Senior Investigator, Fraud & Abuse — Special Investigations
$46.99k - $112.2kCVS 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
$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...SeniorFraudHourly payFull timeTemporary workWork at officeLocal area- ...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...FraudFor contractorsWork experience placementWork at officeLocal area
- ...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
- ...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...SuggestedPermanent employmentLocal areaRelocationTrial periodWeekend work
$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...FraudWork at officeLocal area- ...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...FraudFlexible hours
$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...SeniorFraudTemporary workLive inWork at officeLocal areaFlexible hours- 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...
$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 pay16 hoursFull timeWork at officeRemote workFlexible hoursShift workNight shiftWeekend work$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...SeniorFraudHourly payMinimum wageContract workWork experience placementLocal areaFlexible hours$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 payFull timePart timeWork at officeRemote workFlexible hours- ...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...SeniorFraudHourly payContract workLocal areaRemote work
- 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...
$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...SeniorFraudTemporary workLocal areaFlexible hours- ## 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...SeniorWork experience placementFlexible hours
$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...SeniorFraudFull timeContract workH1bRemote workAfternoon shift$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 payFull timeContract workTemporary workWork experience placementInternshipHome officeRelocation packageShift workNight shift- ...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...SeniorContract workWork at officeLocal area
$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...SeniorFraudTemporary workLocal areaFlexible hours$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...FraudFull timeWork experience placementImmediate start$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...FraudWork at officeLocal areaRemote workFlexible hours- ...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
$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 hiringNight shift$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...SeniorFor contractorsWork at officeLocal area$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...FraudTemporary work- ...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...FraudFull timeWork at officeLocal areaNight shiftAfternoon shift
- ...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...FraudPart timeWork at officeLocal areaNight shiftAfternoon shift
$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...SeniorWork at office$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...SeniorHourly payRemote work- ...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...SeniorWork at office
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