Senior Healthcare Claims Investigator - Fraud & Abuse
Insight Global
Insight Global is seeking a Senior Healthcare Claims Investigator in Los Angeles, California, to manage a high volume of claims for a leading healthcare client. In this role, you will lead complex fraud, waste, and abuse investigations by analyzing claims and patient records, while working closely with legal teams to ensure compliance. You will conduct interviews, gather evidence, and produce detailed reports, supporting audits and mentoring junior team members along the way. #J-18808-Ljbffr Insight Global
$45 - $55.53 per hour
Mitchell Martin Inc. is seeking a SIU Clinical Healthcare Fraud Investigator III. This remote contract role involves leading complex investigations into healthcare fraud, waste, and abuse. The ideal candidate will have at least 4 years of coding experience and 3 years...SeniorFraudRemote jobHourly payContract work- Insight Global is seeking a Senior Healthcare Claims Investigation Analyst in Los Angeles, California. The role involves responsible for intake, triage, and regulatory reporting of healthcare fraud and abuse leads. The successful candidate will coordinate case intake, ensure...SeniorFraud
- ...Senior Counsel, Commercial Healthcare About the Company Regulated healthcare organization Industry Hospital & Health Care Type Privately... ...of healthcare-specific regulatory issues, such as fraud and abuse considerations, advertising regulations, and data...SeniorFraud
$300k - $350k
Nixon Peabody is seeking an experienced attorney for its Healthcare Practice Group in Los Angeles, California. The ideal candidate... ...care regulatory and compliance experience, particularly in fraud and abuse issues. Strong communication skills and a commitment to excellent...SeniorFraud$115k - $165k
Direct Jobs is seeking a Senior Compliance Investigator in Los Angeles, California to lead complex investigations... ...into compliance concerns, including fraud and policy violations. The role... ...experience, and strong knowledge of healthcare regulations. Responsibilities include...SeniorFraud- Insight Global is seeking a Clinical Healthcare Fraud Investigator in Los Angeles to support high volume claims for a top healthcare client. This role involves conducting full-cycle investigations leveraging regulatory and clinical expertise, mentoring fellow investigators...SeniorFraud
- A government service provider in Los Angeles is seeking an experienced ACE Investigator to assist a Federal agency project. This role involves generating investigations related to fraud, analyzing data, and preparing reports for legal use. Applicants should possess strong...SeniorFraud
- Mitchell Martin Inc. is seeking a Special Investigation Unit Investigator III for a remote,... ...detailed evaluations of potential fraud and abuse cases while leading complex investigations... ...and minimum of 5 years experience in healthcare fraud investigation. Strong analytical...FraudRemote jobContract work
$85k - $105k
Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level CGS is seeking a Healthcare Fraud Investigator to provide legal support for a... ...litigation. Analyze data for evidence of fraud, waste and abuse. Review and evaluate referrals to determine the need for...FraudFull timeWork experience placementWork at officeLocal area$157.4k - $216.4k
...Marcom Operations team has an opening for a Senior Marketing Automation Manager. In this... ...and transforming the fields of science and healthcare. As one of the top five life science... ...fees related to unsolicited resumes. Fraud Alert : Bio-Rad has received reports of...SeniorFraudWork experience placementRemote work$125.9k - $188.86k
...mission-critical, higher education, sports, healthcare, grocery, restaurant, and retail within... ...here: Position Overview: As a senior project manager at Henderson Engineers, you... ...2,540 NOTICE TO CANDIDATES: RECRUITMENT FRAUD ALERT Henderson representatives conduct...SeniorFraudCasual workFlexible hours- RGP (Resources Connection) is seeking SIU support in Los Angeles for urgent fraud, waste, and abuse investigations. This role is essential for ensuring compliance with regulations and claims integrity. The ideal candidate will have experience in SIU investigations, strong...SeniorFraud
$72k - $141k
...limits, to manage commercial claims with high complexity and exposure... ...policy coverage, conduct investigations, develop and employ resolution... ...opportunities or potential fraud occurrences by evaluating the... ...resolved and paid timely. Keeps senior leadership informed of...SeniorFraudWork experience placementWork at officeLocal areaShift work$141k - $175k
...Senior Electrical Engineer Arup's purpose, shared values, and collaborative approach... ...Francisco or Los Angeles offices with a focus on Healthcare project delivery. This role involves... .... Stay safe online. Recruitment fraud is on the rise, and Arup's name, logo, and...SeniorFraudRemote workFlexible hours$113.52k - $198k
...the biggest names in mission-critical, higher education, sports, healthcare, grocery, restaurant, and retail within the sectors we serve in... ...no phone calls or emails. NOTICE TO CANDIDATES: RECRUITMENT FRAUD ALERT Henderson representatives conduct all email...SeniorFraudCasual workFlexible hours$90.16k - $141.12k
...Date: 2026-06-13 Position Title: Pharmacy Investigator Senior Job Description: Pharmacy Investigator... ...of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. How you will make an impact: Claim...SeniorFraudFull timeContract workTemporary workWork experience placementWork at officeLocal areaDay shift2 days per week1 day per week$105.7k - $234.5k
...Support a high-impact compliance investigation function focused on... ...regulatory accountability. The Senior Compliance Investigator... ...regulatory concerns, including fraud, waste, abuse, and violations of federal... ...with federal and state healthcare regulations, enforcement trends...SeniorFraudWork at office$132k - $198k
...mission-critical, higher education, sports, healthcare, grocery, restaurant, and retail within... ...different here: Position Summary: A Senior Fire Engineer in our Business sector, designs... .... NOTICE TO CANDIDATES: RECRUITMENT FRAUD ALERT Henderson representatives...SeniorFraudFor contractorsCasual workWork at officeFlexible hours$105.7k - $234.5k
...Support a high-impact compliance investigation function focused on... ...regulatory accountability. The Senior Compliance Investigator... ...regulatory concerns, including fraud, waste, abuse, and violations of federal... ...with federal and state healthcare regulations, enforcement trends...SeniorFraudWork at officeLocal area- ...Senior Product Manager We are looking for a passionate and driven Senior Product Manager to join the DTC Data Product Compliance... ...Advertising, Marketing, Analytics, Experimentation, Research, Fraud & Abuse. Operate well in the face of ambiguity and imperfect knowledge...SeniorFraud
- Our healthcare payer client urgently needs additional SIU (Special Investigations Unit) support to handle a heavy caseload of fraud, waste, and abuse (FWA) investigations. The role is... ...and ensuring claims integrity. Pay Range... ...similar preferred. Senior level experience...Fraud
- ...build the future of the healthcare and the life sciences... ...Science Liaison/Senior Medical Science Liaison... ...to support sites and investigators participating in the company... ...EVERSANA. Recruitment fraud is a sophisticated... ...or even text messages claiming to be a legitimate company...SeniorFraudLocal areaNight shift
$28 - $31 per hour
...Integrity. Advance Your Career. At CoventBridge Group, every claim tells a story — and as a Claims Investigator, you’ll be the one uncovering it. Using your... ...surveillance, SIU and compliance, claims investigation, counter‑fraud programs, desktop investigations, social media,...FraudHourly payFull timeH1bH2bWork from homeWorldwideFlexible hoursNight shift$77.27k - $123.63k
A health coverage provider in Los Angeles is seeking an Investigator II for the Special Investigations Unit. This role involves conducting... ...Criminal Justice and at least three years of experience in healthcare fraud investigation. Skills in research, communication, and...Fraud$85k - $105k
CGS Federal (Contact Government Services) is seeking a Healthcare Fraud Investigator to provide legal support for a government project. This role involves analyzing data, reviewing legal documents, and advising attorneys on fraud cases. The ideal candidate should have a...Fraud- ...in Los Angeles seeks a Special Investigation Unit Investigator II to conduct... ...independent investigations into potential fraud. Responsibilities include reviewing claims, preparing reports, and... ...least 3 years of experience in healthcare fraud detection. Join a dedicated...Fraud
$85k - $105k
Contact Government Services is looking for a Healthcare Fraud Investigator to provide legal support for a major government project in Nashville, TN. The ideal candidate will analyze data, review complex legal documents, and help in developing fraud referrals. This role...FraudWork at office- California Bank of Commerce in Los Angeles seeks a Fraud Investigator dedicated to assessing and identifying risks linked to fraud. This role requires strong analytical skills and collaboration with various teams to conduct thorough investigations. Applicants should possess...SeniorFraud
- California Bank of Commerce, N.A. is looking for a Fraud Investigator to identify risks related to fraud affecting the bank and its clientele. This role involves analyzing transactional data and collaborating with various teams to conduct thorough investigations. The ideal...SeniorFraud
$235k - $365k
...Qualified candidates for this position should have at least three years of substantive experience in drug and fraud and abuse matters (experience in drug pricing matters is required, including the 340B Program and the Medicaid Drug Rebate Program); strong research, writing...Fraud
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Healthcare Claims Investigator - Fraud & Abuse. Be the first to apply!
- senior game producer Los Angeles, CA
- senior manager process engineering Los Angeles, CA
- senior manufacturing engineer Los Angeles, CA
- senior director fp&a Los Angeles, CA
- senior manager clinical operations Los Angeles, CA
- senior lead project manager Los Angeles, CA
- senior manager quality engineering Los Angeles, CA
- senior device engineer Los Angeles, CA
- senior full stack developer Los Angeles, CA
- senior manufacturing manager Los Angeles, CA


