Senior Healthcare Fraud Investigator
$46.99k - $122.4kHispanic Alliance for Career Enhancement
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 handling complex cases, preventing fraudulent claims, and interacting with various stakeholders. This full-time role offers a pay range of $46,988 - $122,400 and an extensive benefits package, reflecting our commitment to the welfare of our colleagues and their families. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
- 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
$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- 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
$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- 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
- 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...SeniorRemote jobFlexible hours
- A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates...Senior
- The NYC Department of Social Services is hiring two Fraud Investigator II positions in New York. As a Senior Investigator, you will conduct complex investigations into fraud allegations in social services. Responsibilities include performing interviews, accessing resources...SeniorFull timeMonday to Friday
- Municipal Credit Union in New York is seeking a Digital Fraud Investigator to safeguard the organization from digital fraud threats. The role involves investigating suspicious activities and collaborating with various teams to enhance fraud prevention strategies. The ideal...Senior
- A government services contractor is seeking a Healthcare Fraud Investigator to provide legal support on a large Government project. You will analyze data, review financial and legal documents, and support the development of case referrals. Candidates should have a relevant...Full timeFor contractorsWork at office
- ...processes in Idaho. The role involves conducting audits and investigations into customer claims, analyzing data, and communicating... ...minimum Bachelor's Degree and 0-2 years of experience, with healthcare fraud experience preferred. This position offers a chance to contribute...
- A government services firm in New York is seeking a Healthcare Fraud Investigator to provide legal support for government projects. The role requires proficiency in Microsoft Office and a bachelor's degree in a relevant field, along with three years of investigative experience...Full timeWork at office
- Centene Corporation is looking for a dedicated investigator to monitor healthcare fraud activities. You will utilize your investigation skills to ensure compliance, assist with complex fraud allegations, and provide critical analytical insights. The role requires a Bachelor...Remote jobFlexible hours
- ...building the future, today. About the Role As our Senior Fraud Analyst for Consumer Lending , you will be the gatekeeper protecting... ...to build, optimize, and scale automated block and manual investigation policies. Advanced Risk Tooling: Liaison with the...SeniorRemote work
- Gusto is looking for a Fraud Investigations Analyst to join their team in San Francisco. In this role, you will conduct investigations involving various fraud types, collaborating with internal stakeholders to strengthen controls and support customer remediation. The ideal...Senior
- ...and claims analysis to uncover third-party liability (TPL) in healthcare claims. Your work will directly influence the accuracy of... ...understanding of ICD-10, proven analytical skills, and a passion for investigative work at the intersection of healthcare and data. #J-18808-...
- Magnus Management Group LLC is seeking a Senior Forensic Accountant to support financial investigations involving fraud, money laundering, asset tracing, and federal benefit programs. The role focuses on forensic analyses to aid oversight organizations and law enforcement...SeniorRemote job
- The Bronx District Attorney's Office seeks a Senior Investigative Assistant District Attorney to lead long‑term investigations in the Financial Frauds Bureau, addressing cybercrime, elder fraud, cryptocurrency fraud, and related schemes in Bronx County. The ideal candidate...SeniorWork at office
- CCSi in New York seeks a financial services leader to enhance fiscal strategies for human-centered organizations. The role emphasizes collaboration with executive leaders, mentoring staff, and ensuring exceptional client service. Candidates should possess an advanced degree...Senior
$50k - $70k
EXL is hiring for their Insurance Premium Audit Team, offering a competitive compensation package between $50K and $70K in total earnings. The role includes remote work options, comprehensive training, and career advancement opportunities. Benefits feature 17 days of paid...SeniorRemote job- West Bend Insurance Company is seeking an experienced fraud investigator to join our SIU team. The role offers remote work with field duties across Illinois, Indiana, and Michigan, and involves leading investigations, collaborating with internal and external stakeholders...SeniorRemote job
$60k - $90k
EXL is seeking an experienced Premium Auditor for an advanced-level position involving physical and remote audits of insured businesses. The chosen candidate must have over 5 years’ experience in Premium Insurance Audits. The role provides ample opportunities for career...SeniorRemote job$155.7k - $190k
...Institutes for Research (AIR) is seeking a Principal Researcher for its Healthcare Innovations team. This position leads complex CMS/CMMI... ...drives federal business development. The candidate will provide senior expertise in drug pricing and contribute actionable evidence...SeniorRemote job- ...manage non-tort claims against the City. The position requires a baccalaureate degree and offers the opportunity to handle detailed investigations, analyze liability, and prepare settlement recommendations. Strong organizational and communication skills are essential for...SeniorPermanent employmentWork at office
- Betterment is seeking a Senior Fraud Analyst in New York City to own customer risk rating, KYC, and fraud monitoring models, partnering with Data, Compliance and Product to shape controls and monitoring. You will design rules, advise leadership on model performance, and...SeniorWork at office
$46.99k - $112.2k
...Alliance for Career Enhancement in New York is seeking a Sr. Analyst for Fraud, Waste, and Abuse. This full-time position involves reviewing claims and investigating FWA incidents across healthcare services. Candidates should have 3-5 years of experience, a coding...SeniorFull time- The Hispanic Alliance for Career Enhancement is seeking a Sr. Analyst specializing in Fraud, Waste, and Abuse in healthcare. The role involves detecting and investigating potential fraud and ensuring compliance with healthcare billing standards. The ideal candidate will...Senior
$70k - $90k
Cotiviti is seeking a Senior Investigator to analyze suspected incidents of healthcare fraud, waste, or abuse through data analysis. The role involves evaluating instances of potential fraud and conducting interviews with patients and providers. Candidates should have...SeniorRemote jobWork from home- Index Analytics is seeking a Senior Investigator for a full-time remote position focused on compliance investigations into healthcare providers. This role involves managing research, analysis, and reporting on regulatory adherence while also mentoring junior staff and...SeniorRemote jobFull timeWork experience placement
- The Hispanic Alliance for Career Enhancement is looking for a Senior Principal Trainer to lead clinical application training in Georgia... ...skills and a background in clinical informatics or healthcare IT, with a focus on enhancing system implementations and training...Senior
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