Senior Investigator, Fraud & Abuse — Special Investigations
CVS Health
CVS Health is seeking an experienced investigator for fraud analysis in Concord, NH. The role involves complex investigations of Pharmacy and Prescriber actions to prevent fraud. Responsibilities include collaborating with law enforcement and documenting case activities. Required qualifications include 3-5 years of experience in healthcare fraud and a bachelor's degree in Criminal Justice. This full-time role offers a range of benefits and a competitive salary, based on experience. #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$28.58 - $38.36 per hour
...Licensing Division 50 Storrs St. Concord, NH 03301 Liquor Investigator I $28.58/hour - $38.36/hour *See total compensation... ...Hampshire statutes and maintain for duration of employment. SPECIAL REQUIREMENTS: 1. Must be at least 21 years of age and a U.S....SuggestedFull timeWork experience placementLocal areaFlexible hours$169.22k - $253k
Position Overview - Senior Medical Science Liaison Otsuka America... ...within planned timelines. Leads special projects as requested by... ...registrational, post‑marketing and Investigator‑Sponsored Trials (ISTs),... ...Statement Regarding Job Recruiting Fraud Scams At Otsuka we take...SeniorFraudTemporary workLive inWork at officeLocal areaFlexible hours$145k - $165k
...Overview: The Senior Construction Scheduler is responsible for developing, maintaining... ..., and municipal utilities. Specializing in projects using natural gas, oil, biomass... ...local law enforcement agency and report fraud at . MasTec Clean Energy & Infrastructure...SeniorFraudDaily paidFull timeContract workTemporary workWork experience placementFor subcontractorWork at officeLocal areaFlexible hoursShift work$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$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...SeniorFraudRemote jobWork at officeLocal areaFlexible hours$104.8k - $174.7k
...Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can... ...and deployment (ERP/cloud solutions). About the Role As a Senior Consultant, you will lead the technical implementation, configuration...SeniorFraudLocal areaWork from home- ...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
- ...business leaders. The ideal candidate will have healthcare sector experience and strong verbal communication skills. In addition to legal advice, responsibilities include conducting internal investigations and advising on compliance with labor laws. #J-18808-Ljbffr...SeniorRemote work
$10k
...grade level if you possess one (1) year of specialized experience, equivalent to at least the... ...in the use of firearms, preparing investigative reports, serving court orders (e.g., warrants... .... Leading investigations of fraud, contraband, criminal activity, threats...FraudFull timeLocal areaImmediate startRelocationNight shift$23.16 per hour
...utilizing the appropriate application and/or template. Identifies potential discrepancies in claim submissions and involves the Special Investigation Unit as necessary. Identifies issues which can be used to educate/train internal staff, streamline, and improve processes...SeniorWork at officeLocal area- ...industry learning opportunities. Perform additional duties or special projects as assigned by the direct supervisor. Travel to... ...requirements. Working knowledge of federal / state fraud and abuse laws required. Valid driver’s license with excellent driving...FraudFull timeTemporary workCurrently hiringLocal areaRemote workMonday to Friday
$20.55 - $34.25 per hour
...Overview Specializes in our branch customer experience through sales, service and digital engagement of our Consumer and Business Banking... ...related activities. Identify and escalation cases of suspected fraud. Resolve and accurately log all customer complaints in the appropriate...FraudHourly pay$15 per hour
...BONUSES, FREE TANNING & PRODUCT DISCOUNTS ! No Experience Needed! Special deals for friends & family members too! Employment growth... ...via numerous online platforms. For more information on how to avoid hiring fraud, please visit our webpage for more information....FraudHourly payFull timePart timeFlexible hours$15 per hour
...TANNING & PRODUCT DISCOUNTS ! No Experience Needed! Special deals for friends & family members too! Employment growth opportunities... ...via numerous online platforms. For more information on how to avoid hiring fraud, please visit our webpage for more information.FraudHourly payFull timePart timeFlexible hours$16.5 per hour
...TANNING & PRODUCT DISCOUNTS ! No Experience Needed! Special deals for friends & family members too! Employment growth... ...operating via numerous online platforms. For more information on how to avoid hiring fraud, please visit our webpage for more information.FraudHourly payFull timePart timeFlexible hours$20.55 - $34.25 per hour
...Overview: Specializes in our branch customer experience through sales, service and digital engagement of our Consumer and Business Banking... ...related activities. Identify and escalate cases of suspected fraud. Resolve and accurately log all customer complaints in the...FraudHourly pay$14 - $16.5 per hour
...clients find their glow and grow their confidence! Whether it's for a special occasion or just for maintaining that everyday glow, you will... ...online platforms. For more information on how to avoid hiring fraud, please visit our webpage for more information. Glow BrandsFraudHourly payFull timePart time$200k - $300k
...Requires a J.D. degree, license to practice law, and knowledge of HIPAA, provider licensing, certification and enrollment, and fraud and abuse laws including Stark, Anti-Kickback Statute (AKS), False Claims Act (FCA), and Corporate Practice of Medicine. Fantastic company...FraudContract workSecond jobRelocation package$130k - $160k
...culture of collaboration and accountability. Empower team to lead investigations into deviations, CAPA (Corrective and Preventive Actions), and... ...of employees, including hourly production employees through senior management. Must possess excellent written and oral...SeniorHourly payWork experience placementFlexible hours- ...improvement retailer is seeking an Asset Protection Specialist in Concord, NH. The role focuses on preventing loss through theft and fraud while ensuring safety compliance. Responsibilities include monitoring security, preparing detailed case reports, and collaborating...Fraud
- ...VT Active Adjusters’ licenses: CT, NH, RI, VT As a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex indemnity/lost time workers compensation claims applying your analytical skills to make informed decisions...SeniorLocal areaRemote work
- ...appropriateness of care Experience in utilization review, utilization management, quality review Working knowledge of federal / state fraud and abuse laws required Knowledge of HIPAA Privacy and Security Regulations preferred . Skills: Dependability in attendance...FraudTemporary workLive inLocal areaRemote workMonday to Friday
$90.23k
...change the world. Job Description CDM Smith is seeking a Senior Financial Analyst to join our Corporate FP&A Team! This role... ...will be contingent upon successful completion of a background investigation including criminal history. Criminal history will not automatically...SeniorH1b- ...improvement retailer is seeking an Asset Protection Specialist in Concord, NH. The role focuses on preventing loss through theft and fraud while ensuring safety compliance. Responsibilities include monitoring security, preparing detailed case reports, and collaborating...Fraud
$86.4k
...Company Highmark Health Job Summary This Position is the top investigator in the Cyber Fusion Center, capable of working any kind of incident... ...and execution of security strategy for the team. The Senior Cyber Incident Responder interfaces with other internal teams...SeniorWork at officeLocal areaRemote work$169.22k - $253k
...validation, comparability, control strategy implementation, and investigations. The ideal candidate brings deep expertise in biologics... ...****@*****.***) . Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and protection of your...FraudContract workTemporary workLocal areaFlexible hours$169.22k - $253k
...Management Systems for GMP activities supporting Investigational Medicinal Products and Commercial... ...and escalates quality issues to senior management when appropriate • Oversees... .... Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and...FraudContract workTemporary workLocal areaFlexible hours$102.17k
...convictions related to its responsibilities and requirements, employment will be contingent upon successful completion of a background investigation including criminal history. Criminal history will not automatically disqualify a candidate. In addition, during employment...SeniorFor subcontractorH1b$186.49k - $278.88k
...pharmacology sections for regulatory filings including annual reports, investigator’s brochure, IND/NDA applications and pediatrics development... ...@otsuka-us.com) . Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and protection of your...FraudContract workTemporary workLocal areaFlexible hours
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