Senior Healthcare Fraud Investigator
$46.99k - $122.4kHispanic Alliance for Career Enhancement
CVS Health in the United States is looking for a dedicated professional to manage complex health care fraud investigations. This full-time role involves preventing fraudulent claims, preparing cases for review, and cooperating with law enforcement. Applicants should have 3 years of experience in health care fraud and a relevant degree. The company offers a competitive salary range from $46,988 to $122,400, along with a comprehensive benefits package. #J-18808-Ljbffr
$126.2k - $264.1k
...Health Applications & Infrastructure (OHAI) is building a modern healthcare platform that connects data, workflows, and experiences across... ..., and healthcare transformation. About the Role As an Senior Principal Product Manager, you will own product outcomes for key...SeniorTemporary workFlexible hours- A leading healthcare data company in Maryland is seeking a Senior Clinical Informaticist to transform clinical data into research-grade evidence. You will collaborate with clinicians and data scientists, ensuring that clinical concepts are standardized and usable for research...Senior
$62.7k - $97.2k
A healthcare organization in Annapolis, Maryland is seeking a professional accountant to perform vital accounting functions including the preparation of financial statements and reports. Candidates must possess a Bachelor's degree, along with 5 years of progressive accounting...Senior- ...responsive and professional level of administrative workplace investigative skills and budgetary knowledge in the Office of the County Auditor... ...performing complex investigations involving allegations of fraud, waste, and abuse, and conducting special reviews, program...SuggestedFor contractorsWork at officeLocal areaAfternoon shift
- ...screening solutions serving mid‑market businesses, nonprofits, and healthcare organizations. This is a dual‑function role for a sharp,... ...intersection of analysis and agile delivery. You will serve as both the senior business analyst and scrum master for a cross‑functional team...Senior
$18.7 - $22 per hour
A healthcare management firm is seeking a Senior Representative for Customer Service Operations to provide outsourced services related to medical billing and reimbursement. This role involves assisting home health nurses with order placement, handling complex B2B customer...SeniorRemote jobHourly pay$90.2k - $175.1k
...trials. In this role, you'll partner with investigative sites and cross-functional teams to... ...~ Bachelor's degree in life sciences, healthcare, or related field (or equivalent experience... ...a zero tolerance policy for candidate fraud. All information and credentials...SeniorFull timePart timeImmediate startWorldwide- ...create a more efficient path to quality care. With human-centered, healthcare-relevant, and value-based solutions, we create new... ...expertise, Commence cuts straight to better care. Requirements The Senior Business Analyst will lead requirements management, business process...SeniorRemote work
$151k - $178k
...clearance at the TS/SCI polygraph level is required. Dive deep into reverse engineering, scripting, and vulnerability research. This Senior Exploitation and Vulnerability Researcher role focuses on providing critical development, scripting, reverse engineering, and...Senior$90.31k - $135.46k
Position Objective Join our analytics team and help us enable our healthcare providers to improve the lives of our patients. You’ll have the opportunity to think globally about the health of our patient populations and drive new insights into interventions that make patients...SeniorFull time$98k - $125k
...significant interface with the Program Manager, senior technical staff on the contract, as... ...assured and compliant solutions for healthcare, we understand that digital... ...applicant may be subject to a background investigation and/or education verification. SMX does...SeniorContract workWork experience placementFor subcontractorH1bWork at officeRemote work$94.9k - $130.5k
...Become a part of our caring community The Senior Product Owner is responsible for conveying the Medicaid product vision and roadmap... ...(Agile Practitioner, Scrum Alliance, etc.) Experience in Healthcare Care Management Applications and Configurations Work at Home...SeniorFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$86.3k - $118.7k
...Advantage is sold, and we drive that change with our design. As a Senior Product Designer, you'll join a growing digital organization.... ..., work in an agile setting, and shape the future of digital healthcare through design. If you’re passionate about mobile‑first UX, honing...SeniorFull timeTemporary workApprenticeship$78.4k - $107.8k
...Become a part of our caring community The Senior Provider Contracting Professional initiates, negotiates, and executes physician,... ...including hospital contracting and network administration in a healthcare company ~ Experienced in negotiating managed care contracts with...SeniorFull timeContract workTemporary workApprenticeshipRemote workWork from homeHome office- CVS Health is seeking a Fraud Investigator based in Annapolis, Maryland, to conduct detailed analysis on Pharmacy and Prescriber behavior to prevent fraud. The role requires 3-5 years of investigative experience and knowledge of Pharmacy terminology. Key responsibilities...SeniorFull time
$82.5k - $166.1k
...Job Description Travel: 80% Overview: Are you ready to take on a pivotal role in transforming healthcare systems? As a Senior Clinical Consultant, you will play a crucial part in shaping the clinical strategy for Post Go-Live (PGL) Readiness Methodology. This dynamic...SeniorTemporary workVisa sponsorshipFlexible hours- At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed... ...now. Come deliver this transformation. About the Role As a Senior Forward Deployed Engineer at Commure, you'll play a crucial...SeniorWork at officeImmediate start
$99k - $206k
...career journey or are an experienced professional, we offer a total rewards package that goes above and beyond with compensation; healthcare, wellness, retirement and work/life benefits; career development and recognition programs. Previously part of a leading Fortune 1...Senior$72k - $108k
A national health organization is seeking a professional to identify and cultivate prospects for new business opportunities in the employee health benefits sector. The position involves maintaining productive relationships with key stakeholders and requires at least 5 years...SeniorRemote job$46.99k - $122.4k
...provider groups in a prepayment environment Investigates to prevent payment of fraudulent claims... ...recovery of company lost as a result of fraud matters. Assists team in identifying... ...in the investigation and prosecution of healthcare fraud and abuse matters. Demonstrates high...SeniorHourly payFull timeTemporary workLocal area$180k - $220k
...world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in... ...and life experiences to realize our bold vision for healthcare. Senior Software Engineer The Role As a Senior Software Engineer, you...Senior$80.5k - $166.1k
...Description Oracle Health Government Services is seeking a skilled Senior Consultant to join our VA Critical Support Team within a... ...Expert knowledge of Oracle Health (Cerner Millennium) solutions, healthcare workflows, system build, implementation, and workflow alignment...SeniorTemporary workFlexible hours$78.4k - $107.8k
...a part of our caring community The Senior Accountant, General Accounting - Cash Reconciliations... ...balance sheet reconciliations, investigating and resolving outstanding items... ...sheet reconciliations. Experience in healthcare, insurance, or managed care environments...SeniorFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$91.4k - $187k
...Description Job Description Oracle Health is transforming healthcare through intelligent, connected, and AI-powered solutions that... ...and reduce clinician burden. We are seeking a highly motivated Senior Product Manager to lead product strategy, roadmap, and execution...SeniorTemporary workWorldwideFlexible hours$25.48 - $63.65 per hour
...technologies that empower patients, support clinicians, inspire innovation, and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data. It's a big challenge, but big challenges are what we do best. We're already...SeniorHourly payTemporary workWork experience placementLocal areaFlexible hours$168k - $231k
A national health services company seeks a Senior Counsel to provide legal guidance and support for its senior-focused primary care operations. The role requires significant legal expertise, particularly in health care, and involves advising on complex negotiations and...SeniorRemote job$86.3k - $118.7k
...Become a part of our caring community The Senior Compliance Professional ensures adherence to government regulations and requirements... ...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life...SeniorBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$72.8k - $187k
...Health Applications & Infrastructure (OHAI) is building a modern healthcare platform that connects data, workflows, and experiences across... ..., and researchers. We are looking for an experienced Senior Product Manager to help define, prioritize, and deliver the platform...SeniorContract workTemporary workFlexible hoursShift work$284.32k - $355.4k
...diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery,... ...individual for the position of Senior Medical Director, Clinical Research (Neurology... ...activities for the betterment of healthcare and fuller lives of people worldwide....SeniorWorldwideFlexible hours$3,000 per month
...citizens and the world depend upon each minute: Financial assets. Healthcare information. Critical infrastructure. Hazardous materials. The... ...to keep the threats at bay. THE WORK As a Software Engineer - Senior Level you will be responsible for: Developing, maintaining,...SeniorFull timeTemporary workWork experience placementWork at officeRemote workFlexible hours
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