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

Senior Investigator, Fraud & Abuse — Special Investigations

$46.99k - $112.2k

CVS Health

CVS Health in Baton Rouge is looking for an investigator focused on Pharmacy Fraud. The role requires 3-5 years of investigative experience in healthcare fraud, strong data analysis skills, and knowledge of pharmacy terminology. Responsibilities include conducting analysis, collaborating with Pharmacy Benefit Managers, and preparing cases for legal reviews. This full-time position offers a pay range between $46,988.00 and $112,200.00, including benefits like medical, dental, and retirement savings options. #J-18808-Ljbffr CVS Health

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Senior Investigator, Fraud & Abuse — Special Investigations in Baton Rouge, LA vacancy
  • $46.99k - $112.2k

     ...Conducts high level, complex analysis of Pharmacy and Prescriber behavior to effectively pursue the prevention, investigation and prosecution of Fraud Waste and Abuse. Collaboration with Pharmacy Benefit Manager, providing meaningful evidence of Fraud, Waste and Abuse to... 
    Senior
    Fraud
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area

    CVS Health

    Baton Rouge, LA
    3 days ago
  •  ...Global is seeking an Affirmative Civil Enforcement Investigator for the United States Attorney's Office (USAO) in Baton...  ...necessary for successful litigation. Provide specialized investigative analysis relevant to fraud on federal programs or federal civil rights... 
    Fraud
    For contractors
    Work experience placement
    Work at office
    Local area

    SGI Global, LLC

    Baton Rouge, LA
    8 days ago
  •  ...Special Agent Position Joining the United States Secret Service (USSS) as a Special...  ...nation through our dual mission of criminal investigations and protection. Special Agents play a...  ...crimes, including counterfeiting, cyber fraud, and other threats to the financial infrastructure... 
    Fraud

    United States Secret Service

    Baton Rouge, LA
    12 hours ago
  •  ...Drug Enforcement Administration Criminal Investigator GL-1811-7/9/11 positions open to U.S....  ...For more information or questions about Special Agent positions, please visit Talk to a...  ...investigative reports and deliver briefings for senior personnel and other federal, state, and... 
    Suggested
    Permanent employment
    Local area
    Relocation
    Trial period
    Weekend work

    Drug Enforcement Administration

    Baton Rouge, LA
    2 days ago
  • $97.3k - $125.54k

     ...JOB DESCRIPTION As an FBI special agent, you'll directly impact national security. By harnessing your...  ...protect our nation from cyberattacks, terrorism, fraud, and evolving threats. From conducting high‑stakes investigations to leveraging your depth of knowledge in... 
    Fraud
    Work at office
    Local area

    Federal Bureau of Investigation (FBI)

    Baton Rouge, LA
    12 hours ago
  •  ...is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis...  ...workers' compensation, suspected fraud, liability and aimed at mitigating expenses...  ...investigations, including Surveillance and Special Investigations Unit (SIU) assignments, within... 
    Fraud
    Flexible hours

    J T Becker & Co Inc

    Baton Rouge, LA
    29 days ago
  • $169.22k - $253k

    Position Overview - Senior Medical Science Liaison Otsuka America...  ...within planned timelines. Leads special projects as requested by...  ...registrational, post‑marketing and Investigator‑Sponsored Trials (ISTs),...  ...Statement Regarding Job Recruiting Fraud Scams At Otsuka we take... 
    Senior
    Fraud
    Temporary work
    Live in
    Work at office
    Local area
    Flexible hours

    Otsuka America Pharmaceutical Inc.

    Baton Rouge, LA
    2 days ago
  • DESCRIPTION: Under the direction of a higher classification, performs responsible fieldwork in the investigation and resolution of citizen oriented complaints. The employee of this classification is responsible for investigating, handling and resolving numerous complaints... 

    Duplantis Design Group

    Baton Rouge, LA
    4 days ago
  • $25 - $30 per hour

    Description 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... 
    Hourly pay
    16 hours
    Full time
    Work at office
    Remote work
    Flexible hours
    Shift work
    Night shift
    Weekend work

    Command Investigations, LLC

    Baton Rouge, LA
    12 hours ago
  • $25.86 per hour

     ...Opportunity The Senior Paralegal will support the USAO, Baton Rouge, LA, primarily within...  ...Civil Division focused on Health Care Fraud matters. This role works under the direction...  ..., in aid of civil litigation, investigations, and trials, including through contact or... 
    Senior
    Fraud
    Hourly pay
    Minimum wage
    Contract work
    Work experience placement
    Local area
    Flexible hours

    CACi

    Baton Rouge, LA
    3 days ago
  • $28 - $32 per hour

    Command Investigations, LLC is seeking an Insurance Field Investigator with a minimum of three years experience to become part of a dynamic...  ...recorders and cameras, with proficiency and accuracy Special Note: This role requires you to supply your own equipment, including... 
    Hourly pay
    Full time
    Part time
    Work at office
    Remote work
    Flexible hours

    Command Investigations

    Baton Rouge, LA
    3 days ago
  •  ...Senior AI Engineer Anywhere Type: Contract Category: Data Industry: Insurance...  ...solutions that improve claims triage, investigation, and operational efficiency. Senior AI...  ...fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group... 
    Senior
    Fraud
    Hourly pay
    Contract work
    Local area
    Remote work

    Eliassen Group

    Baton Rouge, LA
    2 days ago
  • A federal law enforcement agency is seeking Criminal Investigator candidates to conduct complex narcotics investigations and gather evidence. Eligible applicants must be U.S. citizens, aged 21-36, and possess Spanish language skills. The role involves physical assessments... 

    Drug Enforcement Administration

    Baton Rouge, LA
    12 hours ago
  • $249.97k - $388.13k

     ...is seeking an experienced and visionary Senior Director, Global Clinical Development (GCD...  ...(e.g., internal staff and external investigators/consultants). • Strong communication and...  .... Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and... 
    Senior
    Fraud
    Temporary work
    Local area
    Flexible hours

    Otsuka America Pharmaceutical Inc.

    Baton Rouge, LA
    2 days ago
  • ## Postdoctoral Researcher or Senior Postdoctoral Researcher (Ultrafast AMO Theory group...  ...of large-scale calculations to investigate attosecond electron dynamics in complex...  ...experience.## Additional Job Description:## Special Instructions:Please attach ALL required... 
    Senior
    Work experience placement
    Flexible hours

    Louisiana State University

    Baton Rouge, LA
    2 days ago
  • $63.59k - $121.53k

     ...members. Be part of what truly makes us special and impactful. We are proud to support...  ...guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal...  .... Reviews claims/suppliers for fraud indicators and refers to Special Investigations... 
    Senior
    Fraud
    Full time
    Contract work
    H1b
    Remote work
    Afternoon shift

    USAA

    Baton Rouge, LA
    2 days ago
  • $26.07 per hour

     ...keeping people around the world safe and secure. Program Overview RDG (Risk Decision Group) provides nationwide background investigations compliant with national government standards to include support of continuous vetting for over 110 government agencies.... 
    Hourly pay
    Full time
    Contract work
    Temporary work
    Work experience placement
    Internship
    Home office
    Relocation package
    Shift work
    Night shift

    Peraton

    Baton Rouge, LA
    12 days ago
  •  ...the autonomy to reach your goals. EisnerAmper has experienced significant growth and is seeking a Senior Accountant for our Outsourced Accounting team focused on special projects. This position involves preparing and maintaining accurate financial records, supporting month... 
    Senior
    Contract work
    Work at office
    Local area

    ROLE

    Baton Rouge, LA
    2 days ago
  • $230.72k - $345k

     ...Job Summary The Senior Director, Biostatistics, provides leadership, oversight, and technical/scientific direction across multiple...  ...****@*****.***) . Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and protection of your... 
    Senior
    Fraud
    Temporary work
    Local area
    Flexible hours

    Otsuka America Pharmaceutical Inc.

    Baton Rouge, LA
    3 days ago
  • $2,846.13 - $5,113 per month

     ...procedure. Interprets and applies complex federal, state, and agency policies for each program. Conducts special investigations and complies reports concerning fraud and location of absent parents. Counsels and refers potentially eligible recipients or applicants to... 
    Fraud
    Full time
    Work experience placement
    Immediate start

    State of Louisiana

    Baton Rouge, LA
    1 day ago
  • $150k - $160k

     ...a full-service engineering, fire investigation, environmental, health and safety,...  ...we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert...  ...Business Development is a senior growth leader responsible for accelerating... 
    Fraud
    Work at office
    Local area
    Remote work
    Flexible hours

    Efi Global

    Baton Rouge, LA
    1 day ago
  •  ...Capitol FCU currently has an opening for a Senior Accountant. The Senior Accountant is...  ...Reconcile cash accounts on a daily basis and investigate and resolve variances in a timely manner...  ...projects as needed. Participate in special projects, system implementations, and process... 
    Senior

    Lacapfcu

    Baton Rouge, LA
    12 hours ago
  • $22 - $27 per hour

     ...Job Description Job Description Salary: $22-$27 Private Investigator - Company Vehicle Provided! PhotoFax, Inc., a nationwide private detective agency, is currently hiring surveillance investigators to join our team in theBaton Rouge, LA region. If you... 
    Currently hiring
    Night shift

    PhotoFax

    Baton Rouge, LA
    26 days ago
  • $23.16 per hour

     ...utilizing the appropriate application and/or template. Identifies potential discrepancies in claim submissions and involves the Special Investigation Unit as necessary. Identifies issues which can be used to educate/train internal staff, streamline, and improve processes... 
    Senior
    For contractors
    Work at office
    Local area

    Highmark Health

    Baton Rouge, LA
    4 days ago
  • $125k

     ...#1 in Anti-Money Laundering #1 in Anti-Fraud Have won many innovation awards at Finovate...  ...Executive, Fraud Solutions Industry Specialized IT Services Location: Candidate Can be located...  ...personnel Requirements: Self-sufficient senior sales person; likes to be given end... 
    Fraud
    Temporary work

    TecTammina

    Baton Rouge, LA
    2 days ago
  •  ...preparation, and balancing. Assist in managing operational loss through fraud detection, hold placement, seeking supervisory overrides as...  ..., engaging, and directing client traffic. Perform research, special projects, and other duties as assigned by management. MINIMUM REQUIRED... 
    Fraud
    Full time
    Work at office
    Local area
    Night shift
    Afternoon shift

    Hancock Whitney

    Baton Rouge, LA
    2 days ago
  •  ...preparation, and balancing. Assist in managing operational loss through fraud detection, hold placement, seeking supervisory overrides as...  ..., engaging, and directing client traffic. Perform research, special projects, and other duties as assigned by management. MINIMUM REQUIRED... 
    Fraud
    Part time
    Work at office
    Local area
    Night shift
    Afternoon shift

    Hancock Whitney

    Baton Rouge, LA
    4 days ago
  • $50.63k - $63.34k

     ...processes, and compliance procedures. Serve as subject matter expert in designated areas and support Internal Audit Management with special projects or consulting engagements. Assist in preparation and presentation of final audit reports and findings. Perform other... 
    Senior
    Work at office

    Bally’s Corporation

    Baton Rouge, LA
    2 days ago
  • $18.7 - $22 per hour

     ...A healthcare service provider is looking for a Senior Representative in Customer Service Operations. This role involves providing...  ...managing customer calls, maintaining accurate order records, and investigating shipment issues. Candidates should have a high school diploma... 
    Senior
    Hourly pay
    Remote work

    Cardinal Health

    Baton Rouge, LA
    3 days ago
  •  ...Education and experience Education Required High School Diploma Certification of completion from a paralegal studies program is preferred Special consideration may also be given to candidates with law school degrees. A law school degree may be accepted in lieu of all education... 
    Senior
    Work at office

    LWCC

    Baton Rouge, LA
    12 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Investigator, Fraud & Abuse — Special Investigations. Be the first to apply!