Healthcare SIU Investigator - Fraud & Compliance
Health Alliance Plan
Health Alliance Plan is seeking a Special Investigative Unit (SIU) Investigator in Troy, Michigan. The successful candidate will investigate non-compliance reports, conduct audits, and analyze data to support fraud prevention efforts. This role requires strong analytical and communication skills to collaborate with various stakeholders and present findings effectively. Applicants should have a Bachelor’s degree and significant experience in healthcare investigations or related fields. Certifications such as CFE or AHFI are required. The position offers a comprehensive benefits package and a supportive work environment. #J-18808-Ljbffr Health Alliance Plan
- ...seeking a Health Plan Special Investigative Unit Investigator to investigate reports of fraud, waste, and abuse. This role requires... ...and significant experience in healthcare investigations. Proficiency in... ...required. Join us in ensuring compliance and integrity within...Fraud
- GENERAL SUMMARY:Special Investigative Unit (SIU) Investigator responsible for... ...investigating reports of non- compliance with corporate and... ...policies, including reports of fraud, waste, or abuse. As a member... ...(3) years of experience in healthcare, pharmacy technician, claims...FraudLocal area
- ...Special Investigator The Special Investigations auditor is dedicated to conduct, with minimal to no oversight from the VWGoA Chief Audit Executive (CAE), the investigation of cases of potential fraud originating from the whistleblower channel, regular internal audit...FraudWork experience placementLocal area
- ...Description Job Description LEGACY HEALTHCARE MANAGEMENT Job Description Title: Corporate Compliance Officer Reports to: CEO... ...identify systemic risks. Investigations Manage confidential... ...Investigate allegations involving: Fraud Waste Abuse HIPAA...FraudWork at officeLocal area
- ...Assists with management of compliance and/or accreditation standards... ...and/or accreditation investigations in the clinical environment... ...activities, and potential or actual fraud, waste or abuse. Supports... ...regulations and standards impacting healthcare delivery and reimbursement....FraudFull timeMonday to FridayShift work
- AD Mortgage LLC is seeking a Corporate Investigations & Insider Risk Specialist in Troy, MI. The role involves leading investigations into misconduct and fraud, developing insider risk programs, and collaborating with cross-functional teams. A Bachelor's degree and 5+...Fraud
- ...Internal Auditor plans, performs and leads independent financial, compliance and other specific audits to ensure that established... ...preferably in automotive manufacturing. ~ IT auditing and fraud investigation experience considered an asset. ~ Proficiency in...FraudPermanent employmentWork at officeLocal areaWork visaNight shift
$20 per hour
...growing security company. Established in 1995, we began as an investigations firm and quickly expanded to provide uniform security, event staff... ...been convicted of any misdemeanors related to dishonesty, fraud, impersonation of law enforcement, assault, weapons, unauthorized...FraudFull timePart timeLong distanceShift workDay shiftAfternoon shift- ...(PD) nursing experience preferred Training/Teaching/Healthcare Education background Certified Nephrology Nurse (CNN) or Certified... ...or removing this information. Beware of Recruitment Fraud DaVita will never ask for payment or personal financial information...FraudMinimum wage
- ...Asset Protection Specialist to minimize financial loss and ensure compliance with safety programs in stores. This role includes monitoring... ...with law enforcement concerning incidents of theft and fraud. Candidates should possess a keen eye for detail and strong integrity...Fraud
- ...holidays Preferred: CNA, MA, CHT, phlebotomy certification, or healthcare experience What We Offer Paid training with... ...redacting or removing this information. Beware of Recruitment Fraud DaVita will never ask for payment or personal financial information...FraudMinimum wageLocal areaFlexible hoursShift workDay shiftAfternoon shift
$60 per hour
...IQVIA/MedTech takes the approach to helping customers drive healthcare forward in this challenging, fast-paced environment. We help customers... ...process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application...FraudHourly payFull timePart timeImmediate startWorldwideNight shiftWeekday work- ...through a culture of integrity, accountability, and compliance. We are seeking an experienced Corporate Investigations & Insider Risk Specialist to lead investigations... ...insider threats, information security incidents, fraud, conflicts of interest, and other activities that...FraudFull timeWork at officeMonday to Friday
$55k - $115k
...important partners in our success, ensuring accuracy, consistency, and compliance across all financial operations. With a focus on collaboration,... ...& Controls: Monitor operational income statements, conduct fraud prevention reviews, and ensure adherence to internal controls...FraudTemporary work- ...matters, transportation law and litigation practice including PIP and SIU experience.Proficiency in the independent handling of litigation files such as commercial auto, PIP fraud investigations, premises liability, general negligence, property damage, construction...FraudLocal area
- A leading insurance company is seeking a Legal Billing Auditor to review and audit legal invoices for compliance and accuracy within the insurance defense sector. Candidates should have a minimum of 3 years of experience in legal billing review and a strong understanding...
- ...Compliance Officer A Compliance Officer directly participates in... ...primary responsibility for the investigation of complaints and... ...regulations or rules effecting the healthcare industry, and trends or best... ...Compliance (CHC), Certified Fraud Examiner (CFE), and/or other...FraudWork at officeMonday to Friday
$21 - $25 per hour
...coordinating multiple priorities in a fast-paced healthcare environment. You'll manage patient... ...ensure timely admissions and regulatory compliance. Through strong communication, accuracy,... ...for field roles Pet Insurance ID and Fraud Protection And more... Background Screening...FraudTemporary workMonday to FridayWeekend work$21 - $25 per hour
...coordinating multiple priorities in a fast-paced healthcare environment. You'll manage patient... ...ensure timely admissions and regulatory compliance. Through strong communication, accuracy,... ...roles ~ Pet Insurance ~ ID and Fraud Protection ~ And more... Background...FraudTemporary workWork at officeMonday to FridayWeekend work- ...competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at... ...redacting or removing this information. Beware of Recruitment Fraud DaVita will never ask for payment or personal financial information...FraudMinimum wageStart working today
- ...needed Maintain equipment and ensure compliance with safety protocols Collaborate with... ...package, which includes a 401k match, healthcare coverage and a broad range of other benefits... ...information. Beware of Recruitment Fraud DaVita will never ask for payment...FraudMinimum wageFlexible hoursShift work
$93k - $116k
...interaction with patients, families, and healthcare teams Pay Range $93,000 - $116,000... ...field roles ~ Pet Insurance ~ ID and Fraud Protection ~ And more...... ...Term Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable...FraudTemporary workWork at officeMonday to Friday- ...records are accurate and complete for all patients. Ensures compliance of healthcare regulations, medical laws and high ethical standards.... ...& CMS guidelines for Parts C & D on General Compliance and Fraud, Waste & Abuse. Performs other position related duties as...FraudWork at officeShift workDay shift
$120k - $130k
...clinical and technological infrastructure to realize a future of healthcare untethered. We have a rapidly growing team of visionary leaders... ...the lives of people, apply today! Beware of recruitment fraud and scams that involve fictitious job descriptions followed by...FraudPart time- ...Accountable for escalating unusual activity, unresolved discrepancies, fraud concerns, legal matters, or higher-risk items to Deposit... ...may be considered. *This position will comply with all BSA compliance laws and regulations including the Bank’s BSA policy and procedures...FraudFull timeWork at office
$21 - $25 per hour
...coordinating multiple priorities in a fast-paced healthcare environment. You'll manage patient... ...ensure timely admissions and regulatory compliance. Through strong communication, accuracy,... ...roles ~ Pet Insurance ~ ID and Fraud Protection ~ And more... Background...FraudTemporary workMonday to FridayWeekend work- ...Accounts: Pre-tax savings accounts for medical, dependent care, and healthcare expenses. ~· Life & Disability Insurance: Employer-paid basic... ...: ~ Employee Assistance Program (EAP) ~ Identity Theft & Fraud Protection ~ Legal Support Services ~ Discount Programs (...FraudFull timeContract workTemporary workPart timeWork experience placementWork at officeImmediate startFlexible hoursWeekend workAfternoon shift
$70k - $90k
...reviewing and auditing legal invoices from outside counsel to ensure compliance with billing guidelines, accuracy of charges, and proper... ...benefits such as legal services, pet insurance, and identity & fraud protection. 24/7 Employee Assistance Program (EAP) for employees...FraudWork at officeLocal areaRemote workFlexible hours1 day per week$215k - $238k
...Collaborates with nursing, medical and other healthcare team members to ensure quality patient... ...for field roles Pet Insurance ID and Fraud Protection And more... Employment is... ...Term Care Partnership, and is performed in compliance with the Fair Credit Report Act....FraudTemporary workImmediate startHome officeMonday to Friday- ...Township, Michigan, 48051, United States of America No previous healthcare experience required - Paid Dialysis Training provided! *... ...redacting or removing this information. Beware of Recruitment Fraud DaVita will never ask for payment or personal financial information...FraudMinimum wageFull timeSeasonal workFlexible hoursWeekend workAfternoon shift3 days per weekEarly shift
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