Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 23 hours ago
Similar jobs that could be interesting for youBased on the Senior Healthcare Fraud Investigator & Regulatory SME in Los Angeles, CA vacancy
  • $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... 
    Senior
    Regulatory
    Remote job
    Hourly pay
    Contract work

    Mitchell Martin Inc.

    Los Angeles, CA
    23 hours ago
  • 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,... 
    Senior
    Regulatory

    Insight Global

    Los Angeles, CA
    1 day ago
  •  ...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... 
    Regulatory
    Full time
    Work experience placement
    Work at office
    Local area

    Contact Government Services, LLC

    Los Angeles, CA
    21 days ago
  •  ...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

    Insight Global

    Los Angeles, CA
    23 hours ago
  • 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

    Los Angeles, CA
    2 days ago
  • 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

    Insight Global

    Los Angeles, CA
    23 hours ago
  • $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... 
    Senior
    Regulatory

    UCLA Outpatient Clinics

    Los Angeles, CA
    23 hours ago
  •  ...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... 
    Senior
    Regulatory
    H1b
    Remote work
    Shift work
    3 days per week

    aKube

    Culver City, CA
    1 day ago
  • $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... 
    Senior
    Regulatory

    University of California - Los Angeles Health

    Los Angeles, CA
    23 hours ago
  • 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... 
    Senior
    Regulatory

    UCLA Health

    Los Angeles, CA
    4 days ago
  •  ...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.... 
    Senior
    Regulatory

    UCLA Health

    Santa Monica, CA
    1 day ago
  •  ...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... 
    Senior
    Regulatory
    Full time

    UCLA Outpatient Clinics

    Los Angeles, CA
    1 day ago
  • 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... 
    Senior
    Regulatory

    Insight Global

    Los Angeles, CA
    1 day ago
  •  ...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... 
    Senior
    Regulatory
    Full time

    CHA Hollywood Presbyterian Medical Center

    Los Angeles, CA
    1 day ago
  • $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... 
    Senior
    Regulatory

    Agnello & Rogers

    Los Angeles, CA
    4 days ago
  • $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... 
    Senior
    Regulatory
    Full time

    University of California - Los Angeles Health

    Los Angeles, CA
    2 days ago
  • 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... 
    Senior
    Regulatory

    ARMA International

    Los Angeles, CA
    1 day ago
  •  ...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... 
    Senior
    Regulatory
    Remote work

    Cedars-Sinai Medical Center

    Los Angeles, CA
    1 day ago
  •  ...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... 
    Senior
    Regulatory
    Full time
    Flexible hours

    Rehab Advisors By Enhance Therapies

    Pasadena, CA
    23 hours ago
  •  ...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... 
    Senior
    Regulatory

    Confidential

    Los Angeles, CA
    23 hours ago
  • 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... 
    Senior
    Regulatory
    Work at office
    2 days per week

    Blue Shield of CA

    Los Angeles, CA
    23 hours ago
  •  ...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... 
    Senior
    Regulatory

    Sodexo

    Los Angeles, CA
    23 hours ago
  • 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

    Insight Global

    Los Angeles, CA
    23 hours ago
  • $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... 
    Senior
    Regulatory
    Full time
    Work at office

    Skilled Wound Care

    Playa Vista, CA
    5 days ago
  • $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... 
    Senior
    Regulatory
    Work experience placement
    Summer holiday
    Flexible hours

    EY

    Los Angeles, CA
    4 days ago
  • 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... 
    Senior
    Regulatory

    TEEMA Solutions Group

    Lynwood, CA
    23 hours ago
  • $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... 
    Senior
    Regulatory
    Work experience placement
    Summer holiday
    Flexible hours

    Ernst & Young Oman

    Los Angeles, CA
    5 days ago
  • $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... 
    Senior
    Regulatory
    Full time

    MLee Healthcare Staffing and Recruiting, Inc

    Playa Vista, CA
    23 hours ago
  • $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... 
    Senior
    Regulatory
    Temporary work
    Work experience placement
    Work at office
    Local area
    2 days per week
    1 day per week

    Elevance Health

    Los Angeles, CA
    2 days ago
  •  ...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... 
    Senior
    Regulatory

    Confidential

    Los Angeles, CA
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Healthcare Fraud Investigator & Regulatory SME. Be the first to apply!