Senior Investigator, Fraud & Abuse — Special Investigations
$46.99k - $112.2kCVS Health
CVS Health in Cheyenne, Wyoming is seeking an experienced investigator to tackle Pharmacy and Prescriber fraud. The role involves complex analysis, collaboration with Pharmacy Benefit Managers, and legal proceedings. Candidates should have 3-5 years of investigative experience in Healthcare fraud and a relevant degree. The position offers a competitive salary range of $46,988.00 - $112,200.00 and a comprehensive benefits package, including medical and wellness programs. #J-18808-Ljbffr CVS Health
$46.99k - $112.2k
...Conducts high level, complex analysis of Pharmacy and Prescriber behavior to effectively pursue the prevention, investigation and prosecution of Fraud Waste and Abuse. Collaboration with Pharmacy Benefit Manager, providing meaningful evidence of Fraud, Waste and Abuse to...SeniorFraudHourly payFull timeTemporary workWork at officeLocal area- CVS Health Meritain Health is seeking an SIU Investigator to support network cost management by pursuing prevention and prosecution of healthcare fraud and abuse, and to recover funds. The role requires conducting investigations, coordinating with law enforcement, and...SeniorFraud
- ...Enforcement Administration Criminal Investigator GL-1811-7/9/11 positions open... ...or questions about Special Agent positions, please visit... ...prepares and delivers briefings for senior personnel and other Federal,... ...have used illegal drugs or abused legal drugs or substances in...SuggestedPermanent employmentFull timePart timeCasual workWork at officeLocal areaRelocationTrial period
- ...Senior AI Engineer Anywhere Type: Contract Category: Data Industry: Insurance... ...solutions that improve claims triage, investigation, and operational efficiency. Senior AI... ...fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group...SeniorFraudHourly payContract workLocal areaRemote work
$145k - $165k
...Overview: The Senior Construction Scheduler is responsible for developing, maintaining... ..., and municipal utilities. Specializing in projects using natural gas, oil, biomass... ...local law enforcement agency and report fraud at . MasTec Clean Energy & Infrastructure...SeniorFraudDaily paidFull timeContract workTemporary workWork experience placementFor subcontractorWork at officeLocal areaFlexible hoursShift work$100k - $125k
...complex or technically difficult professional liability claims by investigating and gathering information to determine the exposure on the... ...cost for our clients. Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management...SeniorFraudWork at officeLocal areaRemote workFlexible hours$230.72k - $345k
...Job Summary The Senior Director, Biostatistics, provides leadership, oversight, and technical/scientific direction across multiple... ...****@*****.***) . Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and protection of your...SeniorFraudTemporary workLocal areaFlexible hours$150k - $160k
...a full-service engineering, fire investigation, environmental, health and safety,... ...we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert... ...Business Development is a senior growth leader responsible for accelerating...FraudWork at officeLocal areaRemote workFlexible hours$132.8k - $219.1k
...Openings 1 What Is the Opportunity? Investigate, evaluate, reserve, negotiate and... ...Control, nurse consultants and fire or fraud investigators and other experts. Verify... ...made to certain accounts, as outlined in Special Account Communication (SAC) instructions...FraudLocal area$10k
...grade level if you possess one (1) year of specialized experience, equivalent to at least the... ...in the use of firearms, preparing investigative reports, serving court orders (e.g., warrants... .... Leading investigations of fraud, contraband, criminal activity, threats...FraudFull timeLocal areaImmediate startRelocationNight shift- General Description This position serves as a Senior Economic Analyst responsible for... ...recommendations based on independent analysis, investigation, and research regarding all aspects of... ...& Workgroups : Participate in special studies or research workgroups within the...SeniorWork experience placement
$23.16 per hour
...utilizing the appropriate application and/or template. Identifies potential discrepancies in claim submissions and involves the Special Investigation Unit as necessary. Identifies issues which can be used to educate/train internal staff, streamline, and improve processes...SeniorFor contractorsWork at officeLocal area- ...Young World Physical Education is seeking a Senior Payroll Specialist in Cheyenne, Wyoming. The role includes managing accurate payroll... ...requires three to five years of relevant experience and specialized education in payroll or finance. Full-time commitment expected...SeniorFull time
- ...preparation produce platters/trays Inform customers of produce specials Recommend items to customers to ensure they get the products... ...or issues, and illegal activity, including: robbery, theft or fraud to store management Ability to work cooperatively in high...FraudSeasonal work
- ....6 billion in revenue for 2024, Clayco specializes in the "art and science of building," providing... ...projects. The Role We Want You For The Senior Site Safety Supervisor will provide... ..., and fire control procedures. Investigate all incidents and generate proper reports...SeniorPermanent employmentTemporary workFor contractorsFor subcontractorWork at officeLocal areaImmediate startLong distanceFlexible hours
- ...Job Title This is a senior-level position subordinate to the Groundwater Section Manager... ..., organizations or governing bodies to investigate groundwater conditions or implement... ...oral, and electronic communication, with special attention to detail. Competencies in...SeniorTemporary workWork experience placementWork at office
- ...camera systems to detect violations, suspicious behavior, theft, fraud, and other criminal activity. Safeguard company assets and... ...detailed written reports related to surveillance incidents and investigations. Preserve and export video evidence in accordance with policy...FraudNight shiftRotating shiftWeekend work
- ...Partner with Support and Engineering during incident and issue investigations, using technical expertise to accelerate resolution.... ...have any indication of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group: Eliassen Group is...FraudHourly payContract workLocal areaRemote work
$71.9k - $189k
...for filing in the Trial Master File (TMF) and verify that the Investigator's Site File (ISF) is maintained in accordance with GCP and local... ...process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application...FraudFull timePart timeLocal areaImmediate startWorldwide- ...make suggestions, and locate products Inform customers of produce specials and offer product samples to help customers discover new items... ..., or issues, and illegal activity, including robbery, theft or fraud Adhere to all local, state and federal laws, and company...FraudFull timePart timeSeasonal workLocal areaFlexible hours
- ...Cornerstone Senior Account Manager, Strategic Accounts The Cornerstone Senior Account Manager, Strategic Accounts owns the overall... ...State, or Local fair employment laws. If you have a disability or special need that requires accommodation, please contact us at careers@...SeniorLocal area
$27.81 per hour
...suggestions, and locate products. Inform customers of produce specials and offer product samples to help customers discover new items.... ..., or issues, and illegal activity, including robbery, theft or fraud. Adhere to all local, state and federal laws, and company guidelines...FraudHourly payFull timeSeasonal workLocal area$130k - $160k
...,000.00/yr Family Office Financial Services Firm is Seeking a Senior Tax Manager to Join Their Growing Team! This Jobot Job is hosted... ...resume. Salary $130,000 - $160,000 per year. A Bit About Us A specialized tax and wealth advisory firm supporting high-net-worth...SeniorWork at officeLocal areaRemote work3 days per week$99k - $225k
...Vetting: Applicants selected will be subject to a government investigation and may need to meet eligibility requirements of the U.S.... ...intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during interviews and assessments...FraudFull timeContract workPart timeWork at officeLocal areaRemote work$89k - $120.15k
...Job Description Summary A Vertica Senior Technical Support Engineer at Rocket Software delivers advanced Tier 3 Vertica support. They... ...individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please...Senior- ...compliance with Branch policies, statutes, rules, and regulations. Investigate irregularities or concerns identified through audit activities... ...‑sector budgeting processes. Internal control frameworks, fraud prevention techniques, and organizational risk management practices...FraudWork experience placementWork at officeNight shift
$102.3k - $209.5k
...automation, and operational support systems. Act as a Tier 2 and specialized escalation point for network incidents, driving root cause... ...actions, and long-term reliability improvements. Lead the investigation and resolution of complex network issues and large-scale...Temporary workFlexible hours$169.22k - $253k
...Management Systems for GMP activities supporting Investigational Medicinal Products and Commercial... ...and escalates quality issues to senior management when appropriate • Oversees... .... Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and...FraudContract workTemporary workLocal areaFlexible hours$94.1k - $155.3k
..., skill set, level of education, certifications, client requirements, contract-specific affordability, government clearance and investigation level, and years of experience. The compensation displayed for this role is a general guideline based on these factors and is unique...SeniorContract workWork at office- ...and verbal communication skills, with proven ability to brief senior leadership and translate technical risk into business terms. Demonstrated... ...or ability to obtain and maintain required background investigation; U.S. citizenship required. Preferred Qualifications...SeniorContract workWork experience placementWork at officeShift work
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