Healthcare Claims Integrity Investigator II
Qlarant
Qlarant in Dallas, Texas seeks a Full Time Special/Analyst II to ensure integrity and accuracy in claims processes, collecting data for audits and investigations, interviewing stakeholders, and delivering findings for resolution. The role emphasizes applying regulatory knowledge to identify fraud, waste, and abuse, with opportunities to train others and collaborate across teams. A Bachelor's degree and healthcare fraud experience are preferred. #J-18808-Ljbffr Qlarant
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...Healthcare Fraud Investigator CGS is seeking a Healthcare Fraud Investigator to provide legal support for a large government project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently...SuggestedWork experience placementWork at officeLocal area- 0000005804.INVESTIGATOR II (SENIOR).NORTH TEXAS ANTI-GANG CENTER Job Description Provides support and expertise to the Assistant District Attorney in investigating moderate to complex level cases and cases requiring special skills. Responsibilities Assists the Assistant...SuggestedFull timeWork at officeShift work
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Maguire Insurance Agency Inc is seeking a skilled professional to investigate, evaluate, and settle complex commercial insurance auto claims. Applicants should have at least 10 years of experience in the field and preferably a Bachelor's degree. The role includes coverage...- ...Parkland Community Health Plan (PCHP) Special Investigations Unit is to implement an effective... ...payment based on medical records, claim history, billing codes, regulatory and... ...Information (RFIs) from National Benefit Integrity MEDIC, U.S. Office of Personnel Management...Work at office
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...Working at HHS webpage. Functional Title: LTCR Nursing Facilities Investigator V Job Title: Investigator V Agency: Health & Human Services... ...professional judgment and reach sound decisions. Ability to integrate complex regulatory concepts, procedures, and processes....Full timeTemporary workPart timeWork at officeRemote workFlexible hoursShift workNight shiftWeekend work- ...the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our... ...work here.NTT DATA Services currently seeks a Fraud Detection & Investigation Analyst to join our team in Plano, Texas (US-TX), United States...For contractors
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...national leader?Join Lemieux & Associates, a trusted leader in investigative services, and make an impact with your SIU expertise. Our... ...opportunities for professional growth.RequirementsMust have SIU/Claims investigation experience as a Private Investigator or Fraud Investigator...Part timeLive inFlexible hours- ...EApply by midnight on 09/18/2026UPS is seeking a dynamic Security Investigator who mitigates risk for the company’s 3 P’s: People, Property... ...commitment to maintain UPS’s values, most importantly - Our Integrity.Responsibilities:Identify and address physical security...Permanent employmentFull timeContract workWork at officeLocal areaRemote workFlexible hoursShift workNight shift
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...advancement and more. Explore more details on the Benefits of Working at HHS webpage . Functional Title: Unregulated Operations Investigator IV Job Title: Investigator IV Agency: Health & Human Services Comm Department: North Region CCL Unreg Ops Posting Number: 16983...Full timeTemporary workPart timeCasual workWork at officeLocal areaRemote workFlexible hoursShift workWeekend workAfternoon shift$75k - $110k
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Premium Insurance Field Auditor Contract Are you a detail-oriented and independent professional ready to take on a challenging and rewarding role? Come Join ReSource Pro! Your role: ReSource Pro is seeking a Premium Insurance Field Auditor (1099/Contractor) to play a...Hourly payContract workFor contractorsWork experience placementLocal areaImmediate startRemote work$55.1k - $59k
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Job ID: R234150Posted: 2026-09-03Location: PA - Pittsburgh (15222); Denver - 12345 W Colfax (CO147); Birmingham - Brock (AL112); Dallas Innovation Center - Luna Rd (TX270); Strongsville Technology Center (OH537); PNC Tower - Louisville (KY012); The Biltmore (AZ050); PNC...Full timeTemporary workPart timeWork experience placementWork at office- ...Pay: Based on experience Work Days: 226 Primary Purpose: Conduct complex investigations into alleged misconduct, policy violations, and criminal histories involving district employees, applicants, substitutes, volunteers, and contractors the administrative investigation...For contractorsLocal area
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