Senior Healthcare Fraud Investigator
CareSource
CareSource in Kentucky is seeking an experienced SIU Investigator to lead high‑complexity healthcare fraud investigations, analyzing data to identify trends and patterns. You will serve as a subject matter expert and collaborate with data analytics to drive investigative outcomes. Ideal candidates have 5+ years of healthcare fraud experience, AHFI or CFE certification, and strong communication and leadership skills. Occasional travel and regulatory liaison duties are involved. #J-18808-Ljbffr
- ...Humana is seeking a Fraud and Waste Professional to investigate fraudulent and abusive healthcare practices. The role involves coordinating with law enforcement, gathering evidence, and auditing provider records to ensure accurate billing. You will prepare detailed investigative...SuggestedRemote work
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- ...Specimen Processor III Labcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improve outcomes. Through our...SeniorWork at officeMonday to FridayAfternoon shift
- ...Employee Benefits Corporation is hiring for a Fraud Prevention Analyst. In this role, you’... ...and operations. You’ll combine investigation, analytics, and risk management to uncover... ...services, benefits administration, healthcare, or another regulated industry Why EBC...Work at officeRemote workFlexible hours
- ...Employee Benefits Corporation is looking for a Fraud Prevention Analyst to protect EBC and its customers by identifying and managing fraud risks. In this role, you'll utilize investigation and data analytics to uncover fraud patterns and suggest preventive measures. The...Remote work
$50k
...Network, the leading Latino integration care nonprofit in the nation, offers the community, from children to seniors, a pathway to behavioral and primary healthcare, housing, and empowerment. We are visionary leaders transforming the triple aim of high quality, and great...SeniorImmediate start$70k - $105k
...from day one. About the Role Family banking has a distinct fraud profile. Minor cardholders face unauthorized transactions they... ...lifecycle transaction monitoring, and suspicious activity investigation, reporting directly to the Head of Compliance. This is a hands...H1bRemote workVisa sponsorshipWork visaFlexible hours$70k - $85k
...We are currently seeking an entry-level Staff candidate with up to two years of public accounting experience to work within our Investigative Accounting Group. We offer a flexible, hybrid work environment. Job Responsibilities The majority of our engagements involve working...Work experience placementLocal areaFlexible hoursNight shift- ...mix of 27 dynamic offerings that support users in academic, healthcare, and commercial organizations, Marietta’s LPG facility employs... ...Mentor managers and leaders on issues including restructuring, investigations and other complex employee issues. Conduct compensation...SeniorHourly payTemporary workLocal area
$70.1k - $126.2k
...role will be responsible for the development, implementation, investigation, monitoring and oversight of incident reporting at the member... ...live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that...Full timePart timeH1bWork at officeRemote workFlexible hours- 4004 Aetna Medicaid Administrators is seeking a SIU Investigator based in Oklahoma to investigate allegations of Medicaid healthcare fraud. The role involves managing a caseload, conducting interviews, and using data analytics to identify suspicious activities. Applicants...
$26 - $30 per hour
...Overview Investigator - Network Services Brooklyn, NY area Immediate need for an undercover... ..., technology, and expertise that help healthcare and government organizations protect... ..., strengthen oversight, and address fraud, waste, abuse, and operational risk....Hourly payFull timeH1bH2bLocal areaImmediate startWorldwideFlexible hoursNight shift- Rowan-Diagnostic-Clinic, PA in Forest Hills, North Carolina, is seeking a skilled medical coder to ensure accuracy and improve coding processes. This position requires at least 5 years of coding experience, particularly in multiple specialties including primary care and...SeniorCasual work
- ...facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery. Apply for this job Seniority level ~ Seniority level Mid-Senior level Employment type ~ Employment type Contract Job function Job function...Daily paidExtra incomeContract workWork at officeRemote work
$18.1 - $34 per hour
...laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and... ...and Accessioning team in New York, NY. The position, Senior Specimen Processing Specialist, will be responsible for performing...SeniorHourly payTemporary workCasual workInternshipWork at officeMonday to FridayFlexible hoursAfternoon shift$89.17k - $142.68k
...Job Description We are seeking a highly skilled Senior Data Analyst with deep expertise in Affordable Care Act (ACA) Risk Adjustment... ...that the most efficient procedures are used to access, investigate, and analyze data. Develop, analyze, report and interpret complex...SeniorWork at officeLocal areaRemote workFlexible hours2 days per week$75k - $105k
...role can be based in any of our major U.S. locations. As a Senior Sales Executive at Kuehne+Nagel, you will take a strategic role... ...Logistics shapes everyday life - from the goods we consume to the healthcare we rely on. At Kuehne+Nagel, your work goes beyond logistics;...SeniorFull timeLocal area$15.92 - $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 payFull timeTemporary workLocal areaHome officeFlexible hours- Centene Corporation in Kentucky is looking for a skilled professional to lead complex internal investigations. The ideal candidate needs 7+ years of experience in investigations, proficiency in regulatory compliance, and a bachelor’s degree in a related field. Knowledge...SeniorRemote jobFlexible hours
$140k - $170k
...diagnostic testing, information, and services to help them make better healthcare decisions. These are often serious decisions with far reaching... ...and hope.As a key member of the Communications department, the Senior Manager, Executive Communications will be both strategist and...SeniorFull timePart timeWork experience placementWork at officeFlexible hours3 days per week$108.15k - $119.62k
...Senior Equal Opportunity Investigator Job ID: 15197 Business Unit: MTA Headquarters Location: Brooklyn, NY, United States Regular/Temporary: Regular Department: Diversity and Equal Opp Date Posted: May 29, 2026 Description JOB TITLE: Senior Equal...SeniorFull timeTemporary workPart timeLocal areaWeekend workAfternoon shift1 day per week$107.23k - $133.27k
...DASNY - Dormitory Authority of the State of New York Title Senior Field Representative Occupational Category Other Professional... ...construction services to public and private universities, not-for-profit healthcare facilities, and other institutions which serve the public good....SeniorPermanent employmentFull timeContract workFor contractorsWork at officeRemote workWork from homeNight shift- ...The selected candidate will be required to undergo a background investigation conducted by the Port Authority Police Department (PAPD) The... ...and the World Trade Center campus. We are seeking a Senior Information Security Specialist who wants to make a significant...SeniorFull timeWork at officeRemote work1 day per week
$33.8 per hour
...Overview Senior Case Manager Non-Profit Leaders Can Work Anywhere....The BEST Work with Us! $33.80 per hour A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs across New York City and the greater New York Area....SeniorHourly payContract workFlexible hours$128k - $140k
Corebridge Financial is looking for a Senior Investigations Analyst in Jersey City, NJ. The role involves leading forensic investigations on security breaches and policy violations while using advanced tools such as Nuix and Axiom. Candidates should have over 4 years of...Senior- ...Job Description Job Description Job Title: Senior Scrum Master – Healthcare Location : Remote Compensation : 45-50$/Hr on C2C/1099 Work Authorization: GC, USC Role Summary We are seeking a Senior Scrum Master with strong healthcare IT experience to drive...SeniorRemote work
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