Healthcare Fraud SIU Investigator
Texas Health Institute
CVS Health's Special Investigations Unit is seeking an Investigator to conduct investigations to prevent, pursue, and prosecute healthcare fraud and abuse, recover funds, and ensure compliance with fraud plans and regulations. The role requires 1-3 years of healthcare fraud experience, proficiency with Word/Excel/Outlook and open source research tools, and the ability to travel for business proceedings. A bachelor's degree in a related field is preferred. #J-18808-Ljbffr Texas Health Institute
- ...an independently owned subsidiary of CVS Health, seeks an SIU Investigator to support the Network Cost Management team and the Special... ...Unit. You will conduct investigations to prevent and pursue healthcare fraud and abuse, recover funds, and ensure compliance with state...Suggested
- Employment Type: Full-Time, Mid-Level Department: Litigation Support 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...SuggestedFull timeWork experience placementWork at officeLocal area
- CGS Federal (Contact Government Services) is looking for a Healthcare Fraud Investigator to provide legal support for a large government project. The role involves analyzing data, reviewing financial records, and advising attorneys on cases. Candidates should have a four...SuggestedWork at office
$46.99k - $122.4k
...administrator of self‑insured commercial health plans. The SIU Investigator will support Meritain Health’s Network Cost Management team... ...effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state...SuggestedHourly payFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hours$43.89k - $93.57k
...and one community at a time. Position Summary The Special Investigations Unit (SIU) Investigator conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with federal...SuggestedHourly payFull timeTemporary workLocal area$96.1k - $128.1k
...Join AIR as a Researcher focused on Medicaid policy and programs with our Healthcare Innovations team. Our team works collaboratively to address complex challenges related to Medicaid coverage, care delivery, cost containment, and health equity, supporting federal...Full timeFixed term contractH1bWork at officeLocal areaRemote work- Apple Inc. is seeking a Fraud Investigator for its Apple Store Online group in Austin, Texas. Your role will involve analyzing and reviewing customer orders to prevent fraudulent activities, working independently while engaging with customers and financial institutions...
- Integra in Austin is hiring for a data analyst position focused on fraud detection and analysis. This role involves developing investigations, analyzing datasets, and presenting findings using data science techniques. The ideal candidate will have a quantitative background...
- SDS Fraud Investigator, Apple Store Online Austin, Texas, United States Support and Service At Apple, our people and their ideas inspire the innovation that runs through everything we do, from amazing technology to industry‑leading environmental efforts. Join Apple, and...ApprenticeshipFlexible hours
- Job Description The Army National Guard uses powerful technology to collect information from foreign signals, and it's the Signals Intelligence Analyst who makes it possible for the Guard to use this information to their advantage. Analyzing foreign communications...Part timeWeekend work
- ...to Expect Tesla is looking for an exceptionalfield incident investigator with a background in collision reconstruction and forensic analysisforthe... ...when enrolled in the High-Deductible medical plan with HSA Healthcare and Dependent Care Flexible Spending Accounts (FSA) 401(k)...Hourly payFull timeTemporary workLocal areaRemote workFlexible hours
- J T Becker & Co Inc, located in Austin, Texas, is looking for skilled and experienced Field Investigators for flexible assignments. This position is ideal for licensed professionals interested in conducting investigations for insurance claims, including surveillance and...Flexible hours
- ...Austin, Texas is seeking a skilled professional to lead strategic fraud management initiatives. The role requires a thorough... ...s degree and extensive experience in medical claims and fraud investigation. The company offers a comprehensive benefits package, competitive...Remote jobFlexible hours
- ...Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate... ...is seeking a Special Unit Investigations (SIU) Field Investigator to conduct field investigations...Casual workLocal areaNight shift
$155.7k - $190k
American Institutes for Research is seeking a Principal Researcher for Prescription Drug Policy within its Healthcare Innovations team. The role involves leading complex research and driving federal business development related to drug pricing models. Candidates should...Remote job- ...the Dell Medical School pursues innovation in the redesign of healthcare delivery, excellence in healthcare research, and programs in... ...SMCA also has a Level IV Trama Center. About The Clinician Investigator for Addiction Medicine Position The Dell Medical School...Live inRelocation package
- American Institutes for Research seeks a Senior Researcher to lead applied healthcare research projects end to end, from design to dissemination. The role involves guiding teams, managing budgets, and delivering actionable findings to clients and stakeholders. You will...Remote job
- ...Registered Nurse) Galveston, Texas, United States Hot 1 additional location United States Nursing & Care Management HealthCare System Staffing Requisition # 2504468 Job Summary: Per diem position. Proficient Clinician. Practice is characterized...Daily paidWork at officeShift work
$107.7k - $199.3k
...complex, sensitive, and high-impact internal investigations across the organization. Serves as a... ...Criminal Justice/Criminology, Law, Healthcare Administration/Health Policy, or related... ...preferred. Licenses/Certifications: Certified Fraud Investigator preferred Pay Range: $107...Full timePart timeWork at officeRemote workFlexible hours- Dormont Manufacturing Co is seeking a research analyst in Austin, Texas, to join its team focused on investigating fraud within the financial system. This role involves reviewing academic and news sources to identify and analyze instances of fraud, including cryptocurrency...Internship
$22.6 - $25 per hour
...Program Coordinator position at the Association of Certified Fraud Examiners (ACFE) in Austin, TX. This is a full‑time, on‑site position... ...to the Exam Development Committee. Assist with security investigations related to theft of intellectual property. Develop, maintain,...Hourly payFull timeWork at officeRemote workWork from homeFlexible hours2 days per week1 day per week- ...preparations and site inspections. Oversees the management of investigational medical products (IMP). Keys to Success: Education... ..., supervisory, or people management experience in a healthcare, clinical, academic, or related environment. Demonstrated...Full timeWork at officeLocal areaWeekend workAfternoon shift
- ...leading security and facility services company, is seeking a Security Officer Patrol Response in Austin, TX to monitor and protect a healthcare location. You will perform unarmed patrols, respond to incidents, and assist staff, patients, and visitors with exceptional...Full timeNight shift
- Underwriter Services Association is seeking an Insurance Inspector based in Austin, Texas. The role involves conducting insurance underwriting inspections by collecting data on residential and commercial properties. Inspectors will measure property dimensions, take photographs...Flexible hours
- A local government body in Austin, TX is seeking an experienced Medical Examiner Investigator to manage a team in complex death investigations. Responsibilities include leading investigative staff, ensuring compliance with regulations, and developing operational policies...Local area
- Phase2 Technology is seeking a Clinician Investigator for Addiction Medicine at the Dell Medical School, University of Texas at Austin. This role involves providing healthcare services, conducting research, and teaching in a vibrant academic setting. Candidates should...
$21 per hour
...Security Officer - Access Control in Austin, TX. This full-time position offers $21.00/hour and involves monitoring and patrolling a healthcare environment to deter incidents while providing excellent customer service to staff and visitors. Ideal candidates will be at...Full time$72.1k
...to Continue Location: Austin, TX The lateral police officer detective position is a commissioned peace officer assigned to the Investigations and Mitigation Division of the University of Texas Police Department. The officer will conduct thorough investigations of criminal...Full timeWork at officeTrial periodMonday to FridayShift workNight shiftWeekend work- ...confidentiality of all Security/Loss Prevention and property reports/documents; release information only to authorized individuals. Conduct investigations and gather evidence. Conduct interviews with relevant parties. Follow all company policies and procedures; report accidents,...Work experience placementShift workAfternoon shift
$18 - $21 per hour
...Comply and promote LodgeWorks standards and regulations to encourage safe and efficient hotel operations. Initiate preliminary investigations into incidents. Documents and reports to supervisor. Maintain regular attendance in compliance with LodgeWorks standards as...Full timeTemporary workLocal areaHome officeFlexible hoursShift work
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