Healthcare Analytics Specialist - Fraud & Savings
Blue Cross & Blue Shield of NC
Blue Cross and Blue Shield of North Carolina is seeking a strategic analytics partner for the Special Investigations Unit (SIU) and Payment Integrity teams. You will deliver actionable business intelligence, dashboards, and audit support to identify fraud, waste, abuse, and payment accuracy opportunities. You will translate complex healthcare data into meaningful insights, measure program effectiveness, and collaborate with BI Analysts and Data Scientists to drive measurable savings and #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
- ...Cross NC is seeking a strategic analytics partner for its SIU and... ...operational insights to identify fraud, waste, abuse, and payment... ...opportunities, driving measurable savings and efficiency. The analyst... ...-making, translating complex healthcare data into meaningful #J-1880...Fraud
- ...and Blue Shield of North Carolina seeks an analytics professional to act as a strategic partner to... ...Payment Integrity teams. You will translate healthcare data into insights, design dashboards, and support audits and savings initiatives. The role requires 3+ years in healthcare...Fraud
- Amivero is seeking a Data Analyst focused on fraud and identity analytics to support federal programs. You will develop and monitor fraud models, analyze new account activity, and correlate data across partner ecosystems to detect suspicious patterns. You will collaborate...Fraud
$135k - $140k
...Medtronic is a global leader in healthcare technology with a Mission to... ...and radiation Clinical Specialists are required to be within their... ...of employment. Recruitment Fraud AlertWe are aware of phishing... ...and vision insurance, Health Savings Account, Healthcare Flexible...FraudFull timeWork experience placementH1bWork at officeLocal areaImmediate startRemote workWorldwideFlexible hoursNight shift$124k - $145.8k
...To make our vision for mental healthcare a reality, we’re building a... ...work on a variety of reporting, analytics and experimentation projects.... ...Wellness: Retirement savings programs and equity opportunities... ...criteria and may flag potential fraud or integrity issues for...FraudFull timeRemote workHome officeFlexible hoursDay shift3 days per week- ...Corporation is seeking a senior leader to direct SIU analytics, detection, and investigative analytics across healthcare programs. You will work with SIU leadership and... ...role requires 5+ years in healthcare analytics, fraud detection, SIU operations, and leadership of...FraudRemote job
$212k - $265k
...this by building a new mental healthcare system everyone can access.... ...Staff Data Scientist, Product Analytics , you will be a senior technical... ...benefits, retirement savings, and meaningful ownership opportunities... ...phishing and recruitment fraud, please note that Headway...FraudWork from homeFlexible hours$105k - $182k
...Solutions is an award-winning global healthcare market access consultancy. We... ...access strategy, leveraging analytics Developing client... ...health insurance, retirement savings benefits, life insurance and... ...precisionmedicinegrp.com. Recruitment Fraud Warning: Please be aware that...FraudLocal area$205k - $250k
...To make our vision for mental healthcare a reality, we’re building a... ...for a Senior Manager, Business Analytics to lead the team that powers... ...Financial Wellness: Retirement savings programs and equity... ...criteria and may flag potential fraud or integrity issues for recruiter...FraudFull timeRemote workHome officeFlexible hoursShift workDay shift3 days per week$124k - $145.8k
...To make our vision for mental healthcare a reality, we’re building a... ...work on a variety of reporting, analytics and experimentation projects.... ...Wellness: Retirement savings programs and equity opportunities... ...criteria and may flag potential fraud or integrity issues for...FraudFull timeRemote workHome officeFlexible hoursDay shift3 days per week$84.6k - $211.6k
...provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We... ...process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application...FraudFull timePart timeLocal areaImmediate startWorldwide$125k - $135k
...patients’ lives? Do you have Electronic Healthcare Record (EHR) experience and are looking... ...looking for Health Information Technology Specialists to support an IQVIA pharmaceutical... ...maintains a zero tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeImmediate startWorldwideNight shift- ...incremental financial contribution, cost savings, improved payment economics, and... ...teams, Product, Legal, Finance, Treasury, Fraud, Operations, and external partners to identify... ...Operations, Treasury, Fraud, etc.Strong analytical mindset, capable of assessing market...FraudWork at officeRelocation package
- ...player is seeking a skilled Scrum Master to lead projects in the healthcare sector. This role involves analyzing business problems,... ...tools like Tableau and Power BI. Join a dynamic team where your analytical and conceptual thinking skills will drive impactful solutions...
- ...Counsel's mission is to multiply the world's healthcare capacity. We believe in a future in... ...mean something. We're looking for an Analytics Engineer to own the semantic layer, building... ...of AI in healthcare! Recruitment Fraud Notice Counsel Health only communicates...FraudRemote work
$84.4k - $235.3k
The Associate Director of Data Analytics provides technical and people leadership to design... ..., and strategic decision-making across healthcare and life sciences. This role owns end-to... ...maintains a zero tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeImmediate startRemote workWork from homeWorldwide$131k - $140k
Garner’s mission is to transform the healthcare economy, delivering high-quality and affordable... ...stakeholders, answering questions via analytically robust reports and presentations. Build... ..., 401(k), Teladoc Health and more. Fraud and Security Notice: Please be aware of...FraudWork at officeWork visaFlexible hours3 days per week$40k - $50k
...mortality; we improve outcomes and reduce healthcare spend. Role Description Your North Star... ...significant upside earning potential. Specialists are offered an uncapped performance bonus... ..., and veteran status. Potential Fraud Warning Please be cautious of potential...FraudLocal areaRemote workMonday to Friday$76k - $199.6k
...customer, market, and business acumen, analytical skills, and strong product and disease state... ...and/or Account Management Relevant Healthcare/Scientific roles (e.g., RN, Pharmacist,... ...Contributions and an additional Pfizer Retirement Savings Contribution, paid vacation, holiday and...Permanent employmentFull timeH1bLocal areaRemote workVisa sponsorshipWork visaRelocation package- ...Investigator responsible for conducting thorough investigations into fraud and misconduct. The role includes scene recreations, document retrieval, wellness checks, and engaging with witnesses. Strong analytical and communication skills are essential. This positions reflects...Fraud
$71.2k - $239.2k
...Commercial Solutions & Insights Hub (CSIH) Analytics page is loaded## Consultant - Commercial... ...of today’s complex and evolving healthcare landscape**. Analytic Services leverages... ...maintains a zero tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeWork experience placementWork at officeImmediate startWorldwide- ...everyone.Position Summary:As an Ethics Specialist, you will serve as a key guardian of the... ...investigations, including whistleblower, fraud, and misconduct cases, while handling sensitive... ...or whistleblower cases.- Strong analytical skills, with the ability to interpret and...FraudWork at office
- ...exceptional Associate Threat Analyst in the US. This entry-level role allows you to accelerate your career in analytics and data science while supporting fraud prevention efforts. You'll build relationships, provide training, and collaborate on data-driven solutions. Basic...FraudFull timeRemote work
$83k - $173k
...We hire passionate innovators who drive healthcare forward through thoughtful and inclusive... ...documentation to Project Management and support analytical staff during the method hand-off... ...maintains a zero tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeImmediate startWork from homeWorldwide- ...physician groups, life sciences companies, and healthcare investors. The firm's nationally... ...state healthcare regulations, including fraud and abuse laws, the corporate practice... ...law. ~ Exceptional writing, analytical, and communication skills. ~ A collaborative...FraudFull time
- ...following areas: Payment Integrity including Fraud, Waste & Abuse; Medical & Pharmacy Cost... ...; Risk AdjustmentUnderstanding of the healthcare ecosystem, particularly payors;... ...interdisciplinary team and a robust suite of analytics, insights, expertise, and solutions to enable...FraudApprenticeshipWorldwideEasy work
- ...insights into executive-ready narratives. You will own end-to-end analytics from scoping to recommendations, influencing decisions across... ..., and Engineering. Responsibilities include client discovery, fraud-strategy discussions, and delivering compelling analyses. This...FraudRemote job
- ...team. The successful candidate will conduct thorough investigations into potential fraud and misconduct, including scene recreations and witness statements. This role demands strong analytical skills and attention to detail, with responsibilities for compiling reports that...Fraud
$80k - $132k
...Solutions is an award-winning global healthcare market access consultancy. We... .... You will demonstrate analytical skills to derive insights and... ...health insurance, retirement savings benefits, life insurance and... ....com.Recruitment Fraud Warning: Please be aware that...FraudLocal area$210k - $250k
...mission to transform the U.S. healthcare system — and we’re the only... ...access higher-quality care and saved $1B in healthcare costs. We... ...operational initiatives ~ Strong analytical skills and the ability to... ...Teladoc Health and more. Fraud and Security Notice:...FraudWork at officeFlexible hours3 days per week
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