree and 0-2 years of experience, with healthcare fraud experience preferred. This position offers a chance to contribute...
- A government services contractor is seeking a Healthcare Fraud Investigator to provide legal support on a large Government project. You will analyze data, review financial and legal documents, and support the development of case referrals. Candidates should have a relevant...Full timeFor contractorsWork at office
- HRA/DEPT OF SOCIAL SERVICES in New York is seeking a Fraud Investigator II to conduct detailed investigations of IDNYC applicants' documents. This role requires a four-year high school diploma and three years of experience in investigations involving criminal activities...SeniorFlexible hoursAfternoon shift
$50k - $70k
A leading insurance audit team is looking for experienced premium auditors in the United States. The position offers a competitive total compensation package, including an hourly base wage plus production bonuses that can total between $50K–$70K in the first year. Key ...SeniorHourly payRemote workWork from home- ...RELX INC is seeking a Senior Fraud Analyst responsible for providing investigative and analytical support to clients. This role involves analyzing data, developing methodologies to assess risk, and utilizing SQL and programming skills. A Bachelor's degree and 5+ years...SeniorRemote work
$108k - $184k
...A leading healthcare solutions provider in the United States is seeking an experienced M365/Azure Principal Systems Engineer to shape strategic direction and drive innovation in Microsoft cloud solutions. The ideal candidate will have over 7 years of technical experience...SeniorRemote work$70k - $90k
...A leading healthcare analytics firm is seeking a Senior Investigator to investigate incidents of healthcare fraud, waste, and abuse through data analysis. This remote position requires a Bachelor's degree, 5-8 years of experience in healthcare FWA investigations, and advanced...SeniorRemote work- CCSi in New York seeks a financial services leader to enhance fiscal strategies for human-centered organizations. The role emphasizes collaboration with executive leaders, mentoring staff, and ensuring exceptional client service. Candidates should possess an advanced degree...Senior
- A next-generation payments platform is seeking a Fraud/Risk Analyst to join its Risk & Compliance team in New York. The role focuses on... ...offers the opportunity to build a robust fraud detection framework and work closely with senior leadership. #J-18808-Ljbffr fin.techSenior
$70k - $90k
...Senior Investigator - Pre-Pay (Healthcare FWA) Job Location: US-Remote Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is...SeniorWork experience placementWork at officeRemote workWork from home$161.6k - $202k
...people. Headway's mission is to fix this by building a new mental healthcare system everyone can access. We started by solving the biggest... ...: To protect yourself against phishing and recruitment fraud, please note that Headway only accepts applications through our...SeniorWork from homeFlexible hours$62k - $106.39k
A prominent healthcare institution in New York is seeking a Senior Associate Researcher. This role is ideal for a dedicated scientist focused on advancing research and potentially moving into managerial responsibilities. You will lead key projects, conduct experiments...Senior$187k - $253k
...Consumer Group. We are seeking a brilliant and passionate Senior Staff Analyst for Fraud Policy to be a key player in safeguarding our ecosystem... ...regulations. Responsibilities Fraud Detection & Investigation Monitor alerts and analyze real-time signals to detect...SeniorRemote work- A prominent healthcare organization in New York is seeking a Hospital Care Investigator to supervise investigations for medical assistance eligibility. The role requires a person-centered approach aligned with the ICARE values. Candidates should have six months of experience...SeniorFull time
- Conduct complex, in-depth investigations of reported fraud involving the full range of healthcare products. Develop and maintain relationships with law enforcement (HHS-OIG, FBI, DOJ), regulatory agencies (DFS, MEDIC, OMIG, MFCU) and with industry peers. Provide guidance...SeniorRemote jobWork experience placement
$68k - $80k
We are the market research partner of choice for healthcare, pharma and biotech businesses seeking a competitive edge, through scientifically... ...projects, taking any necessary remedial action as agreed with Senior Management What we’re looking for: Experience in market...SeniorFreelanceLocal areaWorldwideFlexible hours$17 per hour
..., education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating... ...funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges....Hourly payDaily paidFull timeTraineeshipLocal areaShift work- ...Senior Research and Operations Executive (healthcare market research) Remote-based This is a night shift position. Hours: 9pm to 6am PH time About Us: At Branding Science Research, we're not just another consultancy - we're pioneers in the fusion of behavioural, marketing...SeniorWork at officeRemote workWork from homeShift workNight shift
- A prominent healthcare provider in New York seeks a professional to assist sexual assault survivors in the Emergency Department. Responsibilities include responding to requests, providing medical and forensic assessments, and maintaining detailed documentation. Candidates...
- ...partners.* Stay informed on **market access and payer dynamics**, healthcare policy changes, and regulatory or compliance requirements (e.g.... ...* Demonstrated success engaging and influencing C-suite and senior executives* Deep understanding of Life Sciences commercialization...SeniorImmediate start
- ...A healthcare technology company is seeking a Senior Marketing Manager, Demand Generation to develop and execute strategies that drive revenue growth. The ideal candidate has over 7 years of B2B marketing experience, specifically in demand generation. You will manage multi...Senior
- ...About Stellar Health Historically, US Healthcare has relied on a fee-for-service reimbursement system where providers are paid based on... ...practices and their patients. Stellar Health is looking for a Senior Manager - Information Security, Governance, Risk, and Compliance...SeniorInterim roleWork at officeImmediate startRemote workWork from homeFlexible hours
$182k - $227k
...the mass increase in depression and anxiety, the need for accessibility is more important than ever. To make our vision for mental healthcare a reality, we're building a team of entrepreneurs and mission-driven go-getters. Since launching in February 2021, we've...SeniorFull timeWork at officeLocal areaRemote workHome officeFlexible hoursDay shift3 days per week
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