Senior Healthcare Fraud Investigator - Strategic Casework
Blue Cross & Blue Shield of NC
Blue Cross and Blue Shield of North Carolina is seeking an experienced investigator to conduct fraud investigations and maintain robust documentation. The role requires strong analytical and communication skills, alongside a solid foundation in Medicare billing principles. Benefits include medical, dental, and vision coverage, 401(k) matching, and support for work-life balance. Candidates must have authorization to work in the United States, which will be verified through E-Verify. #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
- The Hispanic Alliance for Career Enhancement is looking for a full-time professional in Idaho to help investigate healthcare fraud and abuse. This position involves handling complex cases, documenting findings, and interacting with law enforcement agencies. The ideal candidate...SeniorFull time
$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is seeking a professional for health care fraud investigations. The role requires at least three years of experience in related fields and a Bachelor's degree or equivalent. You will investigate and document cases related to...Senior$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is hiring for a position focused on investigating healthcare fraud cases. The ideal candidate will have a Bachelor’s degree and at least 3 years of experience in fraud, waste, and abuse investigations. Responsibilities include...SeniorFull time$46.99k - $122.4k
CVS Health is looking for a skilled individual to manage healthcare fraud investigations in New Jersey. The role entails handling complex cases, facilitating legal proceedings, and working closely with law enforcement agencies. The ideal candidate will have a Bachelor's...SeniorFull time$46.99k - $122.4k
CVS Health is seeking an experienced professional for a full-time role in health care fraud investigations in United States, Kentucky. The position requires a minimum of 3 years of experience in related fields and knowledge of health care coding systems. This role offers...SeniorFull time- CVS Health in Pennsylvania is seeking a skilled professional to manage complex cases involving health care fraud. The candidate will investigate claims, collaborate with law enforcement, and ensure adherence to health care regulations. Interested individuals must hold a...SeniorFull timeWork at office
- Centene Management Company LLC is seeking a skilled investigator to handle allegations of healthcare fraud and abuse in New York. In this role, you'll plan, organize, and execute claims investigations, utilizing your expertise in data mining and report creation. The ideal...SeniorRemote jobFlexible hours
- CVS Health is seeking a qualified professional to manage health care fraud investigations. This role requires expertise in CPT/HCPCS/ICD coding and 3 years of experience in fraud investigations. You will investigate cases, document findings, and participate in legal proceedings...SeniorFull time
- A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates...Senior
$85k - $95k
Ipsos is seeking a Senior Market Research Manager in New York, NY. You will provide strategic insights in healthcare research and manage client relationships effectively. The role requires 6+ years in market research and strong experience in budgeting, organizational skills...Senior- A healthcare-focused organization seeks a Senior Program Manager to provide strategic leadership and oversight for large-scale programs. The role requires 10-15 years of experience in program and project management, with proven success in managing multimillion dollar projects...SeniorRemote jobFull time
- We. Communications is seeking a Senior Vice President to provide strategic oversight and leadership across multiple accounts. The role requires 15+ years in communications, with a strong emphasis on technology and team leadership. You will strategize with executive leaders...Senior
- A leading healthcare organization is seeking a Senior Strategic Planning Analyst to enhance strategic decision-making through data analysis and modeling. The ideal candidate will have a Bachelor's degree and 7-8 years of experience in business development or strategic planning...Senior
$163.1k
A leading healthcare analytics firm is seeking an experienced professional for a senior role in consulting, focusing on strategic partnerships with life sciences clients. This position requires at least 12 years of experience in consulting or the pharmaceutical sector,...Senior- ...York City is looking for an Asset Protection Manager to support strategic plans focusing on sales, profitability, and safety. This role... ...analytical skills. This position comes with comprehensive healthcare plans, PTO, and educational reimbursement opportunities. #J-1...Senior
- A healthcare analytics leader is looking for a Senior Data Analyst to build complex financial models, conduct revenue cycle analysis, and present strategic insights. The role requires a Bachelor's Degree and at least 5 years of experience in Healthcare Data Analytics. Ideal...SeniorRemote job
- ...Job Description Job Description Healthcare Fraud Investigator 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...Full timeWork experience placementWork at officeLocal area
$140k - $175k
Senior Strategic Engagement Lead, Life Sciences Datavant is a data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare...SeniorWork at office$150.5k - $204k
...Senior Business Data Analyst One out of every two small businesses... ...existing risk policies for fraud, financial and compliance... ...experience and agent investigation capabilities. In addition... ...ability to think creatively and strategically while working on multiple key...SeniorTemporary workWork experience placementSelf employment$115k - $125k
...life across retirement, education, and healthcare savings needs. Today, Vestwell enables over... ...looking for an exceptional Associate, Strategic Finance to join our finance team. In this... ..., and partner cross-functionally with senior leaders, particularly within the Sales &...SeniorWork at officeLocal area$140k - $180k
.... The Role Are you ready to take the helm of strategic planning for a pioneering, healthcare neurology brand franchise? We're on the hunt for a visionary... ...a Vice President role and $200,000 - $270,000 for a Senior Vice President. Salary is based on a range of factors...SeniorTemporary workWork at officeRemote workFlexible hours$95.3k - $237.5k
...Senior Strategic Communications Consultant This role is posted in anticipation of a future... ...Understands the fundamental principles of healthcare marketing and communications, with a... ...a zero tolerance policy for candidate fraud. All information and credentials submitted...SeniorFull timePart timeImmediate startWorldwide$85k - $140k
...untimely, or incomplete WM data. The External Fraud Risk Team within WM CDO works to define... ...support efforts to build an automated strategic inventory of fraud rules, perform gap analyses... ...tasks when there are fraud incidents and senior management queries related to fraud rules...SeniorTemporary workWork at office$95.3k - $237.5k
Senior Strategic Communications Consultant New York, United States of America | Full time | Office... ...and Communications Understands healthcare marketing fundamentals and has strong capabilities... ...a zero tolerance policy for candidate fraud. All information and credentials...SeniorFull timeWork at office$125k - $165k
...Strategic Finance Principal New York, New York Via is on a mission to create public transportation systems that provide far greater access to jobs, healthcare, and education. Our platform serves as the technology backbone for modern transit networks, transforming...$109k - $136k
A healthcare company is seeking a Senior Recruiter to partner with leadership to build corporate teams. This role encompasses full-cycle recruiting for high-priority roles, providing market insights, and driving process improvements. Candidates should have 4-7+ years of...Senior$115k - $140k
Title: Senior Analyst, Strategic Finance Location: Remote About Tia Tia is on a mission to transform healthcare for women by increasing access to and improving the experience of key preventive healthcare services. Known as the best and only way to both transform outcomes...SeniorRemote jobWork from home$140k - $175k
...Our Mission Healthcare should work for patients, but it doesn't. In their time of need, they call down outdated insurance... ...We are looking for a highly analytical and detail-oriented Strategic Finance Senior Associate to join our high performing team. In this role,...SeniorWork experience placementFlexible hours- ...industries like automotive, manufacturing, and healthcare to design, simulate, and collaborate in... ...the gap between ideas and reality. The Strategic Partnerships and Corporate Development... ...we help unlock. We are seeking a Senior Strategic Partnerships Manager to build...SeniorWork at officeWorldwideRelocation package
- ...pharmaceutical and biotech partners. As a high‑growth, tech‑enabled healthcare company, we operate with the rigor of a top‑tier... ...deployment drive meaningful impact. About The Role The Senior Manager, Strategic Finance & Investments is a high‑impact, analytical powerhouse...SeniorTemporary workLocal areaImmediate startRemote work
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