Senior Manager, Major Medical Fraud Investigations
$117.3k - $146.6kRoot Insurance Company
Root Insurance is looking for a Senior Manager in the Major Case Investigative Unit to lead efforts against insurance fraud. In this role, you will manage a team dedicated to investigating complex provider fraud schemes. The ideal candidate should have over 5 years of experience in property and casualty insurance, along with substantial expertise in medical fraud. Responsibilities include overseeing case management and ensuring high standards for investigations. The position offers a salary range of $117,300 - $146,600, and requires strong communication and leadership skills. #J-18808-Ljbffr
$117.3k - $146.6k
...Sr. Manager, Major Case Investigative Unit (Medical & Provider Fraud) Root was founded on the belief that car insurance is broken, and we set out to change it. We... ...We are seeking a highly analytical and strategic Senior Manager - Major Case Investigative Unit to lead our...SeniorMedicalFraud$70k - $90k
...Senior Investigator - Pre-Pay (Healthcare FWA) Job Location: US-Remote Overview... ...incidents of healthcare fraud, waste, or abuse through data... ...required where necessary for major deliverables/deadlines (not... ...and family needs, including medical, dental, vision, disability,...SeniorMedicalFraudWork experience placementWork at officeRemote workWork from home$280k - $350k
Job Summary Senior Enterprise Account Executive for the... ...‑stakes challenges in fraud detection, anti‑money... ...AML), and real‑time risk management. Key Responsibilities... ...‑level stakeholders at major banks while managing long... ...MS Office). Benefits Medical, dental, and vision...SeniorMedicalFraud- Responsibilities Conducts investigations into allegations of fraud, waste, or abuse, including preliminary assessments... ...case work. Reviews and analyzes medical records, claims data, enrollment... ...or other healthcare FWA case management and detection software preferred (but...SeniorMedicalFraudWork at office
$90.23k - $110.28k
...Perform routine and advanced FWA investigations, utilizing advanced... ...1 year experience focused on fraud, waste, and abuse CPC (Certified... ...feedback, as well as tolerate and manage stress Ability to see, read,... ...date. CareOregon offers medical, dental, vision, life, AD&D,...SeniorMedicalFraudWork at officeWork from homeFlexible hours$69.8k - $132k
...RSM. Description: The Senior Associate role in the Investigations team within Financial... ...of the team investigating fraud and misconduct, bribery and... ...organizational and time management skills with experience balancing... ...; political affiliation; medical condition (including...SeniorMedicalFraudFull timeWork experience placementInternshipWork at officeLocal area$200k - $225k
...the role: We’re looking for a Senior Account Executive to deliver... ...role’s focus is relationship management within our partnership ecosystem... ...limited to: flexible PTO, Medical/Dental/Vision plan options, 4... ...accounts, Teladoc Health and more. Fraud and Security Notice: Please...SeniorMedicalFraudRemote workFlexible hours- ...cryptocurrency businesses detect, investigate, and disrupt crypto‑related fraud and financial crime. TRM’s... ...We are seeking a high‑impact Senior Product Marketing Manager to lead go‑to‑market for a next... ...strategy for new products and major feature releases Develop differentiated...SeniorFraudWorldwideShift work
$60.2k - $107.4k
Senior Investigator Pharmacy At UnitedHealthcare, we're simplifying the health... ...prevention of healthcare fraud, waste and abuse. The investigator... ...at the direction of management Preferred Qualifications 2... ...period, plus 8 paid holidays Medical plan options, with participation...SeniorMedicalFraudFull timeTemporary workWork experience placementLocal areaRemote work$163.94k - $215.18k
...we're Oscar. We're hiring a Senior People Strategy Partner to join... ..., org designs, change management, and succession plans, for select... ...safeguard yourself from recruitment fraud here. At Oscar,... ...eligible for benefits including: medical, dental, and vision benefits,...SeniorMedicalFraudFull timeWork experience placementWork at officeLocal areaFlexible hours- ...team. We’re seeking a qualified Senior Account Executive to help us... ...generation to closing deals and managing post-sale relationships within... ...Competitive Compensation Medical, dental, and vision insurance... ...ago Senior Account Executive – (Fraud Solutions) - Remote Account Executive...SeniorMedicalFraudFull timeLocal areaRemote workFlexible hours
$131k - $260k
...Senior Manager, DevSecOps What you'll do We are looking for... ...We verify that all Ads are Fraud Free, Brand Safe, in the right... ...strategic direction during major security events. ~ Exercises... ...handling, AI-specific incident investigation, model forensics. Risk...SeniorFraud$128.7k - $231.7k
...amazingly talented FTA/FRA Compliance Manage r to join our team! In this role, you'll... ...we offer best-in-class benefits such as medical, dental, vision, paid time off, Employee... ...practices. To learn more about recruitment fraud and how to report it, please refer to ....SeniorMedicalFraudContract workWork at officeLocal areaImmediate startWorldwideFlexible hours$149.04k - $195.62k
Overview Hi, we\'re Oscar. We\'re hiring a Senior Manager, Member & Provider Optimization to join... ...can safeguard yourself from recruitment fraud here. At Oscar, being an Equal... ...employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays...SeniorMedicalFraudFull timeWork at officeFlexible hours$120k - $160k
...package, in addition to a full range of medical, financial, and/or other benefits,... ...collaboratively with solutions engineers, account managers and senior leadership to strategize on the growth... ...negotiation ability Understanding of fraud mitigation in cyber security Bachelor's...SeniorMedicalFraudFull timeWorldwideFlexible hours- ...decision-makers across agencies Manage the sales pipeline and... ...messaging You will report to a senior leader within Experian Marketing... ...practices, uncover and prevent fraud, simplify healthcare, create marketing... ...Core benefits including medical, dental, vision, and matching...SeniorMedicalFraudRemote jobWork at officeFlexible hours
$154k - $181k
...financial products by enabling them to outpace fraud and confidently serve more people around... ..., website, and events Launch and manage campaigns end-to-end, ensuring timelines,... ...work policy ~ Employee stock options ~ Medical, dental, vision plans with HSA (monthly...SeniorMedicalFraudWork at officeLocal areaImmediate startWork from homeHome officeMonday to FridayFlexible hours3 days per week$170k - $230k
...compensation package, in addition to a full range of medical, financial, and/or other benefits, depending on... ...operations. About the Role We’re looking for a Senior Product Manager who is passionate about cybersecurity, fraud and malware prevention, and creating customer‑...SeniorMedicalFraudFull timeTemporary workWorldwideFlexible hours$145.4k - $181.7k
...generations. Role Summary The Sr. Manager, Production Program Planning... ...Plan (MPP) across all major platforms, including R1, R2, Commercial... ...benefits including life, medical, dental, vision, short‑term disability... ...security and preventing fraud; and (vii) as otherwise required...SeniorMedicalFraudFull timeContract workTemporary workPart timeLocal areaShift work$95.04k
...Construction Advisory Senior Associate to join our... ...project and engagement management across a wide variety... ...control assessments, investigations, litigation support,... ...in matters involving fraud, waste, and abuse, including... ...in the firm’s medical, dental and vision insurance...SeniorMedicalFraudFull timeWork experience placementInternshipSeasonal workWork at officeLocal areaFlexible hours3 days per week- ...learning, data science, and anti-fraud AI, we have served over 18... ...growth. This Role The Senior Public Relations Manager is responsible to lead the... ...executive participation in major fintech, technology, and social... ..., childbirth, or related medical conditions), sexual...SeniorMedicalFraudContract workImmediate startWorldwideHome office
$65k - $120k
...what makes American healthcare expensive isn't medical care. It's the machinery wrapped around it: middlemen taking a cut, fraud nobody stops, and billing systems designed... ...broker questions and concerns. Territory Management: Effectively manage your assigned territory,...SeniorMedicalFraudRemote work$340 per month
...learning, data science, and anti‑fraud AI, we have served over 18... ...seeking a motivated Capital Markets Manager to join our Capital Markets... ...planning for review with senior leadership. Coordinate with FP... ...pregnancy, childbirth, or related medical conditions), sexual...SeniorMedicalFraudWork at officeLocal areaImmediate startHome office3 days per week$135k - $185k
...Mid-to-Senior Level Insurance Fraud Litigation Attorney Location... ...offices, including major economic hubs like New... ...involving insurance fraud investigations, civil recovery... ...overall litigation management. Responsibilities... ...package, including medical, dental, vision, disability...SeniorMedicalFraudWork at officeRemote workFlexible hours$195.45k - $289.25k
...Senior Ad Tech Account Executive We are seeking a highly experienced Senior Ad Tech Sales... ...ad tech concepts (programmatic, RTB, ad fraud prevention) and key performance metrics (... ...status, physical or mental disability, medical condition, pregnancy, genetic predisposition...SeniorMedicalFraudFull timeTemporary workLocal areaRelocationFlexible hoursShift work$155.52k - $194.4k
...next Staff Product Manager – Enterprise AI on... ...is undergoing a major business transformation... ...automate manual investigations, to financial... ...automated user vetting, fraud detection,... ...experience influencing senior leaders and driving... ..., or related medical conditions), sexual...MedicalFraudContract workLocal areaRemote workWorldwide- ...Overview We are seeking a Senior Manager to help lead the delivery of... ...Strategy Delivery Lead major workstreams that modernize how... ...suite of benefits including medical, dental, vision, life, and... ...charge, (b) in furtherance of an investigation, proceeding, hearing, or...SeniorMedicalLive inWork at officeLocal area
$70k - $90k
...A leading healthcare analytics firm is seeking a Senior Investigator to investigate incidents of healthcare fraud, waste, and abuse through data analysis. This remote position requires a Bachelor's degree, 5-8 years of experience in healthcare FWA investigations, and...SeniorFraudRemote work- ...RELX INC is seeking a Senior Fraud Analyst responsible for providing investigative and analytical support to clients. This role involves analyzing data, developing methodologies to assess risk, and utilizing SQL and programming skills. A Bachelor's degree and 5+ years...SeniorFraudRemote work
- ...industry’s most dynamic segments. Role Overview The Senior Manager, Information Security will own and lead our... ...third-party vendors. Lead incident response and investigation for security events, including breaches, fraud, and wallet compromise scenarios. Oversee core IT...SeniorFraudRemote workFlexible hours
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