Senior Healthcare Fraud Investigator
CVS Health
CVS Health is seeking a Senior Investigator in Ohio to conduct high‑level investigations of healthcare fraud and abuse, including Medicaid matters, handling sensitive, national cases and providing testimony when required. Requirements: 4+ years in healthcare fraud investigations; CPT/HCPCS/ICD10 coding knowledge; advanced Excel pivot tables; willingness to travel up to 10%; Bachelor's degree or equivalent experience. Ohio residency preferred. #J-18808-Ljbffr
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Senior Healthcare Fraud Investigator in Columbus, OH vacancy
$65k - $88.6k
...our caring community Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit. Do... ...? But, most of all do you have a passion for combating Fraud, Waste, and Abuse in the Health Care Industry? If this resonates...SuggestedFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeHumana
Columbus, OH4 days ago$113.3k - $226.7k
...United States of AmericaTime Type: Full timeAbbott is a global healthcare leader that helps people live more fully at all stages of life.... ...being actively involved in local communities WHAT YOU’LL DOAs the Senior Principal Engineer - Operational Technology within Abbott...SeniorLocal areaShift work$66.64k - $78.4k
...and your family boost your health, protect your financial security and give you peace of mind. Our benefits include the following:Healthcare (medical, dental, vision)Basic term and optional term life insuranceShort-term and long-term disabilityPregnancy disability and...SuggestedFull timeWork at officeLocal area3 days per week- ...At Aspirion, our mission is simple and meaningful: to help healthcare providers get paid accurately, quickly, and transparently for the... .... About the Role: Impact you will make? The Senior Total Rewards Partner serves as a trusted advisor responsible for...Senior
Aspirion
Columbus, OH6 hours ago - ...creative, communications, and omnichannel strategies to win new business. Ideal candidates have 12+ years in brand/ CX strategy within healthcare advertising, with 5+ years in leadership. Salary ranges are competitive; growth and mentorship are emphasized within the...Senior
- A healthcare technology firm in Columbus is seeking a Senior Manager, FP&A to lead the financial planning for its Dispensing Network. The role involves managing a team, overseeing the P&L, and providing insights to support business decisions. Candidates should have 9+...SeniorFull time
$37 per hour
...Job title Senior Care Specialist (Registered Nurse) – Work From Home About Sagility Sagility combines industry-leading... ...and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members....SeniorHourly payDaily paidSeasonal workRemote workWork from homeSagility
Columbus, OH19 hours ago- ...Fraud InvestigatorFinancial fraud investigations require experienced professionals who can connect the dots, analyze complex activity, and work with partners across the financial system to resolve cases. German American Bank is seeking a Fraud Investigator to join our...Local area
German American Bank
Columbus, OH19 hours ago - Planate Management Group is seeking an experienced Project Manager to support the EHRM Infrastructure Upgrades Project at the Hudson Valley Health Care System, Montrose, NY. You will manage all professional and technical services through the VA design and construction delivery...SeniorFor contractors
- Southeast Healthcare in Columbus seeks a compassionate Program Manager to lead a residential behavioral health program for women with co-occurring disorders. The role blends clinical service, staff leadership, and program management to foster safety, recovery, and stability...Senior
- OH0713 NW Bancshares HQJob DescriptionThe Fraud Analyst is responsible for detecting, preventing, mitigating, and recovering from... ...also involves triaging reported activity and creating cases for Investigators to ensure timely and accurate escalation of fraud incidents....Full timeWork at office
- ..., earns national media attention and helps shape the future of healthcare communications. At MediaSource, we help many of the nation’s leading... ...organizations. Serve as a trusted advisor to executives and senior client leaders. Drive national media visibility through...Senior
The Business of HLTH Podcast
Columbus, OH19 hours ago - A leading healthcare provider is seeking a dedicated STNA to assist with daily living activities for senior residents in Columbus, Ohio. The role offers flexible scheduling, same-day pay, and a supportive work environment. Candidates must have a high school diploma and...SeniorDaily paidFlexible hours
- A healthcare organization in Gahanna, Ohio seeks a Cook to prepare and serve high-quality meals while ensuring food safety. The ideal candidate will have a high school diploma or GED and 1-2 years of cooking experience. Responsibilities include food preparation, inventory...Senior
- Michael Page US is assisting a leading Columbus GC with a Senior Project Manager role focused on healthcare construction projects over $100M. You will lead project safety, procurement, subcontract coordination, cost control, and client negotiations while leveraging strong...Senior
- ...Senior Healthcare Recruiter - Brand Development Step into the vibrant and innovative atmosphere of a dynamic Columbus, OH, as you embark on a transformative journey with MLR, where your recruiting expertise will truly shine. Imagine a city rich with flavorful cuisine...SeniorImmediate start
MLee Healthcare Staffing and Recruiting, Inc
Columbus, OH1 day ago $65k - $75k
The Blue Venture Fund is seeking a Senior Learning & Development Lead in Columbus, Ohio. This role will design and implement training... ...Advocates, facilitating onboarding and ongoing development in a healthcare setting. The ideal candidate has substantial experience in...Senior- ...including clinical nurses and treating MDs. The Care Management Nurse, Senior will report to the Manager, Care Management. In this role you... ...Requires at least 5 years of prior experience in nursing, healthcare or related field At least 3 years of managed care...SeniorFull timeWork at office
Blue Shield of CA
Columbus, OH3 days ago $75.7k - $98.9k
A leading academic institution in Columbus is seeking a Senior Data Management Analyst to manage and analyze healthcare data, support clinical efficiency, and ensure compliance. The ideal candidate has a Bachelor's degree in Data Analytics or related field, with at least...Senior- OhioHealth in Columbus, OH, is seeking a Facility Maintenance Technician to perform general maintenance, preventative maintenance, grounds keeping, and painting across patient care and administrative areas. You will support plant operations and respond to service calls ...Senior
- A healthcare tech firm based in Ohio is seeking a Senior Implementation Project Manager to oversee customer implementation projects. The role demands managing project plans, budgets, and timelines while collaborating with cross-functional teams. Ideal candidates will have...SeniorFlexible hours
- ...further to learn how you could help make great things possible not only in your community, but around the world. In the role of Healthcare Senior Design Coordinator, we'll count on you to: Independently evaluate, select and apply architectural techniques, procedures and...SeniorInternshipWork at office
- ...Join to apply for the Senior In-House Litigation Attorney role at Epic . This position is based at our Madison, WI campus and requires... ...complex litigation and counseling on regulatory, competition, healthcare law, and other areas of potential risk. You will handle and win...SeniorRelocationRelocation package
Epic
Columbus, OH2 days ago - Senior Implementation Project ManagerAt AssistIQ we are dedicated to creating a more efficient and transparent healthcare supply chain by fixing one of the core problems - providers lack accurate data and insights on their supply and implant usage. Our AI-driven software...Senior
$137k - $235.75k
...health is everything. Our strength in healthcare innovation empowers us to build a world... ...searching for the best talent for the Senior Medical Science Liaison-Neuroimmunology... ...provides research support for company and investigator-initiated research. The Sr. MSL will...SeniorFull timeLocal areaImmediate startNight shift- ...Senior Superintendent Lead high-profile projects with a top-tier, people-first construction firm. Enjoy award-winning culture, strong... .... Known for delivering high-quality work across commercial, healthcare, mission critical, and institutional sectors, they offer the resources...SeniorFor contractorsFor subcontractorWork at office
Michael Page
Columbus, OH4 days ago $95.6k - $188.4k
...role ends 10/30/2026Work You’ll DoAs a Senior Consultant, Forensics and Investigations, you will work with a cross disciplinary team to deploy a fraud detection accelerator for a large... ...Bachelor’s degree3+ years of experience in healthcare fraud and/or program integrity3+...SeniorLocal area- As a Health and Benefits Financial/Actuarial Senior Director, you will serve as the financial lead for large, complex client assignments. You’ll leverage your experience as a benefits financial/actuarial expert to make strategic recommendations on funding, plan design...SeniorTemporary workWork at officeLocal areaRemote workVisa sponsorshipWork visaFlexible hours
- Job DescriptionSUMMARY:The Senior Commercial Healthcare Relationship Manager is responsible for sourcing, structuring, and managing banking relationships with clients in the healthcare industry. This includes operators and owners of skilled nursing facilities, senior living...SeniorWork at office
$95.6k - $188.4k
...ends 10/30/2026Work You’ll DoAs a Senior Consultant, Forensics and Investigations, you will support the client by researching... ...information to identify potential fraud, waste, and abuse... ...into detection criteriaExperience in healthcare policy, program integrity, or regulatory...SeniorLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Healthcare Fraud Investigator. Be the first to apply!
Related searches
- fraud investigator Columbus, OH
- senior operations technician Columbus, OH
- senior cloud service delivery manager Columbus, OH
- senior it service manager Columbus, OH
- senior project engineer Columbus, OH
- senior chief engineer Columbus, OH
- sr operations manager Columbus, OH
- senior account director Columbus, OH
- senior director clinical development Columbus, OH
- senior customer service representative Columbus, OH