Senior Healthcare Fraud Investigator
CVS Health
CVS Health in the United States is seeking a Senior Investigator to conduct high-level investigations of healthcare fraud and abuse. You will handle complex cases, document activities, and coordinate with providers and law enforcement as needed. Travel up to 10% may be required. The role involves proactive data mining, presenting findings in formal settings, and contributing to the continuous fight against fraud while upholding safety and quality standards. #J-18808-Ljbffr
- ...health support ~ Dedicated in-house training team focused on helping you reach your full potential Role Focus The Fraud Investigator II role is focused on independently managing a broad range of fraud case types and contributing to fraud prevention initiatives...SuggestedFull timeWork experience placementWork at officeLocal areaRemote workWork from home
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- Grow Financial Federal Credit Union is seeking a Fraud Investigator II to independently manage a broad range of fraud case types and support fraud prevention initiatives. You will review predictive reports daily and collaborate with technical partners to understand outputs...Remote jobWork from home
- Grow Financial Federal Credit Union in Montana is seeking a Fraud Investigator II to independently manage a broad range of fraud case types and contribute to fraud prevention initiatives. This role bridges operational execution with emerging fraud trends, emphasizes daily...Remote jobWork from home
$104k - $143k
...Become a part of our caring community The Senior Research Scientist applies statistical, epidemiologic, and causal inference methods to large, complex healthcare datasets to evaluate clinical program performance, identify drivers of outcomes, and inform strategic and...SeniorFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$175k - $210k
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...Application Development & Maintenance partners with business leaders, investigates user needs and conducts regular assessments, maintenance and... ..., and a provider of performance and data solutions for healthcare facilities. We are a crucial link between the clinical and...SeniorFull timeTemporary workWork experience placementWork at officeLocal areaImmediate startRemote workFlexible hours$71.2k - $166.1k
...patients, and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data. It’s a big... ...Oracle Health Government Services is seeking a skilled Federal Senior Engineer/Architect (Principal Consultant) to join our mission-driven...SeniorTemporary workFlexible hours$105.79k - $141.05k
...ownership, deliver meaningful impact, and help shape the future of AI‑ready connectivity, join us today. The Role We are seeking a Senior Journey Marketing Manager to lead the end-to-end development, activation, and optimization of integrated customer journeys and...SeniorFull timeTemporary work- ...other Loyal Source clinics. Additional travel may be required for training or company events.About Loyal SourceLoyal Source provides healthcare and technology solutions designed to improve outcomes and support mission-critical operations. Guided by innovation and purpose,...For contractorsFor subcontractorWorldwideMonday to FridayWeekday work
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...Dental Fraud Investigator We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...company. Required Qualifications ~3-5 years of healthcare fraud investigations experience ~ Experience with Microsoft...SeniorHourly payFull timeTemporary workLocal area$133.85k - $163.85k
...Source clinics. Additional travel may be required for training or company events. About Loyal Source Loyal Source provides healthcare and technology solutions designed to improve outcomes and support mission-critical operations. Guided by innovation and purpose,...For contractorsFor subcontractorWorldwideMonday to FridayWeekday work- Are you a master of building codes ready to step into a pivotal leadership role? We are looking for a dynamic professional to plan, coordinate, and supercharge the day-to-day operations of our Plan Examination Section. In this role, you won't just look at blueprints—you...SeniorPermanent employmentFull timeContract workPart timeFor contractorsWork experience placementWork at officeImmediate start
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...and optimize operations. We are looking for an experienced Senior Customer Success Engineer to support our B2B clients, including... ...heating applications, food service and retail, transportation, and healthcare/life sciences. This new business also has a solution portfolio...SeniorFull timeTemporary workStart working todayLocal areaRemote workFlexible hours$113k - $234.6k
...building out a complete platform supporting modernized, automated healthcare. This is a net new line of business, constructed with an... ...class engineering center with the focus on excellence. As our Senior Applied Scientist, you will play a key role in shaping the future...SeniorTemporary workFlexible hours- Koniag Advisory Business Solutions, LLC is seeking a Behavioral Health Technician IV to support the KABS and our government customer at Crow Agency, MT. This on-site role requires the ability to obtain a Public Trust and delivers direct behavioral health care while collaborating...Senior
- Advocate Health seeks an experienced inpatient coder to join the Enterprise Revenue Cycle in Montana. You will code inpatient records using ICD-10-CM/PCS, CPT and HCPCS while ensuring accuracy and compliance with coding guidelines. The role requires coding certifications...SeniorRemote jobFull time
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Fully Remote World Trade Center Full time R188307 Job Description: The Clinical & Health Informaticist - Senior challenges the status quo of the healthcare experience through the Science of Informatics. This is an exciting field where experts innovate, design, simplify...SeniorHourly payFull timeRemote workFlexible hours- ...Senior Speech Language Pathologist Career OpportunityEmbrace Impactful Leadership as a Senior Speech Language Pathologist at Encompass HealthSeeking a career resonating with your heart and you need for community closeness? Encompass Health warmly invites you into an environment...SeniorFull timePart timeFlexible hours
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...one person, one family and one community at a time. Position Summary As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, those...SeniorHourly payFull timeTemporary workWork at officeLocal area$86.3k - $118.7k
Become a part of our caring community As a Senior Product Designer, you will help shape the end-to-end Part D (pharmacy) benefits experience... ..., enabling members to understand, access, and maximize their healthcare coverage with confidence. Through exceptional design execution,...SeniorFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$94k - $160k
...pharmacy with us. Job Posting Title Senior Actuarial Analyst - Remote Job... ...data mining and analyses to help investigate and answer challenging questions regarding... ...work experience to include 3 years in a healthcare organization or PBM ~ Actuarial designation...SeniorFull timeWork experience placementLocal areaRemote workVisa sponsorshipWork visa
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