Healthcare FWA Investigator - No Surprises Act
CVS Health
CVS Health in Albany, NY is seeking an experienced individual to support complex healthcare fraud investigations. This role is crucial in ensuring compliance with federal regulations, particularly the No Surprises Act, while analyzing data to identify fraud risks. The ideal candidate will have over 5 years of relevant experience and strong analytical skills. The position offers a comprehensive benefits package and the opportunity to make a significant impact in healthcare. #J-18808-Ljbffr CVS Health
$66.33k - $145.86k
...individual contributor role supports complex investigations and contributes to organizational... ...Performs complex investigations related to healthcare fraud, waste, and abuse (FWA), with a focus on compliance with the No Surprises Act (NSA). This individual contributor role...SuggestedHourly payFull timeTemporary workLocal area- ...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...SuggestedFull timeWork experience placementWork at officeLocal area
- A leading government service provider is seeking a Healthcare Fraud Investigator to provide legal support for a significant government project. This role requires a strong background in healthcare fraud investigations, effective communication skills, and proficiency with...Suggested
- A government services company is seeking a Healthcare Fraud Investigator to support legal initiatives for a major government project in Nashville, TN. The role requires the candidate to analyze data, review financial documents, and liaise with attorneys and client agencies...Suggested
$50 per hour
Registered Nurse - Nursing Home Surveyor/Complaint Investigator - Albany, NY (#25316) Location: Albany, NY Employment Type: Full-time Hourly Rate: $50/hr About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated...SuggestedHourly payPermanent employmentFull timeTemporary workPrivate practiceWork at officeImmediate startMonday to FridayFlexible hours$50 per hour
A leading healthcare staffing agency is seeking an experienced Registered Nurse to conduct nursing home surveys and complaint investigations in Albany, NY. The role is full-time and offers a competitive rate of $50 per hour. Candidates should possess a nursing degree and...Hourly payFull time- ...community then you have come to the right place! Summary of Role : Investigators assess technically complex cases involving suspicious activity... ...submitted under sections 314(a) and 314(b) of the USA PATRIOT Act. Partnering with business areas to develop and enhance...
$88.3k - $187k
...innovation, and global reach to redefine what’s possible in healthcare. This isn’t just a career—it’s an opportunity to help shape the... ...needs, and established usability and safety goals. Lead investigations of complex and dynamic interactions across clinical roles, care...Temporary workLocal areaRemote workFlexible hours- ...Deviation Investigator – API Manufacturing Location: Rensselaer, NY (Onsite) Duration: Contract Position Summary We are seeking an experienced Deviation Investigator with hands-on API (Active Pharmaceutical Ingredient) manufacturing experience to support...Contract work
- ...Investigator Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making...Local areaNight shiftWeekend work
- CoventBridge Group is seeking a full-time Surveillance Investigator in the Albany, NY area to join their elite surveillance team. This role involves conducting discreet, vehicle-based field investigations to combat insurance fraud. The ideal candidate must hold a PI license...Remote jobFull timeFlexible hours
- Citizens is seeking a Corporate Security and Resilience Investigator II in Albany, New York. This position involves leading complex financial crime investigations and providing independent investigative services. Ideal candidates will have at least three years of relevant...Flexible hours
$60.23k - $90.35k
Description Corporate Security and Resilience Investigator II position will lead investigations, including Internal investigations of a sensitive nature. Position contributes to various types of investigations, including complex financial crime. This is achieved by providing...Work at officeLocal areaMonday to FridayFlexible hoursNight shift$61.66k - $87.1k
A public health consulting firm in Albany, NY is seeking experienced professionals to conduct investigations in Adult Care Facilities. This full-time role involves both on-site and remote work after an initial period. Candidates should have strong communication skills,...Full timeRemote work- ...Department: Legal Services CGS is seeking an experienced ACE Investigator with extensive knowledge and skills in investigative... ...investigation and civil actions involving fraud in areas such as healthcare, contracting, and grants, as well as other fraud and abuse of...Full timeWork at officeLocal areaFlexible hours
- ...purpose of helping those we serve move forward on their paths to recovery, healing, and independence. Position Summary The Incident Investigator works closely with Leadership to conduct internal investigations based on any report of a client incident/complaint received...Temporary workWork at officeMonday to FridayFlexible hours
- ...mobile surveillance. Obtain professional quality video and photographic documentation of subjects. Prepare and file comprehensive investigative reports using the information that was collected from surveillance investigations. Upload video, photographs, audio files, and...Hourly payPart timeNight shiftAfternoon shift
- ...Base Salary table and will be augmented by locality pay as authorized for the duty location of the position. Duties Conduct investigations to ensure compliance with the CSA and its implementing regulations involving the procurement, manufacture, distribution, security...Local areaRelocationTrial period
- Broadview Federal Credit Union in Albany, NY is seeking an Investigator to join their Financial Crimes Team. This role focuses on assessing complex cases involving suspicious activities, ensuring compliance with financial regulations, and protecting the community. The...
- Overview Command Investigations, LLC is looking for Surveillance Investigators to become part of a dynamic team. This is a great opportunity for individuals with prior investigative experience who demonstrate integrity, independence, and a drive to succeed in a fast-paced...Work at officeRemote workNight shiftWeekend work
$30 - $35 per hour
This QA & QC Investigator Position Features: Location: Rensselaer, NY 12144 ?? Pay Rate: $30-35/hr Duration: 3 Months Position Overview We... ...County Fair Chance Ordinance for Employers and the California Fair Chance Act. #J-18808-Ljbffr AppleOne Employment ServicesTemporary work$19 - $32 per hour
Walmart is seeking a full-time associate in Town of Colonie to ensure the safety and security of our associates, customers, and merchandise. This role requires critical thinking and the ability to solve complex problems effectively. Hourly wage ranges from $19 to $32, along...Hourly payFull time- A state government agency is seeking candidates for the Revenue Crimes Specialist Trainee position, where you will conduct investigations of tax crimes. In this role, you'll be required to possess a degree, perform investigative duties, and comply with state-regulated...Full timeTraineeship
- ...hiring for a full-time position in Glenmont, NY, focusing on the safety and security of associates and customers. The role demands investigative skills, critical thinking, and problem-solving abilities. Competitive pay is offered, along with various benefits including...Full time
- The New York State Department of Health is seeking a Health Program Administrator to assist in complaint investigations within the Bureau of Consumer Services. This role involves reviewing Medicaid compliance and addressing provider concerns while ensuring efficient operations...TraineeshipWork at office
- A federal law enforcement agency is seeking Criminal Investigators to conduct complex narcotics investigations. Candidates must be U.S. citizens, meet age and training requirements, and maintain a Top-Secret security clearance. Responsibilities include evidence gathering...Relocation
- ...Take the next step in your career as our new Assistant Investigator Associate to adapt to shifting priorities and business needs, coordinate tasks to ensure deadlines are met, and maintain accurate records and documentation. Other duties include support the preparation...Weekly payFlexible hoursShift work
- Investigator - New York State Inspector General (OIG) Location: Albany, NY. OIG has offices in Albany, Buffalo, Hauppauge, New York City, Suffern, and Syracuse. The OIG, established under Executive Law Article 4-A, investigates complaints of fraud, corruption, criminal...For contractorsWork at officeLocal area
- A federal law enforcement agency is looking for candidates to conduct investigations related to drug trafficking compliance. The role requires U.S. citizenship and a successful completion of an intensive training course. Ideal candidates will have specialized experience...Local areaRelocation
$25 - $28 per hour
Alliance Risk Group is looking for experienced and motivated Investigators to join our team! You'll conduct investigations and surveillance, gather evidence, and prepare clear, detailed reports to support our clients. What We're Looking For ✅ Minimum of 2 years of private...Hourly payPart timeFlexible hours
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