Strategic Healthcare Fraud Investigator
Highmark Health
Highmark Health seeks a professional to lead its anti-fraud program, conducting investigations and coordinating with law enforcement. The role includes training, fraud plans and reports, and collaboration across providers, members, facilities, and employees for money recovery and regulatory compliance. The position requires strong analytical and communication skills, with experience in health insurance fraud investigations and the ability to testify in court if needed. #J-18808-Ljbffr
- Provide scientific support to the State's criminal justice system by use of accepted techniques for analyzing and processing controlled substance cases and providing identification and analysis of controlled substances and other drugs. Ensure proper chain of custody by...SuggestedWork experience placementWork at office
- The North Dakota Office of Attorney General invites applications for a Senior Forensic Scientist in the Firearms/Toolmarks Unit. The role provides technical guidance, validates new equipment, and ensures QA/QC in accordance with ISO/IEC 17025 and ANAB standards. Responsibilities...SuggestedWork at office
$80.8k - $101k
...successfully communicate to influence management and lead change in both strategic and tactical initiatives Self-starter, desire to learn, able... ...controls aligned with frameworks such as NIST, ISO, and COBIT Healthcare industry experience preferred Experience working with external...SuggestedTemporary workRemote work$105.6k - $135.7k
...Department Overview Workplace and Product Safety Compliance & Ethics Strategic Partnering Responsive & Accountable Sound Judgement & High... ...Teamwork Role Overview As a member of the Employee Relations Investigations & Policy team, you will strive to be a role model for the...SuggestedHourly payLocal areaRemote workWork from homeRelocation packageFlexible hours- ...J T Becker & Co Inc is looking for skilled Field Investigators to join our team on an as-needed basis. This role offers flexible hours and requires conducting various investigations such as surveillance and insurance claims. Ideal candidates should have a private investigator...SuggestedFlexible hours
$46.99k - $112.2k
...Dental Fraud InvestigatorWe're building a world of health around every individual —... ...to effectively pursue the prevention, investigation and prosecution of Fraud, Waste and Abuse... ...company.Required Qualifications3-5 years of healthcare fraud investigations...Hourly payFull timeTemporary workLocal area- ...Incumbents in this position may be assigned specialized duties associated with the department's patrol, crime prevention, criminal investigation, traffic, School Resource Officer, training, warrants, and accreditation functionsExamples Of Duties• Patrols the city to detect...Work experience placementLocal area
- J T Becker & Co Inc is looking for skilled Field Investigators to join their team on an "as needed" basis. This role offers flexible hours for licensed investigators providing expert investigative services across various claim types. The ideal candidate will handle surveillance...Flexible hours
$51.63k - $124.72k
...immigration laws Proficient in the use of firearms, preparing investigative reports, serving court orders (e.g., warrants, subpoenas, etc.... ...or military law enforcement official Leading investigations of fraud, contraband, criminal activity, threats to our nation, and/or...Full timeWork experience placementImmediate startNight shift$41.86k - $127.46k
...the next lower grade level, that includes: Performing physical inspections of persons, documents or goods for criminal activity, fraud, and/or illegal operations. Utilizing observational techniques, evaluating facts, and reviewing documentation while applying Federal...Full timeContract workWork at officeLocal areaImmediate start$25 - $32 per hour
...Job Description Job Description Join Lemieux & Associates as a part-time Licensed Surveillance Field Investigator and put your expertise to work with a respected leader in investigative services. WHAT'S THE SCOPE? Backed by a leadership team with more than...Hourly payPart timeImmediate startFlexible hours- ...Description: Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect... ...insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients...Flexible hours
- Telework Eligible No Major Duties Exercises technical and administrative supervision over subordinate workers. Plans the use of subordinate workers, equipment, facilities, and materials based on workload projections on a weekly or monthly basis. Establishes...Full timeWork at officeRemote work
- ...assigned areas, responding to calls for service, enforcing local, state, and federal laws, and conducting preliminary and follow-up investigations. Daily duties include traffic enforcement, report writing, evidence collection, and interacting with community members to build...Full timeLocal areaShift workNight shift
$28.36 per hour
...traffic accidents, lost or missing persons searches, public service duties, stranded motorists, and others. Conducts preliminary investigations into traffic accidents and other incidents, including interviewing victims, complainants and witnesses, gathering information...Hourly payFull timeLocal area$45k
...transcripts submitted with your application. Performing physical inspections of persons, documents or goods for criminal activity, fraud, and/or illegal operations. Utilizing observational techniques, evaluating facts, and reviewing documentation while applying...Full timeContract workWork at officeLocal areaImmediate start$25 - $30 per hour
...Job Description Job Description Description: Command Investigations, LLC is looking for Surveillance Investigators to become part of a dynamic team. This is a great opportunity for individuals with prior investigative experience who demonstrate integrity, independence...Hourly pay16 hoursFull timeWork at officeRemote workFlexible hoursShift workNight shiftWeekend work- ...enforce laws and regulations, responding to all calls for service, and performing specialized technical, administrative, and/or investigative assignments. Police Officers should possess an understanding of tribal sovereignty, laws, and regulations, as well as the need...Odd jobWork at officeLocal areaNight shiftWeekend work
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