Healthcare Fraud Investigator
CVS Health
CVS Health’s Meritain Health SIU is seeking an Investigator to support the Special Investigations Unit in preventing and pursuing healthcare fraud, waste, and abuse while recovering funds for self‑funded plans. This role requires strong investigative skills, collaboration with law enforcement, and precise documentation of case activities. The position emphasizes use of data and resources to deter fraud, with opportunities to contribute to policy controls and educational programs across the #J-18808-Ljbffr CVS Health
- ...Join a forward-thinking company as a Payment Configuration Analyst, where your expertise in ACH operations and fraud prevention will play a pivotal role in ensuring secure and compliant payment processes. In this dynamic position, you will analyze risks, implement fraud...Suggested
$27 - $37 per hour
...Job Description Job Description Job Posting TitleRegional Fraud Investigator Job Description Regional Fraud Investigator Job Description Summary/Objective The Regional Fraud Investigator position is a key role in the Fraud Investigations Unit of the Corporate...SuggestedHourly payBank staffWork at office- ...Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation... ...extensive knowledge of insurance policies and the components of fraud to determine if claims warrant reporting to the appropriate state...SuggestedWork at officeLocal area
- Envolve Community Management, LLCowns and professionally manages apartment communities located in select markets throughout the southeastern United States. We are a company whose success is measured by our residents' satisfaction in making their apartment homes and community...SuggestedLocal areaImmediate start
- Summary THIS IS NOT AN OPEN JOB ANNOUNCEMENT** This is a public notice for Drug Enforcement Administration Criminal Investigator GL-1811-7/9/11 positions open to U.S. Citizens. A job announcement will be posted on USAJobs on April 20th, July 20th, and October 19th, 2...SuggestedPermanent employmentLocal areaRelocationTrial periodWeekend work
- A federal law enforcement agency is seeking Criminal Investigators to conduct complex investigations related to narcotics and drug activities. Successful candidates will prepare detailed investigative reports, testify in court, and juggle various assessments to demonstrate...
$25 - $32 per hour
...national leader? Join Lemieux & Associates , a trusted leader in investigative services, and make an impact with your SIU expertise. Our... .../Claims investigation experience as a Private Investigator or Fraud Investigator and live in the Richmond area. Licensed by the...Part timeLive inFlexible hours$115k
...career in the Army Reserve, pay for college, access to low-cost healthcare with family benefits. You gain leadership skills, college... ...enforcement patrols. Interview witnesses, victims and suspects in investigations. Crime scene security and processing. Arrest and charge...Permanent employmentLocal area$22 per hour
...most est... $15.00 hourly Full-time +1 Care for others like family in the comfort of home. As a Home Health PCA or CNA for Interim HealthCare, your heart to care for others will be met with open arms and strong patient bonds that make ev... Full-time Assistant Director...Hourly payDaily paidFull timeTemporary workPart timeInterim roleReliefWork at officeImmediate startFlexible hoursWeekend workDay shiftAfternoon shift- Job Title: Competitive Intelligence Analyst About Trellix Trellix is a global company redefining the future of cybersecurity. The company’s comprehensive, open, and native cybersecurity platform helps organizations confronted by today’s most advanced threats gain confidence...Shift work
- ...performance. Employees in this position are also eligible to participate in the Company’s comprehensive benefits programs, which include healthcare, life and disability insurance plans, a 401(k)-retirement savings plan, and time‑off programs. Specific details of these benefits...Permanent employmentFlexible hours
- ..., those who join the Secret Service are courageous, intelligent, strong and determined. A diverse team capable of balancing our investigative mission and fulfilling our protective legacy. Proven to be worthy of trust and confidence. Be tomorrow's Secret Service. Duties...Relocation
$60.15k
...of, or guilty plea or no contest plea to, any misdemeanor sex offense or any domestic assault. Must pass an extensive background investigation, which includes a polygraph, psychological, medical and drug screening. Pre-employment drug testing, FBI criminal background...Shift workNight shift- ...of laws and ordinances. This class is responsible for patrolling the city, responding to citizen calls, conducting preliminary investigation activities, and maintaining police records. This class works according to set procedures under general supervision. Duties include...Local area
$60k
...include a Work Performance Test (WPT) (if applicable); • must successfully complete a polygraph examination and pass a background investigation to complete Phase Two (if applicable); • must be willing to travel at your own expense to the Virginia State Police Headquarters...RelocationRotating shift- ...Police Officer (Non-Certified) Enforces the law, criminal investigations, traffic regulation and control. Provides emergency and other services. Responds to and investigates criminal activity. Performs patrol duties. Responds to calls for service. Serves warrants and...Full timeTemporary work
$60k
...responsible for providing security for college and personal property at the College through crime prevention activities, patrol, thorough investigation of all reported and suspected criminal activity, and through the enforcement of State laws. This is accomplished by patrol...Full timeTemporary workPart timeWork experience placementLocal areaRemote workShift work- ...of individuals. Patrol DLA installations and property, prevent crime, enforce local regulations and laws, and conduct initial investigations of suspicious activities, security breaches, and crimes. Advise suspects of their Miranda rights prior to questioning, write incident...Full timeLocal areaImmediate startRotating shift
- ...officers may be required to support emergency operations or critical incidents. Responsibilities: Enforces Laws and Investigates Crimes and Traffic Crashes Provides Public Services and Assistance to Community Members Conducts Patrols and Participates...Part timeNight shiftAfternoon shift
- ...have a vacancy for a Records Examiner/Analyst. In this role, you will be supporting the overall mission of the Federal Bureau of Investigation (FBI). If you are looking for a meaningful, mission driven career, Join FSA! Responsibilities Reviews and evaluates data and...Temporary workWork at officeFlexible hours
- ...community policing to build trust and partnerships with residents. Daily duties include conducting preliminary and follow‑up criminal investigations, collecting and documenting evidence, preparing incident and investigative reports, and testifying in court as needed. Officers...Full timeLocal areaShift workNight shift
- Job Summary The Police Officer is responsible for carrying out the functions of the EKU Police Department. These functions include protection of life and property, preservation of the peace and good order of the University community, and the furnishing of various services...
$62.1k
...administered by the National Testing Network (NTN); must successfully complete a polygraph examination and pass a background investigation to complete Phase II; must successfully complete a medical examination and a psychological evaluation to complete Phase III;...RelocationRotating shift- A leading insurance investigation firm is seeking an Experienced Field Investigator to conduct surveillance and investigative activities to identify potentially fraudulent insurance claims. The role involves performing both stationary and mobile surveillance, obtaining...
- ...installation and property to prevent crime, protect life and property and enforce local regulations and laws. Plans and conducts initial investigations of suspicious activities, security breaches, and crimes. Advises suspects of their Miranda rights prior to questioning....Local area
$75k - $101k
...with internal training, and tuition reimbursement. Our benefits package includes (but is not limited to): ~ Comprehensive healthcare coverage: Medical / Vision / Dental / Prescription Drug ~ Life, legal, and supplementary insurance ~ Virtual and in person...Hourly payFull timeWork at officeWork from homeMonday to Thursday- ...The Chronicle Of Higher Education, Inc. is seeking a Civil Rights Investigator to handle investigations into discrimination complaints. The role requires a Bachelor’s degree and significant experience in civil rights investigations. Responsibilities include planning investigations...
- ...JCPenney is seeking an Asset Protection professional to detect theft and fraud, collect evidence, and document investigations across assigned stores. The role supports store leadership and coordinates with AP for proper discipline and reporting. The position requires...
- ...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...Local areaNight shiftWeekend work
$28 - $32 per hour
...Job Description Job Description Description: Command Investigations, LLC is seeking an Insurance Field Investigator with a minimum of three years experience to become part of a dynamic team. This is a great opportunity for individuals with prior SIU experience who...Hourly payFull timePart timeWork at officeRemote workFlexible hours
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