Senior Investigator, Fraud & Abuse — Special Investigations
CVS Health
CVS Health in Lansing, Michigan, is seeking a candidate for a full-time role focused on investigating Pharmacy and Prescriber fraud, waste, and abuse. The position requires 3-5 years of investigative experience in healthcare, strong knowledge of pharmacy terminology, and proficiency in data analysis. Applicants should be prepared to engage with law enforcement and present findings regarding complex cases. This position offers a competitive salary range and a comprehensive benefits package. #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- Centene Corporation seeks a candidate to investigate allegations of potential healthcare fraud and abuse. This role involves conducting thorough investigations and collaborating with Health Plans to ensure accurate resolutions. A Bachelor's degree or equivalent experience...FraudRemote job
- Criminal Investigator (Special Agent) - $40,000 Recruitment Incentive Join to apply for the Criminal Investigator (Special Agent) - $40,000... ...male applicants born after Dec 31, 1959). Additional Details Seniority level: Entry level Employment type: Full-time Job functions...SuggestedFull timeOverseas
$25 - $32 per hour
...national leader? Join Lemieux & Associates, a trusted leader in investigative services, and make an impact with your SIU expertise. Our... .../Claims investigation experience as a Private Investigator or Fraud Investigator and live in the Lansing area. Resume and questionnaire...FraudPart timeLive inFlexible hours- ...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
- ...is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis... ...workers' compensation, suspected fraud, liability and aimed at mitigating expenses... ...investigations, including Surveillance and Special Investigations Unit (SIU) assignments, within...FraudFlexible hours
- ...retired and former law enforcement professionals to join our Special Investigations Unit (SIU) as Investigators. The Role: SIU Investigator... ...and recorded statements Identify inconsistencies and detect fraud patterns Perform field investigations and scene inspections...FraudImmediate startFlexible hoursShift work
$25 - $32 per hour
...national leader? Join Lemieux & Associates , a trusted leader in investigative services, and make an impact with your SIU expertise. Our... .../Claims investigation experience as a Private Investigator or Fraud Investigator and live in the Lansing area. Resume and...FraudPart timeLive inFlexible hours- ...Becker & Co Inc, located in Michigan, is looking for skilled Field Investigators to join our team on an 'as needed' basis. This role offers... ...services for various insurance claims, including fraud and liability. The ideal candidate will work independently, perform...FraudFlexible hours
- 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...Full timeWork at officeLocal area
$25 - $30 per hour
About This Role Command Investigations, LLC is looking for Surveillance Investigators to join a dynamic team. This is an opportunity for individuals with prior investigative experience who demonstrate integrity, independence, and a drive to succeed in a fast‑paced investigative...Hourly pay16 hoursRemote workShift workNight shiftWeekend work- ...degree. Strong expertise in proteomics and biochemical techniques. Minimum of five years of postdoctoral research experience investigating apicomplexan parasite/host interactions at the cellular and protein levels. Work Mode Onsite (hybrid or remote work is at department...Full timeTraineeshipRemote work
- ...Job Description As the Senior Category Manager, you will lead sourcing and vendor governance... ..., including those that require specialized subject matter expertise, nonstandard risk... ...Management, Vendor Risk Management Job Alert Fraud We have become aware of scams from...SeniorFraudWork at officeLocal areaRemote workFlexible hours2 days per week
- J T Becker & Co Inc is searching for skilled Field Investigators to join their team in Michigan on an as-needed basis. This role offers flexibility... ...conduct various investigations, including surveillance and special investigations. The ideal candidate must possess a valid...Flexible hours
- ...results in a manner appropriate for both senior executive and management review.... ...factors including experience and training, specialized skill sets, licensure and certifications... ...performance. 81,068.00 - 129,708.00 JOB ALERT FRAUD: We have become aware of scams from...SeniorFraudWork at officeLocal areaRemote workFlexible hours2 days per week
$98.09k - $156.95k
...decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and... ...and individual performance. $98,092.00 - $156,947.00 JOB ALERT FRAUD: We have become aware of scams from individuals, organizations,...SeniorFraudWork at officeLocal areaRemote workFlexible hours2 days per week$249.97k - $388.13k
...is seeking an experienced and visionary Senior Director, Global Clinical Development (GCD... ...(e.g., internal staff and external investigators/consultants). • Strong communication and... .... Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and...SeniorFraudTemporary workLocal areaFlexible hours$95.3k - $158.8k
...Overview As a Senior Technical Consultant at LexisNexis Risk Solutions (LNRS), you’ll help leading organizations strengthen their fraud and identity strategy. You’ll work closely with customers and internal teams to design, implement, and support SaaS‑based solutions that...SeniorFraudLocal areaRemote work- ...hiring for the position of Asset Protection Specialist. The main responsibilities include preventing financial loss due to theft and fraud, supporting safety and environmental compliance. You will utilize tools to minimize loss, prepare detailed case reports, and engage...Fraud
- J T Becker & Co Inc is looking for skilled Field Investigators in Michigan to join our team on an as-needed basis. This flexible role is ideal for licensed investigators interested in providing high-quality investigative services across various insurance claims. Responsibilities...Flexible hours
- J T Becker & Co Inc is seeking experienced Field Investigators in Michigan for flexible hours on an as-needed basis. Ideal candidates should have a valid investigator license and experience in surveillance and SIU investigations. Responsibilities include conducting investigations...Flexible hours
- ...Senior Internal Auditor The Senior Internal Auditor performs independent audits on all aspects of ’s... ...examination teams Provide assistance in performance of investigations of improper activities including potential fraud matters Self-develop skills & experience in...SeniorFraudWork at officeNight shift
$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- ...independent company. Join us and build your ambition. Join Amrize as a Senior Financial Analystand help construct what's next. If you're ready... ...interview will be contacted. PROTECT YOURSELF FROM RECRUITMENT FRAUD The only way to apply for a position at Amrize is through our...SeniorFraudWork experience placementLocal areaFlexible 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- ...Senior Marketing Manager Anywhere Type: Contract Category: Marketing Industry: Financial Services Workplace Type: Remote... ...have any indication of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group: Eliassen Group is...SeniorFraudHourly payContract workFor contractorsLocal areaRemote work
$1,891.2 - $2,836 per month
...crime prevention and investigation, and community engagement... ...and Information Special Requirements, Licenses... ...bonuses that grow as seniority increases. Some positions... ...conviction Retail fraud conviction Conviction... ...Misdemeanor involving abuse or neglect...FraudPermanent employmentFull timePart timeImmediate startRemote workFlexible hours- ...Senior Full Stack Software Developer Anywhere Type: Contract Category: Development Industry: Healthcare Workplace Type... ...have any indication of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group: Eliassen Group is...SeniorFraudHourly payContract workLocal areaRemote work
$46.99k - $122.4k
...claims, and referral to state regulators for any suspected fraud, waste, or abuse (FWA). The Auditor must also ensure that state and federal... ...reporting this to internal staff. Assisting with further investigation and/or reports to state regulators through the utilization...FraudHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- ...effectively focus MR on areas of potential fraud, waste, or abuse. Analyze data to determine if... ...expert for law enforcement with investigations regarding fraudulent provider activity... ...insurance plans for individuals, families, seniors and group health plans for small to...FraudFor contractorsLive inLocal areaImmediate startRemote work2 days per week
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