Healthcare FWA Investigator & Data Analytics
Blue Cross Blue Shield of Kansas City
Blue Cross and Blue Shield of Kansas City is seeking a Fraud Investigator in its Special Investigations Unit to identify potential fraud, waste, and abuse in claims with moderate complexity and limited oversight. You will assist in FWA risk assessments, monitor hotlines and alerts, conduct investigations, and prepare detailed case files and reports for key stakeholders. A bachelor’s degree and 1 year of investigative experience are required, with a Master’s degree preferred. #J-18808-Ljbffr Blue Cross Blue Shield of Kansas City
- Blue KC’s Special Investigations Unit seeks a Fraud Investigator to conduct reviews identifying fraud, waste and abuse, with cases of moderate... ...limited oversight. You will perform risk assessments, use data analytics, monitor hotlines, coordinate subpoenas, prepare case...Suggested
- Centene Corporation is seeking a clinical compliance investigations professional to lead enterprise-wide investigations for all business... ...timely remediation and maintain regulatory defensibility. Strong analytical and documentation skills are essential. #J-18808-Ljbffr...SuggestedRemote job
- CVS Health is seeking a Program Integrity Auditor to review medical and other healthcare records for proper coding and documentation, with focus on regulatory standards and potential fraud, waste or abuse. Responsibilities include audits across Medicaid lines and coordination...SuggestedFull time
- The FBI invites healthcare professionals to transition into the role of a special agent. This move leverages your clinical background... ...and evolving dangers. With specialized training and real-world investigative experience, you’ll sharpen your clinical research and...SuggestedWork at office
$70.1k - $126.2k
...general direction of the VP of Compliance Investigations this position assists with the... ...investigation KPIs, case aging, and trending data, and makes recommendations accordingly.... ...compliance investigations in a regulated healthcare environment preferred. Experience...SuggestedFull timePart timeWork at officeRemote workFlexible hours- Physician - Academic Rheumatologist and/or Investigator Job ID: R-29939 Job Type: Full time Location: Kansas City, Missouri The University... .... The University of Kansas Health System is the official healthcare provider for the Kansas City Chiefs, Kansas City Royals, KC Current...Full time
$70.1k - $126.2k
...complex fraud, waste, and abuse (FWA) investigations involving providers, members,... ...entities utilizing referrals, claims data, medical records, interviews, analytics, and other investigative... ...Degree Business, Criminal Justice, Healthcare Administration, Public Health, or...Full timePart timeWork at officeRemote workFlexible hours$66 per hour
...testing, and collaboration with interdisciplinary teams. The ideal candidate will have over 5 years of research experience, particularly in healthcare settings. Compensation is $66 per hour, and the position is eligible for various company benefits. #J-18808-Ljbffr...Hourly payPart timeRemote work$156.6k - $266.7k
...Contractor position.* The Principal Investigator (PI) is responsible for conducting objective... ...goals and objectives. ~ Strong analytical and decision-making capabilities that support... ..., there is routine monitoring of the data collected to ensure the safety of human...Temporary workFor contractorsWork at officeImmediate startFlexible hours- ...As part of Blue KC’s Special Investigations Unit (SIU), the Fraud... ...potential fraud, waste, and abuse (FWA) and claim overpayments.... ...risk assessments, leveraging data analytics to identify trends, patterns... ...e.g., CMS, BCBSA), external healthcare anti-fraud workgroups, and other...
- The University of Kansas Medical Center is seeking a full-time Clinician Scientist in Psychiatry and Behavioral Sciences, focused on research and behavioral interventions for cancer survivors. This position involves significant research responsibilities (75%), with clinical...Full time
$89.25k - $115.5k
...experienced professional to join the Equities Investigations team. The Sr. Investigator performs... ...regulatory judgment across multiple data sources, and determine appropriate disposition... ...the SEC and other SROs.High level of analytical ability and sound judgment in...Full timeImmediate startFlexible hours$32.93 - $49.4 per hour
Johnson County Government is hiring a Disease Investigator RN for their Health & Environment Department in Olathe, Kansas. The role involves providing nursing services, educating patients, and managing health cases. Applicants must have a valid RN license in Kansas and...Hourly pay- ...Description Johnson County Health & Environment department is looking for a qualified candidate to fill the position of a Disease Investigator RN. The position is located at 11875 S Sunset Drive, Suite 300, Olathe, KS 66061. This position provides excellent benefits,...
- Jocogov is seeking a Disease Investigator RN in Olathe, Kansas, to provide comprehensive nursing services, conduct health assessments, and manage patient care. The role involves educating patients and providing case coordination. Successful candidates will need a Registered...
- ...The Jackson County Medical Examiner's Office is seeking a qualified investigator to join our team and handle investigations of deaths within the jurisdiction. You will document findings with accurate statements to support determinations of cause of death and perform on...Work at office
- ...by putting patients first and empowering providers to lead innovation. We’re seeking an experienced and compassionate Principal Investigator (PI) to oversee Phase 2–4 clinical trials in a collaborative, mission-driven environment. You’ll play a vital role in ensuring scientific...Immediate startFlexible hours
- ...Responsibilities Successfully complete a full‑time, 6‑7 week new Investigator training both virtually and in person in order to be certified in the Federal Investigative Standards for government background investigations. Travel daily when conducting in person background...Full timeTemporary workWork experience placementHome officeNight shift
- ...together We Are Altasciences. About The Role The Principal Investigator is responsible for the supervision and delegation of the tasks... ...the rights and welfare of subjects, assuring the integrity of data generated at the site and directing the conduct of the clinical...
$127.2k - $246.9k
...team.KPMG is currently seeking a Manager, Personnel Background Investigations to join our Enterprise Security Services organization.... ...other deliverables based on expert interpretation of analyzed data; direct, plan, and execute sensitive and complex background adjudication...H1bWork at officeLocal area$150k - $240k
...other infrastructure projects that require compliance with the NHPA and the National Environmental Policy Act. As the Principal Investigator you will plan, oversee, and support cultural resources investigations and overall responsibility for archaeological...Full timeWork at officeLocal areaRemote workFlexible hours- ...JCPenney is seeking an Asset Protection/Shrink Investigator to detect theft and fraud, collect evidence, and document all stages of investigations across stores. You will follow AP directives, conduct external interviews when needed, and report to AP leadership. The role...
$47k - $49k
KVC Health Systems, Inc. in Olathe, KS is seeking a Missing Youth Specialist to support permanency staff in locating missing youth and ensuring safety and coordination with partners. The role requires a Bachelor's degree (Master's preferred), 2 years in children and family...Full time- The University of Kansas Health System is seeking a Physician - Academic Rheumatologist to enhance our team in Kansas City. This role emphasizes excellent patient care, teaching, research, and academic scholarship within a robust division of Allergy, Clinical Immunology...
- A leading academic medical center in Kansas City is seeking a Physician - Academic Rheumatologist and/or Investigator. This role emphasizes delivering exceptional patient care, supporting research, and fostering teaching excellence. Ideal candidates possess a PhD or MD...
- ...Jacksonville, Florida; Kansas City, Missouri; Los Angeles, California. The primary purpose of this position is to serve as a Criminal Investigator responsible for independently planning, directing, and conducting the most complex and sensitive criminal, civil, and...Contract workWork at office
- ...OIG CareersThe U.S. Railroad Retirement Board (RRB) Office of Inspector General (OIG) conducts independent audits and investigations to promote efficiency and integrity within agency programs. Careers within the OIG and Office of Investigations offer professional development...Work at officeFlexible hours
$72.25k - $93.5k
...motivated professional to join the Equities Investigations team. The Investigator conducts... ...apply regulatory judgment across multiple data sources, and determine appropriate disposition... ...the SEC and other SROs. Sound analytical ability and developing judgment in...Full time- ...Conduct study visits including medical assessments, physical exams, and protocol-specific procedures. Partner with principal investigators and research staff to ensure quality, safety, and regulatory compliance. Engage participants with empathy—providing clear education...Full timeFlexible hours
- ...As a Assistant Investigator, you will be responsible for assisting investigative teams and supporting case work, including: assist lead investigator... ...in gathering information. conduct research and analyze data. prepare reports and documentation. respond to client inquiries...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare FWA Investigator & Data Analytics. Be the first to apply!
- clinical investigator Kansas City, MO
- compliance investigator Kansas City, MO
- defense investigator Kansas City, MO
- opm background investigator Kansas City, MO
- background investigator Kansas City, MO
- healthcare investigator Kansas City, MO
- legal investigator Kansas City, MO
- human rights investigator Kansas City, MO
- aml investigator Kansas City, MO
- special investigator Kansas City, MO



