Senior Healthcare Fraud Investigator, SIU
CVS Health
CVS Health is seeking a Senior Investigator to conduct high-level investigations of healthcare fraud and abuse. This role involves analyzing complex cases and requires expertise in healthcare investigations, including 5+ years of relevant experience. Key responsibilities include investigating aberrant billing patterns, collaborating with Medical Directors, and providing guidance to junior investigators. The position offers competitive pay and a comprehensive benefits package designed to support employee well-being. #J-18808-Ljbffr CVS Health
- ISG is seeking a Part-Time SIU Investigator in Boston, MA to conduct in-depth investigations into fraud and misconduct. This role requires experience in insurance-related cases and proficiency in report writing. The ideal candidate will handle various investigative tasks...SuggestedPart time
- Insight Service Group (ISG) is looking for a meticulous SIU Investigator in Boston, MA. This role involves conducting thorough investigations into potential fraud and misconduct, requiring a reliable vehicle, digital video camera, and proficiency in web-based systems....Suggested
$85k - $105k
...Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level CGS is seeking a Healthcare Fraud Investigator to provide legal support for a large government project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete...SuggestedFull timeWork experience placementWork at officeLocal area- A leading government services provider is seeking a Healthcare Fraud Investigator to provide legal support for a government project. The ideal candidate will have a degree in criminal justice or a related field, with at least three years of relevant experience. Responsibilities...SuggestedFull timeWork at office
- ...A leading healthcare institution in Boston seeks a Sr. Principal Scientist to oversee operations in a GMP lab, focusing on the production and quality control of radiopharmaceuticals. The ideal candidate will have extensive experience in aseptic operations, knowledge of...Senior
- Bank of America is seeking a Financial Center Fraud Strategy Analyst in Boston. This position involves complex analysis and modeling to minimize fraud loss and enhance customer experience. You’ll leverage analytical tools like Excel and SQL to support strategies and assess...Senior
- Dormont Manufacturing Co is seeking a Senior Financial Investigator in Boston, MA, to provide essential legal support and conduct investigations for a large federal agency. The ideal candidate will have at least four years of experience in investigations, along with strong...Senior
- Job Title Digital Consumer Experience Senior Researcher Location Morristown, NJ About the Job The Digital Consumer Experience group... ...engagement. At Sanofi, we are committed to delivering next‑generation healthcare that meets the evolving needs of patients, caregivers, and...SeniorShift work
$125k - $213k
...accessible, high‑quality, and sustainable healthcare for all. Role Summary: Lead... ...oversight of 24/7 security operations. The Senior Manager, Global Security, will report to... ...and readiness. Produce executive‑level investigative and incident reports, risk assessments,...SeniorFull timeTemporary workWork at officeRemote workWorldwideRelocation$79k - $95k
...Description The Fraud Risk Sr Analyst is accountable for monitoring and developing fraud risk strategies for Citizens Consumer Debit & ATM Card accounts with a focus on IT tools and systems to monitor and mitigate fraud. The Fraud Risk Sr Analyst will take the lead...SeniorWork experience placementWork at officeLocal areaMonday to FridayFlexible hours$80k - $135.2k
...strong project management skills and collaboration with stakeholders to implement viable solutions. The ideal candidate will have a healthcare background, project management certification, and experience leading improvement initiatives. A competitive salary range of $79,9...Senior$100.58k - $150.88k
Anticipated End Date: 2026-07-23 Position Title: Researcher Senior (Health Services) Job Description: Researcher Senior (Health Services... ...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history...SeniorFull timeContract workTemporary workWork experience placementWork at officeLocal areaDay shift2 days per week1 day per week- About Us Insight Service Group (ISG) is a national investigative services firm specializing in cost containment and anti-fraud related services. We are dedicated to... ...our operations. Our Special Investigations Unit (SIU) plays a vital role in identifying and mitigating...
$20 - $27 per hour
...About Us Insight Service Group (ISG) is a national investigative services firm specializing in cost containment and anti‑fraud related services. We are dedicated to... ...our operations. Our Special Investigations Unit (SIU) plays a vital role in identifying and mitigating...Hourly payPart timeFor subcontractorShift work$228k - $280k
...Flagship Pioneering in Cambridge, MA is seeking a Senior Director, Head of Toxicology to lead the toxicology function within Pioneering... ...offers a salary range of $228,000 - $280,000 along with comprehensive benefits, including healthcare and retirement. #J-18808-Ljbffr...Senior$73.6k - $107.25k
Markel Corporation in Boston is seeking an experienced Claims Examiner with 7-15 years of claims handling experience. The successful candidate will oversee claims strategies, train team members, and manage vendor relationships. A Bachelor’s degree or equivalent experience...Senior$135k
...About the Role Entensiv is looking for a Senior Building Automation Service Engineer to join our growing team. This is a hands-on technical... ...core business — we serve universities, research facilities, healthcare environments, and commercial buildings where system reliability...SeniorFull timeWork at officeFlexible hours$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$79.56k - $115.72k
...across our system. We are seeking an experienced, collaborative Senior Immigration Advisor to guide and support this important work.In... ...management, and problem-solving in a mission-driven healthcare environment.Hybrid Schedule - 2-3x/wk onsite at Assembly Row (Somerville...SeniorPermanent employmentWork at officeRemote workVisa sponsorshipWork visaFlexible hoursShift work- ...Senior Vice President, Finance About the Company Highly regarded healthcare provider Industry Hospital & Health Care Type Non Profit Founded 2014 Employees 10,001+ Specialties Research Patient Services Orthopedics...Senior
- ...providing clinical assessments, initiating and modifying respiratory care for critically ill patients, and collaborating with other healthcare professionals. Qualified candidates will have an Associate's Degree in Respiratory Therapy, a Massachusetts license, and 3-5...Senior
- ...A healthcare innovative company is seeking a Senior QA / Eval Engineer to enhance evaluation infrastructures for their AI-powered patient engagement platform. The role involves extending the evaluation pipeline, driving improvements to metrics, and ensuring quality in...Senior
- A global biotechnology company is seeking a Pathology Senior Principal Research Scientist in Boston to lead the scientific design and conduct of pathology endpoints for drug development. This role requires a DVM with board certification in veterinary anatomic pathology...Senior
- ...Senior Vice President, Legal and Chief Compliance Officer (CCO) About the Company Nationally recognized healthcare services organization Industry Hospital & Health Care Type Privately Held About the Role The Company is in search of a...Senior
- ...Director to develop and oversee a comprehensive compliance program. The ideal candidate will have significant experience in regulatory healthcare compliance and leadership. This role requires a strong commitment to ethical standards and the ability to navigate complex...Senior
- Beth Israel Lahey Health, Inc. is looking for a Senior Major Gifts Officer at Needham Hospital. This role involves managing a portfolio... ...gift strategies and fostering relationships within a large healthcare organization. #J-18808-Ljbffr Beth Israel Lahey Health, Inc.Senior
- ...outcomes through evidence-based nutrition care while working with a collaborative team. Ideal candidates are RDNs or CDR eligible, with healthcare experience preferred. The role offers opportunities for specialization, leadership development, and autonomy in clinical judgment...Senior
$188.4k - $200.9k
A leading cancer research institution is seeking a Senior Manager, Pharmacy to oversee operations and ensure compliance with healthcare regulations. The successful candidate will lead a diverse team and drive innovation in medication management while maintaining high standards...Senior- A leading healthcare provider in Boston seeks Certified Registered Nurse Anesthetists to join their team. This role involves comprehensive patient care in various settings, including pre-operative assessments, anesthesia administration, and post-operative care. Candidates...SeniorFlexible hours
- ...leading project delivery. The successful candidate will have a Master’s Degree and at least 10 years of experience in consulting or healthcare, combined with skills in problem-solving and communication. Join a dynamic team committed to enhancing IQVIA's industry...Senior
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