Senior FWA Investigator - Healthcare Claims & Compliance
$46.99k - $112.2kHispanic Alliance for Career Enhancement
Hispanic Alliance for Career Enhancement is looking for a Sr. Analyst in Fraud, Waste, and Abuse to assist in investigating incidents and ensuring compliance in healthcare services. You will leverage your analytical skills to identify patterns of fraud and manage documentations related to suspected cases. The ideal candidate has 3-5 years of healthcare experience, CPC certification, and a detail-oriented approach. Full-time role with comprehensive benefits and a salary range from $46,988 to $112,200. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$156k - $213.6k
...platform for consumers and customers. As a Senior Fraud and Abuse Operations Analyst,... ...responding to fraud and abuse events, investigating claims, and triaging incidents. We also... ...communicate effectively with internal Legal, Compliance, Comms and other risk management teams...SeniorClaimsWork experience placementLocal area$46.99k - $112.2k
...Summary We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations... ...of healthcare fraud, waste and abuse (FWA). Work Location This position can be... ...prevent payment of suspect or fraudulent claims submitted by insureds, providers,...SeniorClaimsHourly payFull timeTemporary workWork experience placementLocal areaWork from home- The State of Washington is hiring a Compliance Industrial Safety & Health Investigator 3 for the logging industry. This senior-level role requires conducting inspections and investigations to enhance logging safety across the state, ensuring adherence to safety regulations...Senior
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader...ClaimsWork experience placementWork at officeLocal area
$54.6 - $63.57 per hour
The Seattle Office of Labor Standards is seeking a Senior Labor Standards Investigator to conduct complex workplace investigations and ensure compliance with labor standards laws. You will tackle a diverse caseload, mentor team members, and provide critical training and...SeniorHourly payFull timeWork at office$78.32k - $128.16k
Elevance Health is looking for an Investigator II in Seattle, WA, responsible for investigating healthcare fraud and recovering corporate funds from fraudulent claims. This hybrid role requires in-office attendance 1 to 2 days per week, balancing collaboration with flexibility...ClaimsWork at office2 days per week1 day per week$54.6 - $63.57 per hour
...The Office of Labor Standards has an opportunity for two Senior Labor Standards Investigators to join its highly skilled, dynamic Enforcement... ...directed, and/or complaint‑based investigations and ensure compliance with Seattle’s labor standards ordinances (including the...SeniorHourly payMinimum wageFull timeFor contractorsWork at officeLocal areaFlexible hoursShift work- Verity Credit Union is looking for a Senior AML/Fraud Investigator to support fraud and anti-money laundering initiatives. This fully remote role... ...in Seattle, WA requires extensive investigative skills, compliance knowledge, and collaboration with law enforcement. Key responsibilities...SeniorRemote job
$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...SeniorRemote jobFull time- Kids for the Future is looking for a Senior AML/Fraud Investigator at our Seattle, WA Headquarters. This remote position involves minimizing risk... ...have strong analytical skills and experience in banking compliance and fraud detection. You will mentor staff and cross-collaborate...SeniorRemote job
- Liberty Mutual Insurance in Seattle, WA, seeks a Surety Claims professional to manage complex claims with high autonomy. Responsibilities... ...strategies, collaborating with consultants, and ensuring compliance with legal standards. The ideal candidate has a law degree and...SeniorClaims
- TechDigital Group is seeking a dynamic Senior Manager in Washington to lead our Complex Claims division, focusing on healthcare revenue cycle management and Third-Party Liability claims. The successful candidate must have at least 7 years of experience and leadership skills...SeniorClaims
$27 - $30 per hour
Overview Claims Investigator - Full Time Seattle, WA Uncover the Truth. Protect the Integrity. Advance Your Career. At CoventBridge Group... ...‑service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter‑Fraud Programs, Desktop Investigations...ClaimsHourly payFull timeH1bH2bWork from homeWorldwideFlexible hoursNight shift- ...Job Description: The Senior Health Services Researcher... ...records (EMR/EHR), claims, and workforce data. The... .... Serve as Principal Investigator or Co-Investigator on... ...partners. Ensure compliance with complex reporting... ...methods to real-world healthcare data, including EMR/EHR...SeniorClaimsRemote job
$85.1k - $161.58k
Milliman's Seattle office seeks a data professional for the VRDC analytics team. The role involves developing data pipelines for healthcare claims, ensuring data accuracy, and using strong SQL and Python skills. Candidates should have over 5 years of experience in data...SeniorClaimsWork at officeRemote work$69.92k - $133.62k
...work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm and analyze coverage,... ...exposure, and negotiate equitable settlement in compliance with all state regulatory requirements. You will...SeniorClaimsH1bLocal areaAfternoon shift$110k - $150k
...steps toward resilience. Role Summary: As a Senior Actuarial Analyst at Stand Insurance,... ..., and actuarial memoranda to ensure compliance with state insurance departments as needed... ...financial, underwriting, legal, statistics, claims, sales, etc. Solid interpersonal skills...SeniorClaimsFull timeFlexible hours$120k
...Responsibilities Ensure company standards are met in compliance with operations and servicing... ...compliance with all safety policies; investigate work‑related accidents promptly. Report... ...liability, property damage, and fidelity claims. Assist in district supply systems and...SeniorClaimsHourly payContract workWork at officeLocal area$168.3k - $237.5k
...Headway's Mission To Fix Mental Healthcare One in four people in the US have a treatable mental health condition, but most providers... ...biggest barrier to care: insurance. The admin work - credentialing, claims, payment reconciliation - is a nightmare. We've automated that....SeniorClaimsFlexible hoursShift work- ...Handles the most complex Surety claims matters with a high degree of... ...assigned accounts. Directly investigates, evaluates, and implements... ...for the implementation of, and compliance with surety claims procedures... ...with all of Surety Senior Management to ensure expedient...SeniorClaimsContract workWork at officeLocal area2 days per week
$140k - $240k
Senior Legal Counsel - Labor & Employment Posted on March 3, 2026 Location Seattle, WA 98104, USA Compliance/Legal Full-Time Requisition #: SENIO003494 Description Salary range is $1... ...whistleblower complaints, wrongful discharge claims, drafting employment agreements and...SeniorClaimsFull timeContract workWork at officeLocal area$78.32k - $128.16k
Investigator II Hybrid 1: This role requires associates to be in-office... ...against perpetrators of healthcare fraud in order to recover corporate... ...funds paid on fraudulent claims. How you will make an impact... ...May interface internally with Senior level management and legal department...ClaimsWork at officeLocal area2 days per week1 day per week- ...the United States. We are seeking a Mid‑Senior Immigration Paralegal to take on... ...approaches to strengthen extraordinary ability claims Conduct and contribute to salary analysis... ...for strategic alignment, clarity, and compliance with USCIS standards Advise clients and...SeniorClaimsPermanent employmentLocal areaRemote work
- ...enhance patient revenue through accurate claims processing. You will interpret billing requirements... ...payer coordination, and assist with compliance and coding issues. The ideal candidate will have demonstrated experience in healthcare billing, with knowledge of state and...Claims
- ...(ESi) is an engineering and scientific investigation and failure analysis firm. We are frequently... ...and product failures, personal injury claims, and damage to residential, commercial,... ...products and environments, ensuring compliance with applicable standards in a...SeniorClaimsHourly payPart timeWork at officeFlexible hours
$191k - $253k
...Should you encounter any questionable or fraudulent outreach claiming to be from Anduril, please report it immediately to ****@*****.***... ...reporting agency. Use of this provider helps to ensure compliance with applicable laws and protect technology, intellectual property...SeniorClaimsFull timeWork experience placementFor subcontractorImmediate start- A leading healthcare organization in Seattle is seeking a Coding Specialist. This entry-level position involves reviewing provider claims for accuracy in coding and ensuring compliance with regulatory standards. The ideal candidate will have coding certification and experience...Claims
- ...Billing Analyst to manage billing processes and compliance. This position involves reviewing individual charges, processing claims, and telecommuting with a hybrid model. Candidates must have a strong background in healthcare insurance billing and familiarity with Federal...ClaimsRemote job
$169k - $212k
Senior Manager, People Systems & Operations New York, New York, United States; Remote;... ...is to fix this by building a new mental healthcare system everyone can access. We started by... ...insurance. The admin work - credentialing, claims, payment reconciliation - is a nightmare...SeniorClaimsRemote workWork from homeFlexible hours$320k
...Senior Software Engineer, Full-stack San Francisco, CA | New... ...resources — nonprofits, schools, healthcare providers, researchers, and... ...spanning payer workflows like claims, prior authorization, and... ...the whole product — and where compliance is part of the engineering....SeniorClaimsCurrently hiringVisa sponsorshipFlexible hours
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