Healthcare Fraud Investigator
Highmark Health
Highmark Inc. seeks an experienced anti-fraud investigator to develop and maintain an enterprise fraud program, deliver training, and file fraud plans and reports. You will conduct investigations into fraud, waste and abuse across providers, members, facilities, pharmacies, groups, and employees, and may testify in court. Field investigations and coordination with law enforcement are required. You will perform audits, support regulatory compliance, and help recover misappropriated funds while #J-18808-Ljbffr Highmark Health
- ...Highmark Inc. seeks an experienced anti-fraud investigator to develop and maintain an enterprise fraud program, deliver training, and file fraud plans and reports. You will conduct investigations into fraud, waste and abuse across providers, members, facilities, pharmacies...Suggested
$65k - $88.6k
...Become a part of our caring community The Fraud and Waste Professional is responsible for conducting comprehensive investigations of reported, alleged or suspected fraud... ...where needed. Responsibilities Analyze healthcare payment methodologies, billing practices,...SuggestedFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$32.03 - $45.7 per hour
...Overview: Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status: Full... ...years combined experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance Billing) OR Internal/...SuggestedHourly payPermanent employmentFull timeTemporary workLive inCurrently hiringWork at officeRemote workShift work$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...SuggestedHourly payTemporary workLocal areaHome officeFlexible hours- All Job Postings will close at 12:01a.m. CST (1:01a.m. EST) on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application progress will be saved as a draft. You will be able to access and complete...SuggestedWork at officeFlexible hours
- ...DESCRIPTION: Under the direction of a higher classification, performs responsible fieldwork in the investigation and resolution of citizen oriented complaints. The employee of this classification is responsible for investigating, handling and resolving numerous complaints...
- ...seeking an Affirmative Civil Enforcement Investigator for the United States Attorney's Office... ...specialized investigative analysis relevant to fraud on federal programs or federal civil... ...as bank records, financial records, healthcare claims data, and tax recordsU.S. Citizenship...For contractorsWork experience placementWork at officeLocal area
- All Job Postings will close at 12:01a.m. CST (1:01a.m. EST) on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application progress will be saved as a draft. You will be able to access and complete ...Work at officeFlexible hours
- All Job Postings will close at 12:01a.m. CST (1:01a.m. EST) on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application progress will be saved as a draft. You will be able to access and complete...Full timeSummer workWork at officeRemote workFlexible hours
- Postdoctoral Researcher - College of Engineering Conduct applied research on engineering education at the undergraduate level, which includes teaching sophomore level engineering and computer science undergraduate and/or graduate courses to test new educational methodologies...
$3,340 - $6,758 per month
Salary : $3,340.00 - $6,758.00 Monthly Location : Shreveport, LA Job Type: Promotion Job Number: 227341 Department: LSU Health Sciences Center-Shreveport Opening Date: 10/14/2026 Closing Date: 10/19/2026 11:59 PM Central About this Job...Permanent employmentFull timeLocal areaShift work$2,917 - $5,904 per month
Salary : $2,917.00 - $5,904.00 Monthly Location : Monroe, LA Job Type: Classified Job Number: 214236 Department: LSU Health Sciences Center-Shreveport Opening Date: 10/24/2025 Closing Date: Continuous About this Job At LSU Health ...Local areaShift workNight shiftRotating shiftWeekend workAfternoon shift$3,122 - $6,316 per month
...and serve with courage and commitment. In this role, you'll provide the full range of police services, including enforcing laws, investigating crimes and accidents, and responding to emergencies. If you are committed to upholding the law, protecting others, and...Local area$3,220.53 - $5,904 per month
...and Federal laws through foot and mobile patrols. Provide crowd control and traffic control. Provide emergency services. May investigate serious crimes and accidents. May testify in court. Prepares reports on activities. May be required to intervene in situations...Hourly payLocal area$72.7k
...for developing and maintaining an anti-fraud program which includes development and... ...incumbent is responsible for conducting investigations of organizational or functional activities... ...the Health insurance industry and/or Healthcare fraud investigations ~1 year of...Contract workFor contractorsWork at officeLocal area$46.7k - $60.7k
...Industry Operations Investigator This position is an entry-level Industry Operations Investigator responsible for conducting investigations and inspections that require knowledge of industry operations and records, as well as the laws and investigations covering the...Permanent employmentFull timeTemporary workWork at officeRemote workRelocationTrial period$46.99k - $112.2k
...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...Hourly payFull timeTemporary workLocal area$2,917 - $5,904 per month
Salary : $2,917.00 - $5,904.00 Monthly Location : Shreveport, LA Job Type: Classified Job Number: 218528 Department: Southern University-Shreveport Opening Date: 03/11/2026 About this Job Southern University at Shreveport Louisiana (SUSLA...Full timePart time- Extra-Duty Police Officer The Extra-Duty Police Officer provides security for assigned areas of organization. Officers provide the mechanism for arrest beyond the citizen's arrest powers of the Security Staff. Officers provide a liaison between our facility and local...Temporary workReliefLocal areaShift work
$200k - $215k
...Responsible for enterprise security risk management, physical security, crisis management, travel security, executive protection, investigations, and vendor oversight.This position reports to the Senior Director of Global EHS and is part of the Global EHS Team located and...Hourly payFull timeRemote workWork from homeFlexible hours$3,445.87 - $6,316 per month
...property by conducting foot and mobile security patrols; enforcing parking and traffic regulations; rendering emergency services; investigating minor crimes and making arrest when necessary. Provides a limited range of police services. The position is non-exempt under the...Trial periodShift workRotating shiftWeekend work$51.63k - $124.72k
...immigration laws Proficient in the use of firearms, preparing investigative reports, serving court orders (e.g., warrants, subpoenas, etc.... ...or military law enforcement official Leading investigations of fraud, contraband, criminal activity, threats to our nation, and/or...Full timeWork experience placementImmediate startNight shift$95k - $125k
...maintenance records for accuracy, completeness, retention, and traceability Administer receiving inspection for parts and material Investigate discrepancies, escalations, and customer quality concerns Qualifications Valid FAA Airframe & Powerplant (A&P) License (...Full timeWork at officeRelocationMonday to FridayShift workDay shiftWeekday work- ...Job Description Job Description Forensic Crash Investigator (Engineering-Focused) – Reconstruct Real-World Collisions Overview Apply your engineering mindset to real-world investigations where your analysis directly impacts legal outcomes. We are seeking...Work at officeLocal area
$20 - $25 per hour
...Job Description Job Description Description: Command Investigations, LLC is looking for Surveillance Investigators to become part of a dynamic team. This is a great opportunity for individuals with prior investigative experience who demonstrate integrity, independence...Hourly pay16 hoursFull timeWork at officeRemote workFlexible hoursShift workNight shiftWeekend work- Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making for our clients...Local areaNight shiftWeekend work
- Company Overview Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we...Work experience placementWork at officeLocal area
$62.7k
...for developing and maintaining an anti-fraud program which includes development and... ...incumbent is responsible for conducting investigations of organizational or functional activities... ...the health insurance industry and/or healthcare fraud investigations Preferred 1 year...Contract workFor contractorsWork at officeLocal area$81.55k - $106.29k
About the opportunity SWCA's Gulf Coast operation is seeking a Lead Archaeologist in Houston, TX, to support its expanding practice. As a key member of our team, you will collaborate with Directors, Team Leads, and Project Managers to coordinate projects and ensure high...Full timeLocal area- The Extra-Duty Police Officer provides security for assigned areas of organization. Officers provide the mechanism for arrest beyond the citizen's arrest powers of the Security Staff. Officers provide a liaison between our facility and local law enforcement. FMOL Health...Local area
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