Senior Healthcare Fraud Investigator & Regulatory SME
Insight Global
Insight Global is seeking a Senior Analyst in Los Angeles to oversee the intake and regulatory reporting of healthcare fraud. This role involves coordinating complex investigations, ensuring compliance, and analyzing data for fraud detection. The ideal candidate will have at least 4 years of experience in healthcare fraud detection, strong analytical skills, and familiarity with healthcare coding and reporting systems. Join us to drive impactful compliance and investigative insights within the healthcare sector. #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... ...requires strong expertise in clinical documentation, regulatory compliance, and the ability to mentor junior staff. Compensation...SeniorRegulatoryRemote jobHourly payContract work- Insight Global is seeking a Clinical Healthcare Fraud Investigator in Los Angeles to support high volume claims for a top healthcare client. This... ...involves conducting full-cycle investigations leveraging regulatory and clinical expertise, mentoring fellow investigators,...SeniorRegulatory
- ...Job Description Job Description Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support... ...Microsoft Excel. - Review financial records, complex legal and regulatory documents and summarize contents, and conduct research as...RegulatoryFull timeWork experience placementWork at officeLocal area
- ...Clinical Healthcare Fraud Investigator We're looking for a Clinical Healthcare Fraud Investigator to support a high volume of claims for a leading... ...through closure, leveraging deep clinical, coding, and regulatory expertise. You'll act as a subject matter expert, driving...Regulatory
- Job Description We’re looking for a Clinical Healthcare Fraud Investigator to support a high volume of claims for a leading healthcare client. This... ...through closure, leveraging deep clinical, coding, and regulatory expertise. You’ll act as a subject matter expert, driving...Regulatory
- 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...Senior
$115k - $165k
UCLA Outpatient Clinics is seeking a Senior Compliance Investigator in Los Angeles to lead complex compliance investigations regarding potential regulatory concerns. The role involves gathering and analyzing evidence, conducting interviews, and preparing comprehensive...SeniorRegulatory- ...Workday Senior Project Manager – Time & Attendance (Union Payroll SME) - 1611 Culver City, United States | Posted on 05/13/2026 Onsite/ Hybrid/ Remote: Hybrid... ...reconciliation Ensure compliance with labor and regulatory requirements Lead stakeholder communication and adoption...SeniorRegulatoryH1bRemote workShift work3 days per week
$115k - $165k
...California - Los Angeles Health is seeking a Senior Compliance Investigator to lead compliance investigations involving potential regulatory concerns. This role requires a minimum... ...analytical skills, and knowledge of healthcare regulations. Responsibilities include gathering...SeniorRegulatory- UCLA Health is searching for a Senior Compliance Investigator to lead investigations focusing on integrity and regulatory compliance within healthcare. You will analyze evidence, conduct interviews, and prepare comprehensive reports while collaborating with stakeholders...SeniorRegulatory
- ...UCLA Health in Santa Monica, CA is seeking a Senior Clinical Laboratory Scientist Specialist for Quality and Compliance. This role involves... ...leading quality assurance efforts, ensuring compliance with regulatory guidelines, and providing oversight for document control....SeniorRegulatory
- ...A leading healthcare provider in Los Angeles is seeking a lead pharmacist to oversee specialty pharmacy operations and ensure compliance with regulatory standards. The role involves managing accreditation activities, supervising pharmacy staff, and maintaining efficient...SeniorRegulatoryFull time
- 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...SeniorRegulatory
- ...A healthcare institution in Los Angeles is seeking a Nursing Supervisor with a Bachelor's in Nursing and significant leadership experience... ...overseeing staffing operations and ensuring compliance with regulatory standards. Candidates should have at least 5 years of acute...SeniorRegulatoryFull time
$300k - $350k
...Peabody is seeking an experienced attorney for its Healthcare Practice Group in Los Angeles, California. The... ...have at least five years of California health care regulatory and compliance experience, particularly in fraud and abuse issues. Strong communication skills and...SeniorRegulatory$144.4k - $341.8k
A leading healthcare provider in Los Angeles is seeking a lead pharmacist to oversee specialty pharmacy operations. You will ensure compliance with regulatory standards and manage accreditation requirements. The ideal candidate has a PharmD degree, current California Pharmacist...SeniorRegulatoryFull time- A leading healthcare provider in Los Angeles is seeking a Manager for Leave & Immigration Compliance. This pivotal role requires overseeing disability and leave programs while ensuring regulatory compliance across various laws. The ideal candidate will possess over 7 years...SeniorRegulatory
- ...A leading healthcare institution in Los Angeles is seeking an Associate Director of Payroll Design & Controls. This influential leadership... ...8 years of payroll operations experience, with a focus on regulatory compliance and strategic improvements. Join us for a chance to...SeniorRegulatoryRemote work
- ...to provide therapy treatments, maintain documentation, and ensure regulatory compliance. We support our staff with a nurturing work environment, mentorship for new graduates, and comprehensive healthcare benefits. This role is an excellent opportunity to contribute to patient...SeniorRegulatoryFull timeFlexible hours
- ...Senior Vice President, Legal and Chief Compliance Officer (CCO) About the Company Nationally recognized healthcare services organization Industry Hospital & Health Care Type... ...compliance program, translating legal and regulatory requirements into operational...SeniorRegulatory
- A leading healthcare organization is seeking a Senior Manager for Program and Project Management in Pharmacy Vendor Management. This role emphasizes vendor governance, regulatory compliance, and strategic project management. The ideal candidate has over 10 years of experience...SeniorRegulatoryWork at office2 days per week
- ...nutrition services at Keck Medicine of USC in Los Angeles. This role involves strategic oversight, regulatory compliance, and team development within a complex healthcare environment. Candidates should have a Registered Dietitian credential, significant management experience...SeniorRegulatory
- Senior analyst responsible for intake, triage, and regulatory reporting of all healthcare fraud, waste, and abuse (FWA) leads. Serves as the central coordinator... ...support for complex investigations. Acts as a Subject Matter Expert (SME) and mentor. Core Responsibilities...Regulatory
$100k
...footprint and our impact. We are seeking a Senior Accounting Manager who is meticulous,... ...external financial audits and coordinate regulatory responses. Expansion Management: Manage... ...management role. MUST have experience in the healthcare industry. Multi-Company Comfort: Proven...SeniorRegulatoryFull timeWork at office$104.8k - $192.2k
...and help to build a better working world. Digital Identity SME - Senior (Microsoft Entra, Saviynt) Overview In today’s... ...organizations face increasingly complex cybersecurity risks and regulatory pressures. Identity—both human and non-human—is at the core of...SeniorRegulatoryWork experience placementSummer holidayFlexible hours- A healthcare organization in California seeks a passionate Registered Dietitian to support nutrition services across multiple care centers... ...The role includes conducting nutrition assessments, ensuring regulatory compliance, and training staff. Ideal candidates have an RD or...SeniorRegulatory
$104.8k - $192.2k
...landscape, organizations face increasingly complex cybersecurity risks and regulatory pressures. Identity—both human and non-human—is at the core of every enterprise. As a Digital Identity SME, you will help clients enhance user experience, reduce risk, and increase operational...SeniorRegulatoryWork experience placementSummer holidayFlexible hours$115.23k - $135.26k
...Senior Registered Nurse - Perioperative Services Playa Vista, CA $115,230 - $135,26... ...resource for junior nursing staff and other healthcare team members. Maintain accurate,... ...perioperative care. Ensure compliance with all regulatory, safety, and infection control standards...SeniorRegulatoryFull time$90.16k - $141.12k
...Pharmacy Investigator Senior Location(s) : 21215 Burbank Blvd, Woodland Hills, CA, 3080 Bristol... ...cases against perpetrators of healthcare fraud in order to recover corporate and client... ...State and local law enforcement and regulatory agencies which can assist in investigative...SeniorRegulatoryTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week- ...Senior Director, Quality Ratings & Network Performance About the Company Established... ...Support Community Health Healthcare Health Finance Specialties health... ...ensuring compliance with state and federal regulatory requirements, and will play a key role...SeniorRegulatory
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