Director, Healthcare Fraud Investigations & SIU
Mass General Brigham Health Plan Holding Company, Inc.
Mass General Brigham Health Plan Holding Company, Inc. is looking for a Director for their Special Investigations Unit (SIU). This role requires a leader to manage investigations related to healthcare fraud, waste, and abuse while overseeing audit processes to ensure compliance with all regulations. The ideal candidate will have at least 5-7 years in insurance audits and a strong understanding of regulatory compliance. This hybrid position offers competitive salaries and opportunities for career advancement within a supportive team. #J-18808-Ljbffr Mass General Brigham Health Plan Holding Company, Inc.
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Director, Healthcare Fraud Investigations & SIU in Somerville, MA vacancy
$124.34k - $225k
...an exciting place to be within the healthcare industry. As a member of Mass General... ..., and much more. The Director, Special Investigations Unit (SIU) will report to Sr. Vice President,... ...recovery of money related to health care fraud, waste, and abuse. The SIU team will...FraudWork at officeLocal areaFlexible hoursMass General Brigham Health Plan
Somerville, MA13 hours ago- A national investigative services firm is seeking a meticulous and experienced SIU Investigator to conduct comprehensive investigations into potential fraud and misconduct. This role involves various investigative tasks such as analyzing incidents, obtaining witness statements...Fraud
- Insight Service Group (ISG) is looking for an experienced SIU Investigator to join their team in Boston, MA. This role involves conducting thorough investigations into potential fraud and misconduct, including gathering evidence, compiling reports, and engaging with witnesses...Fraud
- 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...Fraud
- 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...FraudFor subcontractor
$185k - $247k
...Done. So, let’s get to it!Zelis is modernizing the healthcare financial experience across payers, providers, and... ...emails for recruitment. Forward any suspected fraud to ****@*****.*** for prompt investigation. Thank you for staying vigilant. #J-18808-Ljbffr Zelis...FraudFull timeWork at officeLocal areaRemote workVisa sponsorshipFlexible hours$85k - $105k
CGS Federal (Contact Government Services) is seeking a Healthcare Fraud Investigator to provide legal support for a large government project. This role requires a strong analytical background and communication skills to interact with various stakeholders. Candidates should...Fraud- 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...FraudFull timeWork at office
- ...accordance with Company policies.Zelis is modernizing the healthcare financial experience across payers, providers, and... ...emails for recruitment. Forward any suspected fraud to ****@*****.*** for prompt investigation. Thank you for staying vigilant. #J-18808-Ljbffr...FraudWork at officeRemote workVisa sponsorship
Zelis Healthcare Inc.
Boston, MA13 hours ago $185k - $200k
...Associate Director, Clinical Supply Chain Olema Oncology is dedicated to developing better medicines for breast cancer and beyond.... ...careers. A Summary of Benefits is available for all applicants. Fraud Alert: We are aware of employment scams where individuals pose...FraudWork at officeFlexible hoursOlema Oncology
Cambridge, MA13 hours ago- Employment Type: Full-Time, Mid-Level Department: Litigation Support 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...FraudFull timeWork experience placementWork at officeLocal area
$60k - $130k
...group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Our professionals bring strong technical capabilities and healthcare industry experience to identify fraud, waste, abuse, and operational inefficiencies, while...FraudWork at officeLocal areaFlexible hoursStout
Boston, MA13 hours ago$46.99k - $112.2k
...Prescriber behavior to effectively pursue the prevention, investigation and prosecution of Fraud Waste and Abuse. Collaboration with Pharmacy Benefit... ...3-5 years investigative experience in the area of Healthcare and Pharmacy fraud, waste and abuse. Knowledge of Pharmacy...FraudHourly payFull timeTemporary workWork at officeLocal area$169.22k - $253k
...Position Summary The Associate Director of MSAT (Manufacturing Science & Technology)... ...comparability, control strategy implementation, and investigations. The ideal candidate brings deep... .... Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and...FraudContract workTemporary workLocal areaFlexible hoursOtsuka America Pharmaceutical Inc.
Boston, MA6 days ago$86.3k - $118.7k
...community The Humana Dental SIU Team has an exciting new... ...experienced Dentist who loves to investigate and finding solutions to... ...Within this position the Dental Fraud and Waste Lead for the Humana... ...personal wellness and smart healthcare decisions for you and your family...FraudFull timeTemporary workFor contractorsRemote workWork from homeHome officeMonday to FridayHumana, Inc.
Boston, MA4 days ago$239.89k - $290.69k
...programs. Read more at careers.bms.com/working-with-us. Position Director, Statistical Genetics The Informatics and Predictive Sciences (... ...during recruitment. For privacy details, visit careers.bms.com/fraud-protection and careers.bms.com/privacy. Legal and contact : For...FraudRemote work$200k - $300k
...foundation, Hilco Global is expanding its Global Investigations & Dispute Resolution practice. This... ...advises clients on matters involving fraud and misconduct investigations, forensic... ...and initiative Position Overview As a Director in Hilco Global Investigations & Dispute...FraudLocal area- ...determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of... ...our efforts to deter and combat insurance fraud. The surveillance investigator position is... ...for advancement include Management, SIU Investigations, and other operational positions...FraudBi-weekly payHourly payWork at office
$195.42k - $370.53k
...consider a career in Advisory. KPMG is currently seeking a Director, Banking and Payments IT M&A – Due Diligence, Integration and Separation... ...architectures, includingcard networks, core banking platforms, fraud platforms, and modern cloud-nativebanking /payment stacks...FraudFull timeH1bLocal areaKPMG
Boston, MAmore than 2 months ago$176.1k - $287.3k
...diseases. We are seeking an Associate Director to join our Clinical Scientist, Internal... ...presents data and information to external investigators (SIV) and internal collaborators... ...or equivalent education in life science/healthcare preferred (PhD/PharmD/MSc) ≥ 10 years...Worldwide$136k - $197.5k
...Director of Pharmacy Reporting to the Executive Director, Acute Care & Ambulatory Pharmacy, the Director leads the Pharmacy to ensure... ...and nutritional management. Work collaboratively with healthcare professionals and administrative teams across the institutional...Fixed term contractLocal areaFlexible hoursBMC Software
Brighton, MA13 hours ago$158.6k - $285.5k
...with the protocol. Assist in the development of the content for Investigator Meetings, investigator engagements and Advisory Board... ...you—at work, at home, and everywhere in between. Best-in-class healthcare coverage, plus voluntary benefit programs to support your unique...Permanent employmentFull timeWork at officeLocal areaWork from home$273.9k - $331.91k
...us . Position Summary This Senior Director, External innovation, Neuroscience... ...internal leaders and partners with external investigators, key opinion leaders, and patient advocacy... ...yourself at //careers.bms.com/fraud-protection . Any data processed in connection...FraudHourly payFull timeTemporary workPart timeFor contractorsSummer workLive inWork at officeLocal areaRemote workFlexible hoursShift work- ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making for...FraudLocal areaNight shiftWeekend work
- The Home Depot is looking for an Asset Protection Specialist in Somerville, Massachusetts. This role focuses on preventing theft and fraud, while ensuring compliance with safety and environmental programs. You will utilize tools to minimize financial loss, prepare case...Fraud
- Santander US is looking for a Manager, Claims & Fraud Operations to lead investigative teams focused on mitigating fraud-related losses. This role requires strong operational oversight and collaboration with law enforcement to ensure compliance and efficiency in fraud...Fraud
- Hilco Global, located in Boston, is seeking a Director for their Investigations & Dispute Resolution practice. The ideal candidate will bring over 10 years of experience in e-discovery and litigation support, managing complex projects and building strong client relationships...
- A healthcare nonprofit organization located in Somerville, Massachusetts, is seeking a Director of Information Systems. This role involves planning and executing the organization's information systems strategy, overseeing the Information Systems Team, and managing projects...Remote job
$103.24k
The Federal Bureau of Investigation (FBI) seeks dedicated individuals for the role of special agent. This position involves planning and conducting investigations of violent crimes, cybersecurity issues, and public safety violations. Applicants must possess a Bachelor's...FraudWork at office- ...ensure the integrity of claims processes by conducting audits and investigations into customer claims. This role requires a blend of analytical... ...and two to four years of relevant experience. A Certified Fraud Examiner designation is preferred. The position emphasizes communication...Fraud
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Director, Healthcare Fraud Investigations & SIU. Be the first to apply!
Related searches
- director of inventory management Somerville, MA
- director of employee engagement Somerville, MA
- director of automation Somerville, MA
- director of rehab Somerville, MA
- social impact director Somerville, MA
- director talent management Somerville, MA
- senior director diversity & inclusion Somerville, MA
- director lease administration Somerville, MA
- national organizing director Somerville, MA
- director continuous improvement Somerville, MA