Remote Senior Healthcare Fraud Investigator
Hispanic Alliance for Career Enhancement
- Remote job
The Hispanic Alliance for Career Enhancement is seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit. This role involves managing complex investigations into suspected healthcare fraud, waste, and abuse while enabling remote work anywhere in the United States. The ideal candidate will have 3-5 years of investigative experience, solid research skills, and proficiency with Microsoft Office products. This position offers a comprehensive benefits package and is designed to support colleagues' well-being. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$73.2k - $109.8k
...Senior Fraud Investigator Volkswagen Financial Services, a wholly-owned subsidiary of Volkswagen... ...with a Role Classification of Fully Remote. Salary range is dependent on factors... ...Eligibility for annual performance bonus Healthcare benefits 401(k), with company match...Remote workSeniorWork from home$46.99k - $112.2k
Hispanic Alliance for Career Enhancement is looking for an experienced Senior Healthcare Fraud Investigator to join the Special Investigations Unit in the United States. In this full-time position, you will manage complex investigations into healthcare fraud, waste, and...Remote jobSeniorFull time- Centene Management Company LLC is seeking a skilled investigator to handle allegations of healthcare fraud and abuse in New York. In this role, you'll plan, organize, and execute claims investigations, utilizing your expertise in data mining and report creation. The ideal...Remote jobSeniorFlexible hours
$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is seeking a dedicated investigator for healthcare fraud cases based in Missouri, Louisiana. The role requires extensive knowledge of healthcare fraud prevention and the ability to interact effectively with various stakeholders...Senior- River Run Services LLC is seeking a Sr. BSA Fraud Analyst to support AML/CFT and fraud prevention efforts through investigation of suspicious activity and transaction analysis... ...model, three days in-office and two days remote, balancing collaboration with flexibility. The...Remote workSeniorWork at office
- ...Investigating allegations of potential healthcare fraud and abuse, the full-time SIU Investigator will conduct claims investigations, perform data analysis, and prepare detailed reports while working remotely from various locations. Key responsibilities Conduct investigations...Remote workFull time
$46.99k - $122.4k
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...SeniorFull time$46.99k - $122.4k
CVS Health is seeking a dedicated professional for the role focused on healthcare fraud investigation. The successful candidate will handle complex cases, prevent fraudulent claims, and cooperate with law enforcement. Qualifications include 3 years of experience in fraud...SeniorFull time$46.99k - $122.4k
CVS Health is looking for a skilled individual to manage healthcare fraud investigations in New Jersey. The role entails handling complex cases, facilitating legal proceedings, and working closely with law enforcement agencies. The ideal candidate will have a Bachelor's...SeniorFull time- The Elevance Health Companies, Inc. seeks an Investigator II to identify, investigate, and develop cases against healthcare fraud perpetrators to recover corporate and client funds. The role involves claim reviews, data mining, entity reviews, and law enforcement referrals...Senior
- CVS Health, including Meritain Health, seeks an SIU Investigator to join the Network Cost Management team. You will conduct investigations to prevent and pursue healthcare fraud, recover funds, and ensure compliance with state regulations. The role requires collaboration...Senior
- CVS Health in Pennsylvania is seeking a skilled professional to manage complex cases involving health care fraud. The candidate will investigate claims, collaborate with law enforcement, and ensure adherence to health care regulations. Interested individuals must hold a...SeniorFull timeWork at office
$46.99k - $122.4k
CVS Health, located in Town of Florida, New York, is seeking a Fraud Investigator with experience in healthcare fraud and abuse investigations. The role involves handling complex cases, conducting investigations, and documenting findings efficiently. The ideal candidate...SeniorFull time- ...seeking a qualified candidate for a position focused on investigating health care fraud. Responsibilities include handling complex cases, preventing... ...role requires at least three years of experience in healthcare fraud and a Bachelor's degree, emphasizing knowledge in...SeniorFull time
$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is seeking a Health Care Fraud Investigator to manage complex cases and aid in preventing fraudulent claims. The role demands 3 years of experience in health care fraud investigations, familiarity with comprehensive coding standards...SeniorFull time$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is hiring for a position focused on investigating healthcare fraud cases. The ideal candidate will have a Bachelor’s degree and at least 3 years of experience in fraud, waste, and abuse investigations. Responsibilities include...SeniorFull time$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is seeking a professional for health care fraud investigations. The role requires at least three years of experience in related fields and a Bachelor's degree or equivalent. You will investigate and document cases related to...Senior- The Hispanic Alliance for Career Enhancement is looking for a full-time professional in Idaho to help investigate healthcare fraud and abuse. This position involves handling complex cases, documenting findings, and interacting with law enforcement agencies. The ideal candidate...SeniorFull time
- CVS Health, Meritain Health’s SIU, seeks an Investigator to support the Network Cost Management team in pursuing fraud prevention and recovery across self-insured commercial... ...conduct investigations of known or suspected healthcare fraud and abuse, coordinate with law...Senior
$46.99k - $122.4k
CVS Health is looking for a dedicated individual to manage complex healthcare fraud investigations. The role demands at least 3 years of relevant experience and a Bachelor's degree or equivalent, alongside strong analytical skills. You will collaborate with law enforcement...SeniorFull time- EmblemHealth is seeking a seasoned fraud investigator to conduct complex investigations into Medicaid fraud, develop leads, review claim files, and guide junior investigators. You will interview providers, assess medical records, and ensure accurate CPT coding while mentoring...Senior
- CVS Health is seeking an SIU Investigator for Meritain Health to support network cost management and anti-fraud efforts. You will conduct investigations, pursue prevention of fraud, and coordinate with federal, state, and local agencies to recover funds. The role requires...SeniorFull timeLocal area
- A government agency is seeking a Law Enforcement Investigator II in West Palm Beach, Florida. Candidates must possess a high school diploma... ....S. citizen, and pass a physical examination. Experience in healthcare fraud investigations and a solid background in law enforcement are...Senior
$46.99k - $122.4k
CVS Health is seeking a full-time Healthcare Fraud Investigator located in North Carolina. This role involves managing complex fraud cases, investigating fraudulent claims, and preparing documentation for legal review. Candidates should possess a Bachelor's degree or equivalent...SeniorFull time- Role Description Ardent is seeking a Senior Forensic Accountant to join our team. This is a remote position supporting complex financial investigations, fraud analysis, and the tracing of illicit financial activity across large-scale federal matters. The successful candidate...Remote workSeniorFull timeWork at officeLocal areaFlexible hours
- ...time off Vision insurance We are seeking a Senior Forensic Accountant to support financial investigations involving fraud, money laundering, asset tracing, and federal... ...money laundering and fraud in federal benefit programs is a plus. This is a remote position....Remote workSenior
- Centene Management Company LLC is seeking candidates for a position dedicated to investigating allegations of healthcare fraud and abuse within the Kentucky Medicaid Program. The ideal applicant will have a Bachelor's Degree in a related field and a minimum of three years...Remote job
- UnitedHealth Group in Omaha, Nebraska, seeks an investigator to assess fraud and misconduct allegations. You will conduct investigations, analyze data, and ensure compliance with regulations while collaborating with internal and external partners. The ideal candidate has...Remote job
- Centene Corporation is looking for a dedicated investigator to monitor healthcare fraud activities. You will utilize your investigation skills to ensure... ...benefits package and a flexible work environment including remote options. #J-18808-Ljbffr Centene CorporationRemote jobFlexible hours
- Praescient Analytics is seeking a Senior Investigative Analyst to assist in federal fraud detection and program integrity initiatives. Candidates should possess strong analytical problem-solving skills and a minimum of three years of experience investigating complex fraud...Remote jobSenior
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