Healthcare Fraud Investigator — SIU
CVS Health
CVS Health seeks an SIU Investigator to support Meritain Health’s Network Cost Management team. The role focuses on investigating healthcare fraud and abuse, recovering funds, and ensuring compliance with state regulations. The investigator will coordinate with federal, state, and local agencies, document case activity, and deliver educational programs to deter fraud. This full-time position requires 40 hours weekly and EDT availability. #J-18808-Ljbffr CVS Health
$46.99k - $122.4k
CVS Health in the United States is looking for a dedicated professional to manage complex health care fraud investigations. This full-time role involves preventing fraudulent claims, preparing cases for review, and cooperating with law enforcement. Applicants should have...SuggestedFull time$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... ...in the investigation and prosecution of healthcare fraud and abuse matters. Demonstrates...SuggestedHourly payFull timeTemporary workLocal area$100k - $110k
...technologies over IP. Salary and Benefits Salary: $100,000 - $110,000 annually 25 days PTO 11 paid holidays 100% employer-paid healthcare for employees and dependents, available day 1 8% 401(k) employer match, immediate vesting Disclaimer The salary range provided...SuggestedFull timeImmediate startRemote work$100k - $110k
...The chosen candidate will provide Signals Development Analysis, training, and support while earning a competitive salary between $100,000 and $110,000 annually, along with excellent benefits including PTO and healthcare. #J-18808-Ljbffr Shield Consulting Solutions, Inc.SuggestedFull time$46.99k - $122.4k
...administrator of self‑insured commercial health plans. The SIU Investigator will support Meritain Health’s Network Cost Management team... ...effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state...SuggestedHourly payFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hours$77k - $163k
...career journey or are an experienced professional, we offer a total rewards package that goes above and beyond with compensation; healthcare, wellness, retirement and work/life benefits; career development and recognition programs. Previously part of a leading Fortune 1...$18 - $22 per hour
...Adjuster in the Annapolis, MD area seeking a great career opportunity? Have you recently been looking for prestigious, national healthcare companies to further your long-term goals? Are you seeking real advancement opportunities in-house with a Fortune 500 company? If...Hourly pay$99k - $206k
...career journey or are an experienced professional, we offer a total rewards package that goes above and beyond with compensation; healthcare, wellness, retirement and work/life benefits; career development and recognition programs. Previously part of a leading Fortune 1...$99k - $206k
...career journey or are an experienced professional, we offer a total rewards package that goes above and beyond with compensation; healthcare, wellness, retirement and work/life benefits; career development and recognition programs. The salary associated with this...$18 - $22 per hour
Healthcare Support Staffing is seeking an experienced Medical Claims Adjuster in Annapolis, MD, for a rewarding career opportunity. The ideal candidate will bring expertise in processing physician and hospital claims, along with a solid understanding of PPO plans. This...Hourly pay- ...Chief Medical Examiner, is seeking Assistant Medical Examiners to join a committed professional team of forensic pathologists, investigating deaths and performing autopsies as necessary. The primary purpose of this position is to provide certified medical and specialized...Work at officeFlexible hoursWeekend work
- ...Chief Medical Examiner, is seeking Assistant Medical Examiners to join a committed professional team of forensic pathologists, investigating deaths and performing autopsies as necessary. The primary purpose of this position is to provide certified medical and specialized...Work at officeFlexible hoursWeekend work
$99k - $225k
Booz Allen Hamilton in Maryland seeks a Signal Intelligence and Network Exploitation Professional to tackle complex cybersecurity problems. You'll provide analytic support and execute offensive cyber operations to protect national security. Qualified candidates will have...- ...product management and should be proficient in translating technical requirements while ensuring teams remain focused on delivering impactful solutions. A top-tier benefits package is offered, including healthcare, retirement plans, and PTO. #J-18808-Ljbffr RSC2 Inc.
$90k - $120k
...Job Description Position: Analyst (Fraud Management & Forensics) Location: Glen Burnie, MD Salary: $90,000 to $120,000 per year Responsibilities... ...Detection System to prevent high‑dollar liability. Monitor and investigate fraudulent activity to protect cardholder accounts. Develop and...- ...Recruitment The Motor Vehicle Administration (MVA) Office of Investigations and Security Services are seeking qualified candidates for the... ...a generous and competitive benefits package, including healthcare, dental, long‑term disability, and flexible work schedules. For...Work at officeFlexible hoursRotating shift
$99k - $225k
...best practices Network+, Security+, CEH, CCNA, or SANS certification Clearance Applicants selected will be subject to a security investigation and must meet eligibility requirements for classified information. TS/SCI clearance with polygraph is required. Compensation...Local area- Optimus Technology, Inc is seeking a SIGINT Development Analyst to provide analytic support for customer systems, focusing on optimizing and developing accesses. Responsibilities include conducting research and analysis, identifying target communications, and providing ...Rotating shift
- Weeghman & Briggs is seeking a motivated Signals Analyst 2 to support critical government initiatives in Annapolis Junction, MD. This full-time onsite role requires active TS/SCI FS clearance and offers the opportunity to contribute to mission-critical programs. Founded...Full time
$132.4k - $147.1k
Signals Analyst 2 Location: Annapolis Junction, MD | Onsite Clearance Required: TS/SCI FS Employment Type: Full-Time Salary Range: $132,400-$147,100 Join a Growing Team at Weeghman & Briggs Weeghman & Briggs is seeking a motivated and mission-driven Signals Analyst 2...Full timeContract workLocal area$90k - $120k
...Analyze, review, and work complex electronic credit/debit card cases produced by the ServiceNow Fraud Detection System to prevent high-dollar liability. Monitor and investigate fraudulent activity to protect cardholder accounts. Develop and implement fraud strategies,...$24.5 per hour
FAST RETAILING CO., LTD. is seeking Loss Prevention Agents for our new location in Annapolis, Maryland. The role offers a starting salary of $24.50/hour, focusing on loss prevention and safety management. Responsibilities include training employees, monitoring theft suspicions...$151k - $178k
Job Overview Active security clearance at the TS/SCI polygraph level is required. Dive deep into reverse engineering, scripting, and vulnerability research. This Senior Exploitation and Vulnerability Researcher role focuses on providing critical development, scripting, ...$30 - $45 per hour
Position Overview The Forensic Nurse Examiner will provide specialized care utilizing medical forensic examinations for victims of sexual assault. Essential Functions Provide timely, non-judgmental, compassionate care to patients with a complaint of sexual assault utilizing...Full timeReliefNight shiftRotating shift$24.5 per hour
...potential employee theft suspicions. Partner with LP Manager to address concerns. Prepare incident reports, accident reports and investigative reports according to company guidelines. Assist management in the investigation of employee policy & procedure violations....Full timeTemporary workLocal areaFlexible hoursNight shift3 days per week$30 - $45 per hour
Dormont Manufacturing Co is seeking a Forensic Nurse Examiner to provide specialized medical care to victims of sexual assault. The ideal candidate will perform forensic examinations, ensure proper documentation, and assist with evidence collection, maintaining the chain...Hourly payFull time- ...Maryland is seeking an Assistant Medical Examiner to join the Office of the Chief Medical Examiner in Baltimore. This role involves investigating deaths and performing autopsies as part of a dedicated forensic team. Qualified candidates must have a Doctor of Medicine (MD)...Work at office
- ...education, training and experience related to the requirements of the position. Applicants will be subject to an interview, background investigation including a polygraph examination and substance abuse testing. Benefits Contractual employees who work for an agency covered...Contract workPart timeWork at officeLocal area
- Our client is seeking candidates for an Intelligence Analyst role to support a Homeland Security customer in Annapolis Junction, MD. Description of Duties: Provide on-site support to participate in daily operations, ensuring continuous collaboration with the...For contractors
- 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...Flexible hoursShift work
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