Senior Investigator, Fraud & Abuse — Special Investigations
$46.99k - $112.2kCVS Health
CVS Health located in Santa Fe, NM, is seeking an Investigative Analyst for tackling Fraud Waste and Abuse in Pharmacy. The role requires 3-5 years of relevant experience, preferably with a Bachelor's degree in Criminal Justice. You will collaborate with Pharmacy Benefit Managers and law enforcement to prevent fraud while utilizing your analytical skills. The position offers a competitive pay range of $46,988.00 - $112,200.00 annually alongside a comprehensive benefits package including medical and retirement options. Strong customer service and communication skills are essential. #J-18808-Ljbffr CVS Health
$46.99k - $122.4k
...provider groups in a prepayment environment Investigates to prevent payment of fraudulent claims... ...recovery of company lost as a result of fraud matters. Assists team in identifying... ...and prosecution of healthcare fraud and abuse matters. Demonstrates high level of...SeniorFraudHourly payFull timeTemporary workLocal area$46.99k - $112.2k
...Conducts high level, complex analysis of Pharmacy and Prescriber behavior to effectively pursue the prevention, investigation and prosecution of Fraud Waste and Abuse. Collaboration with Pharmacy Benefit Manager, providing meaningful evidence of Fraud, Waste and Abuse to...SeniorFraudHourly payFull timeTemporary workWork at officeLocal area- The Hispanic Alliance for Career Enhancement is looking for an investigator focused on health care fraud, waste, and abuse. This role requires expertise in managing complex cases and collaborating with clinical and legal teams. As an integral part of our organization, you...SeniorFraud
$21.53 - $26.91 per hour
...You will be: As an Asset Protection Investigator, you will work as a member of our Asset... ...losses from external and internal theft and fraud. You will work on-site in our... ...with Saks Global and would like to request special assistance or an accommodation, please let...FraudHourly payFull timeFlexible hours$21.53 - $26.91 per hour
...the future of luxury retail.****YOU WILL BE****As an Asset Protection Investigator, you will work as a member of our Asset Protection team to prevent losses from external and internal theft and fraud. You will work on-site in our Distribution Center and report to the Asset...FraudHourly payFull timeFlexible hours- J T Becker & Co Inc is looking for skilled Field Investigators to join their team on an as-needed basis. This position is ideal for licensed... ...expert investigative services for insurance claims, including fraud and liability. Investigators will conduct a variety of cases...FraudFlexible hours
- The Federal Bureau of Investigation (FBI) seeks applicants with a psychology background to become special agents in Albuquerque, NM. Transitioning from counseling to federal... ...national security cases. You’ll work on cyber, fraud, and terrorism investigations, collaborate...FraudWork at officeLocal area
$49.9k - $74.84k
...026 11:59 PM Mountain Objectives Summary The objective summary of this job classification is to assist in the investigation of the facts of a case to assist the attorney in developing a defense for clients charged with crimes in New Mexico. For more...Hourly payMinimum wageFull timeTemporary workWork experience placementSecond jobWork at officeWork from homeFlexible hours$169.22k - $253k
Position Overview - Senior Medical Science Liaison Otsuka America... ...within planned timelines. Leads special projects as requested by... ...registrational, post‑marketing and Investigator‑Sponsored Trials (ISTs),... ...Statement Regarding Job Recruiting Fraud Scams At Otsuka we take...SeniorFraudTemporary workLive inWork at officeLocal areaFlexible hours- ...is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis... ...workers' compensation, suspected fraud, liability and aimed at mitigating expenses... ...investigations, including Surveillance and Special Investigations Unit (SIU) assignments, within...FraudFlexible hours
$93.75k - $133.2k
...your psychology background to become an FBI special agent! The transition from counseling to special... ...our nation from cyberattacks, terrorism, fraud, and evolving threats. With specialized training, real-world investigative experience, and access to cutting‑edge technology...FraudWork experience placementWork at officeLocal area- ...of general work experience or a bachelor’s degree may be considered; candidates with experience conducting federal background investigations preferred Must be able to obtain and maintain a Top Secret eligible clearance; Active federal background investigation with a...Full timeTemporary workWork experience placementHome officeRelocation packageNight shift
- J T Becker & Co Inc is seeking skilled Field Investigators in New Mexico for an on-demand role. Ideal candidates will conduct insurance investigations, including surveillance and special assignments, ensuring confidentiality and quality results. The successful candidate...Flexible hours
- ...T Becker & Co Inc in New Mexico is looking for skilled Field Investigators to join our team on an "as needed" basis. Ideal candidates will... ...conduct a variety of investigations, including surveillance and special investigations, ensuring high-quality results and compliance...Flexible hours
- J T Becker & Co Inc is looking for skilled Field Investigators to join the team on an as-needed basis. This role is ideal for licensed investigators... ...various investigations, including surveillance and working on Special Investigations Unit assignments, adhering to instructions from...Flexible hours
$249.97k - $388.13k
...is seeking an experienced and visionary Senior Director, Global Clinical Development (GCD... ...(e.g., internal staff and external investigators/consultants). • Strong communication and... .... Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and...SeniorFraudTemporary workLocal areaFlexible hours$95.3k - $158.8k
...Overview As a Senior Technical Consultant at LexisNexis Risk Solutions (LNRS), you’ll help leading organizations strengthen their fraud and identity strategy. You’ll work closely with customers and internal teams to design, implement, and support SaaS‑based solutions that...SeniorFraudLocal areaRemote work$100k - $125k
...complex or technically difficult professional liability claims by investigating and gathering information to determine the exposure on the... ...cost for our clients. Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management...SeniorFraudWork at officeLocal areaRemote workFlexible hours$200k - $250k
Senior Practice Director, Mainframe Application ManagementRemote - United StatesJR013745 At Ensono, our Purpose is to be a relentless ally... ...environments (predictive analytics, intelligent automation, fraud detection) Certifications in IBM Z AI capabilities, machine learning...SeniorFraudFull timeTemporary workLocal areaRemote workWork from homeFlexible hours$46.99k - $122.4k
...claims, and referral to state regulators for any suspected fraud, waste, or abuse (FWA). The Auditor must also ensure that state and federal... ...reporting this to internal staff. Assisting with further investigation and/or reports to state regulators through the utilization...FraudHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$150k - $160k
...a full-service engineering, fire investigation, environmental, health and safety,... ...we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert... ...Business Development is a senior growth leader responsible for accelerating...FraudWork at officeLocal areaRemote workFlexible hours- ...losses from external and internal theft and fraud. You will work on-site in your assigned... ...fraud* Conduct external and internal investigations, documenting all loss prevention incidents... ...Saks Global and would like to request special assistance or an accommodation, please contact...FraudFull timeSeasonal workRemote work
$23.16 per hour
...utilizing the appropriate application and/or template. Identifies potential discrepancies in claim submissions and involves the Special Investigation Unit as necessary. Identifies issues which can be used to educate/train internal staff, streamline, and improve processes...SeniorFor contractorsWork at officeLocal area- Responsibilities Conduct investigations and research, utilizing corporate reports and exception Based Reporting. Develop professional, comprehensive cases and research packages that reveal fraud or misreporting. Take the cases through their completion assuring the appropriate...FraudWork at officeLocal areaImmediate start
$20 - $23.53 per hour
.... The position supports State ECU's broader Financial Crimes, fraud prevention, and loss mitigation efforts through collaboration,... ...activities. Collaborate with Operations, branches, and fraud investigators as needed. Perform other duties as assigned. Required Skills &...FraudHourly payWork at officeLocal area- ...regulations; report all illegal activity, including robbery, theft or fraud Comply with and reinforce all food safety, sanitation and... ...through direct interaction with minors, individuals with special needs, and/or older adults Must be able to perform the essential...FraudLocal area
- ...Currency Transaction Report (CTR) Community Reinvestment Act (CRA) Unfair, Deceptive or Abusive Acts or Practices (UDAAP) REG D Policy FCRA & FACT Act - credit reports, fraud and military alerts and confidential customer information Knowledge, Skills, and...FraudFlexible hours
$24.03 - $30.04 per hour
...Overview POSITION TITLE: Physical Security Specialist REPORTS TO: Fraud & Security Manager SUPERVISES: N/A JOB STATUS: Non-Exempt JOB... ...branches, facilities, Operations, IT, and management. Support investigations involving physical security incidents. Assist with staff...FraudHourly payFor contractorsWork at officeLocal area- ...behavioral health counseling, substance abuse counseling, and supportive therapy to eligible... .../Referred Care (PRC) services for specialized behavioral health treatment or hospitalization... ...trainings (trauma-informed care, fraud/waste/abuse, ISSA security training, etc....FraudMonday to Friday
- ...Partner with Support and Engineering during incident and issue investigations, using technical expertise to accelerate resolution.... ...have any indication of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group: Eliassen Group is...FraudHourly payContract workLocal areaRemote work
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