Senior Healthcare Fraud Investigator
CVS Health
CVS Health’s Meritain Health is seeking an SIU Investigator to support the Network Cost Management team. You will conduct investigations into healthcare fraud and abuse, recover funds, and ensure regulatory compliance across plans and practices. The role requires strong investigative skills, experience with healthcare claims, and ability to collaborate with law enforcement. This full-time position offers 40 hours weekly and a comprehensive benefits package. #J-18808-Ljbffr
- ...various issues, including physician agreements and compensation structures. The ideal candidate will have a J.D. and 5+ years of experience in a healthcare setting, focusing on delivering legal advice to mitigate risks. Attractive benefits are included. #J-18808-Ljbffr...SeniorRemote work
- ...A healthcare company based in Frankfort, Kentucky is seeking an experienced accounting professional. The role involves compiling, consolidating, and analyzing financial information to produce accurate financial statements. Key responsibilities include preparation of journal...Senior
- ...A prominent healthcare company located in Kentucky is seeking a Senior Counsel. In this role, you will provide legal guidance and support strategic initiatives for their senior-focused primary care operations. The ideal candidate has a Juris Doctorate, a minimum of 5...SeniorWork at officeRemote work
- ...advance the state of clinical development. We are seeking a Senior Director, Business Development with extensive experience with Biometric... ...sales, with a strong background in selling within the Healthcare and Life Sciences industry. ~ A history of achieving and surpassing...Senior
$57.7k - $81.6k
...Overview At Cardinal Health, we're developing innovative products and services that make healthcare safer and more productive. Join a growing, global company genuinely committed to making a difference for our customers and communities. What Account Management contributes...SeniorTemporary workWork experience placementLocal areaImmediate startFlexible hours$86.3k - $118.7k
...Advantage is sold, and we drive that change with our design. As a Senior Product Designer, you'll join a growing digital organization.... ..., work in an agile setting, and shape the future of digital healthcare through design. If you’re passionate about mobile‑first UX, honing...SeniorFull timeTemporary workApprenticeship$160k - $200k
...Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible... ...is actively seeking a detail-oriented and impact-driven Senior Data Engineer to strengthen our capabilities around reporting,...Senior$72k - $108k
A national health organization is seeking a Sales Professional to actively prospect for new business opportunities focused on health products. This remote role requires candidates to have at least 5 years of progressive experience and specific licensing in the health insurance...SeniorRemote work$101.3k - $168.7k
...significant interface with the Program Manager, senior technical staff on the contract, as... ...assured and compliant solutions for healthcare, we understand that digital... ...applicant may be subject to a background investigation and/or education verification. SMX does...SeniorContract workWork experience placementFor subcontractorH1bWork at officeRemote work$284.32k - $355.4k
...diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery,... ...individual for the position of Senior Medical Director, Clinical Research (Neurology... ...activities for the betterment of healthcare and fuller lives of people worldwide...SeniorWorldwideFlexible hours$83k - $166.1k
...Program Manager III to drive strategic operational programs across healthcare technology, financial planning, and regulatory initiatives.... ...based on program and business data. Facilitate discussions with senior leaders to align priorities, drive decision-making, and resolve...SeniorTemporary workFlexible hours$46.99k - $112.2k
...Prescriber behavior to effectively pursue the prevention, investigation and prosecution of Fraud Waste and Abuse. Collaboration with Pharmacy Benefit... ...Qualifications 3-5 years investigative experience in the area of Healthcare and Pharmacy fraud, waste and abuse. Knowledge of...SeniorHourly payFull timeTemporary workWork at officeLocal area$25.48 - $63.65 per hour
...Job Description Senior Consultant - Oracle Health - Prosthetics Location: United States Travel: Potentially up to 50% No... ...innovation, and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data. It's a big...SeniorHourly payContract workTemporary workWork experience placementLocal areaVisa sponsorshipFlexible hours$82.5k - $166.1k
...Job Description Travel: 80% Overview: Are you ready to take on a pivotal role in transforming healthcare systems? As a Senior Clinical Consultant, you will play a crucial part in shaping the clinical strategy for Post Go-Live (PGL) Readiness Methodology. This dynamic...SeniorTemporary workVisa sponsorshipFlexible hours$14.55 - $20.4 per hour
...maintains confidentiality Observes, apprehends, and/or deters any acts of dishonesty from outside sources Participates in investigations and surveillance as assigned Ensures apprehensions are consistent with store theft activity Completes and distributes...Hourly payTemporary workLocal areaHome officeFlexible hours$150k - $206.3k
...millions of members across the country with the goal of making healthcare more human, more compassionate, and more accessible. As we continue... ...frameworks to build empathy, drive decisions, and influence senior stakeholders. Use your skills to make an impact Required...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$114.6k - $234.6k
...product development and product strategy for Oracle Health while building out a complete platform supporting modernized, automated healthcare. This is a net new line of business, constructed with an entrepreneurial spirit that promotes an energetic and creative...Temporary workFlexible hours- A leading financial company is seeking a Senior Business Analysis Manager. The role involves shaping business strategies to drive growth and profitability while managing a team of analysts. The ideal candidate should have a strong background in quantitative and qualitative...SeniorRemote work
$100.7k - $181.3k
...spanning content delivery, cloud computing, and security. As a Senior User Experience Researcher, you will be responsible for: Leading... ...(ESPP). Akamai provides industry-leading benefits including healthcare, 401K savings plan, company holidays, vacation (in the form of...SeniorWork experience placementWork at office$105k - $130k
...Senior Analyst, Life Sciences Consulting Company: Dedham Group Location: Remote, United States Date Posted: Apr 25, 2025 Employment Type: Full Time Job ID: R-410 Description About Us We set out to develop a health care innovation organization that...SeniorFull timeTemporary workLocal areaRemote workFlexible hoursShift work$150.03k - $224.25k
...of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and... ...outside vendors (e.g., central labs, central IRB, IVRS), and investigative sites. Provide leadership and guidance to the clinical team to...SeniorContract workTemporary workWork at officeFlexible hours$71.2k - $158.2k
...technologies that empower patients, support clinicians, inspire innovation, and save lives. Our mission? **To create a human-centric healthcare experience powered by unified global data.** It's a big challenge, but big challenges are what we do best. We're already...Temporary workWork experience placementLocal areaFlexible hours$109.2k - $223.4k
Job Description Team Overview The Data Center Infrastructure Delivery team at Oracle Cloud Infrastructure is a dynamic group of professionals dedicated to delivering state-of-the-art data center facilities at scale and at pace. This team comprises experienced project...SeniorTemporary workFor contractorsFlexible hours$150k - $185k
A global engineering solutions company is looking for a remote Pricing Senior Manager to oversee pricing strategy and proposal submissions. The role requires extensive experience in proposal development, leadership skills, and advanced Excel proficiency. Applicants must...SeniorRemote work- ...A global professional services firm is seeking a Senior in Indirect Tax to manage compliance and strategy for sales and use tax. The role involves advising clients on regulatory changes and optimizing tax processes, requiring a minimum of 3 years of relevant experience...Senior
- A leading banking institution in Frankfort, Kentucky is looking for a Sr. Relationship Manager - Commercial Agriculture to develop a commercial loan portfolio and engage with clients in the Agriculture sector. This role requires strong sales experience, knowledge of banking...Senior
$76.52k - $163.9k
...Practice Solutions, your practice is our business. As the Sr. Practice Solutions Relationship Manager, you will evaluate the needs of healthcare professionals and business owners and design custom solutions to help them achieve their financial objectives. You will establish...SeniorWork experience placementLocal areaFlexible hours- A leading technology consultancy seeks a Principal Workfront Consultant to advocate for client success with Adobe Workfront. This role requires deep technical knowledge as well as strong relationship management skills. Responsibilities include developing success plans, ...SeniorRemote work
$150k - $190k
...A global IT solutions provider in Kentucky seeks a Senior Data Engineer to develop and manage data engineering solutions. This role involves driving organizational data strategy, collaborating with teams, and maintaining high coding standards. With over 10 years of experience...Senior$126.2k - $264.1k
...Job Description We are seeking a highly experienced Senior Principal Technical Program Manager (TPM) to lead complex customer engagements within our global Supply Chain Operations organization. This strategic role sits at the intersection of customer requirements,...SeniorContract workTemporary workFlexible hours
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