Senior Healthcare Fraud Investigator
$46.99k - $122.4kHispanic Alliance for Career Enhancement
CVS Health is looking for a skilled individual to manage healthcare fraud investigations in New Jersey. The role entails handling complex cases, facilitating legal proceedings, and working closely with law enforcement agencies. The ideal candidate will have a Bachelor's or Associate's degree, coupled with essential experience in healthcare fraud and strong analytical skills. This full-time position includes competitive pay ranging from $46,988.00 to $122,400.00 and benefits. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is hiring for a position focused on investigating healthcare fraud cases. The ideal candidate will have a Bachelor’s degree and at least 3 years of experience in fraud, waste, and abuse investigations. Responsibilities include...SeniorFull time$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is seeking a professional for health care fraud investigations. The role requires at least three years of experience in related fields and a Bachelor's degree or equivalent. You will investigate and document cases related to...Senior- CVS Health in Pennsylvania is seeking a skilled professional to manage complex cases involving health care fraud. The candidate will investigate claims, collaborate with law enforcement, and ensure adherence to health care regulations. Interested individuals must hold a...SeniorFull timeWork at office
$46.99k - $122.4k
CVS Health is seeking an experienced professional for a full-time role in health care fraud investigations in United States, Kentucky. The position requires a minimum of 3 years of experience in related fields and knowledge of health care coding systems. This role offers...SeniorFull time- Centene Management Company LLC is seeking a skilled investigator to handle allegations of healthcare fraud and abuse in New York. In this role, you'll plan, organize, and execute claims investigations, utilizing your expertise in data mining and report creation. The ideal...SeniorRemote jobFlexible hours
- CVS Health is seeking a qualified professional to manage health care fraud investigations. This role requires expertise in CPT/HCPCS/ICD coding and 3 years of experience in fraud investigations. You will investigate cases, document findings, and participate in legal proceedings...SeniorFull time
- A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates...Senior
$81k - $123k
...Adjuster experienced in handling General Liability claims. The candidate should have at least 4 years of experience and strong investigative and communication skills. Responsibilities include evaluating claims, analyzing coverage, and guiding clients through the claims...SeniorFull time- A government services contractor is seeking a Healthcare Fraud Investigator to provide legal support on a large Government project. You will analyze data, review financial and legal documents, and support the development of case referrals. Candidates should have a relevant...Full timeFor contractorsWork at office
- A government services firm in New York is seeking a Healthcare Fraud Investigator to provide legal support for government projects. The role requires proficiency in Microsoft Office and a bachelor's degree in a relevant field, along with three years of investigative experience...Full timeWork at office
- HRA/DEPT OF SOCIAL SERVICES in New York is seeking a Fraud Investigator II to conduct detailed investigations of IDNYC applicants' documents. This role requires a four-year high school diploma and three years of experience in investigations involving criminal activities...SeniorFlexible hoursAfternoon shift
- The State of Vermont is hiring an Insurance Examiner III for the Department of Financial Regulation, Captive Insurance Division. The role focuses on evaluating operations of captive insurance companies and conducting research. Strong time management and communication skills...Senior
- ...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...SeniorRemote work
- ...We are the first line of defense against fraud and abuse on the Plaid platform. Our... ...platform for consumers and customers. As a Senior Fraud and Abuse Operations Analyst ,... ...for responding to fraud and abuse events, investigating claims, and triaging incidents. We also...SeniorWork experience placementLocal 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 advanced...SeniorRemote work$108k - $184k
...A leading healthcare solutions provider in the United States is seeking an experienced M365/Azure Principal Systems Engineer to shape strategic direction and drive innovation in Microsoft cloud solutions. The ideal candidate will have over 7 years of technical experience...SeniorRemote work- Senior Fraud MIS and Analytics Analyst for Commercial Cards Apply (opens in new window) Job Req Id: 26964416 Location(s): Kuala Lumpur, Kuala Lumpur, Malaysia Job Type: Hybrid Posted: May. 15, 2026 Discover your future at Citi Working at Citi is far more than just a job...SeniorFull timeShift workWeekend work
- ...Senior Staff Analyst We are seeking a Senior Staff Analyst to join the QuickBooks Risk Management team as a strategic analytics partner... ...Each product carries distinct risk profiles — real-time payment fraud, payroll disbursement exposure, bill payment authorization risk,...Senior
$70k - $90k
...Senior Investigator - Pre-Pay (Healthcare FWA) Job Location: US-Remote Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is...SeniorWork experience placementWork at officeRemote workWork from home$85k - $140k
...caused by inaccurate, untimely, or incomplete WM data. The External Fraud Risk Team within WM CDO works to define appropriate fraud risk... ...and documentation tasks when there are fraud incidents and senior management queries related to fraud rules. Key Responsibilities:...SeniorTemporary workWork at office- A prominent healthcare organization in New York is seeking a Hospital Care Investigator to supervise investigations for medical assistance eligibility. The role requires a person-centered approach aligned with the ICARE values. Candidates should have six months of experience...SeniorFull time
$161.6k - $202k
...people. Headway's mission is to fix this by building a new mental healthcare system everyone can access. We started by solving the biggest... ...: To protect yourself against phishing and recruitment fraud, please note that Headway only accepts applications through our...SeniorWork from homeFlexible hours$187k - $253k
Senior Staff Fraud and Risk Analyst - Fintech Category Security, Risk & Fraud Location New York, New York Job ID 20148 Company Overview Intuit... ...applicable regulations. Responsibilities Fraud Detection & Investigation Monitor alerts and analyze real-time signals to detect...SeniorRemote workWorldwide- Citi is looking for a Fraud Ops Sr Analyst in New York City. This senior-level position involves developing fraud management policies and minimizing fraud impact by coordinating with the Operations - Services team. Responsibilities include solving fraud prevention issues...Senior
$17 per hour
..., education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating... ...funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges....Hourly payDaily paidFull timeTraineeshipLocal areaShift work- ...Senior Research and Operations Executive (healthcare market research) Remote-based This is a night shift position. Hours: 9pm to 6am PH time About Us: At Branding Science Research, we're not just another consultancy - we're pioneers in the fusion of behavioural, marketing...SeniorWork at officeRemote workWork from homeShift workNight shift
- ...Job Description Job Description Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The...Full timeWork experience placementWork at officeLocal area
- ...City Medical Examiner II (Senior Medical Examiner) The Office of Chief Medical Examiner investigates cases of persons who die within New York City from criminal violence, by accident, by suicide, suddenly when in apparent health, when unattended by a physician, in a...SeniorWork at office
- ...Health & Public Services Security Senior Manager Job Location Negotiable: (Northeast, West, Southwest) (Salary open) - CA - Sacramento... ...touched all domains, not just one specialty. Cybersecurity Healthcare and Public Services Senior Manager: Our cybersecurity teams...SeniorLocal area
- A healthcare company focused on improving people's health is seeking a Staff User Researcher in New York City. This role leads strategic research across patient and provider ecosystems, aiming to enhance product direction and the clinical experience. Candidates should...SeniorFull timeRemote work
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