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
- 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
- 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
- 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
- ...processes in Idaho. The role involves conducting audits and investigations into customer claims, analyzing data, and communicating... ...minimum Bachelor's Degree and 0-2 years of experience, with healthcare fraud experience preferred. This position offers a chance to contribute...Suggested
- 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...SuggestedFull timeFor contractorsWork at office
- Centene Management Company LLC is seeking candidates for a position dedicated to investigating allegations of healthcare fraud and abuse within the Kentucky Medicaid Program. The ideal applicant will have a Bachelor's Degree in a related field and a minimum of three years...Remote job
- Centene Corporation is looking for a dedicated investigator to monitor healthcare fraud activities. You will utilize your investigation skills to ensure compliance, assist with complex fraud allegations, and provide critical analytical insights. The role requires a Bachelor...Remote jobFlexible hours
- JPMorgan Chase & Co. is seeking a Wrongdoer Strategy Analyst to strengthen fraud prevention strategies. You will collaborate with product and technology partners to tackle real-world fraud threats using data analytics. This role requires a minimum of 2 years' experience...Senior
- CCSi in New York seeks a financial services leader to enhance fiscal strategies for human-centered organizations. The role emphasizes collaboration with executive leaders, mentoring staff, and ensuring exceptional client service. Candidates should possess an advanced degree...Senior
- Remote Jobs is seeking a Fraud/Risk Analyst to join their Risk & Compliance team. This role focuses on identifying and mitigating risks in digital asset transactions, requiring a blend of technical and regulatory expertise. The ideal candidate will have a bachelor's degree...SeniorRemote work
- RELX INC is looking for a Sr Fraud Analyst to provide investigative and analytical support to clients. This role involves analyzing data to mitigate fraud risks, focusing on Social Services. The ideal candidate will have a bachelor’s degree, 5+ years of experience, and...SeniorRemote job
$156k - $213.6k
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, you... ...for responding to fraud and abuse events, investigating claims, and triaging incidents. We also...SeniorWork experience placementLocal area- ...Corporation seeks a Clinical Professional to lead compliance investigations in a diverse national organization. Your role will focus on conducting... ...will have substantial experience in investigations within a healthcare setting. Centene provides competitive benefits, including a...SeniorRemote jobFlexible hours
$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- ...in New York seeks a Clinical Certified Coder to support fraud detection and investigations in the Special Investigations Unit. The successful candidate... ...skills, communication, and integrity in handling sensitive healthcare information. #J-18808-Ljbffr MetroPlusHealth
$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 job$140.5k - $190k
Overview Senior Fraud and Risk Analyst job at Intuit. New York, NY. One out of every two small businesses fail within their first five... ...mitigation strategies and design new risk‑adjusted policy proposals. Investigate root causes of anomalous risk behaviors or performance gaps,...SeniorTemporary workLocal area$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 leading insurance firm is looking for experienced Auditors to join their team in the United States. The role involves auditing Workers Compensation and General Liability policies. Ideal candidates should have a minimum of three years of experience and a strong understanding...Senior
- 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
$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 not...SeniorWork experience placementWork at officeRemote workWork from home- # Senior Associate / Principal - Healthcare VCPrimetime PartnersPrincipalVenture CapitalOn-siteLocationNew York, United StatesDate PostedJune 11, 2026RegionAmericasStay ahead of the marketGet instant notifications when new job openings matching "Venture Capital / Principal...Senior
$122k - $162.7k
Overview Join AIR as a Senior Researcher with our Healthcare Innovations team. Our team works collaboratively... ...in roles such as principal investigator, project director, or task lead, ensuring... ...work environment. Accessibility and Fraud Warning ACCESSIBILITY NOTICE: If...SeniorFull timeContract workFixed term contractH1bWork at officeRemote work- For People is seeking a User Researcher to assist Pennsylvania in navigating healthcare data interoperability as part of a $50 billion federal program. This position is 100% remote, emphasizing a positive work-life balance. Responsibilities include conducting research...SeniorRemote job
$45 - $50 per hour
...Senior User Researcher, Insights (Contractor) Senior User Researcher, Insights (Contractor) This range is provided by Swell Partners... ...Researcher, Insights Location: Fully Remote Client: A leading national healthcare tech company (to be disclosed during process) Role Type:...SeniorFull timeContract workFor contractorsFreelanceRemote work- ...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
- ...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
- ...A healthcare staffing agency located in New York is seeking a Director of Housekeeping to manage housekeeping staff and maintain high cleanliness standards in a nursing home. The ideal candidate must have nursing home experience, knowledge of health regulations, and at...Senior
- ...certification - the most prestigious level - among more than 300 surveyed healthcare organizations. It netted high scores across multiple verticals... ...of patient care we strive for. What You Will Be Doing: The Senior Health Equity Analyst / Data Intelligence Analyst works with...SeniorRemote job
$200k - $210k
...Webster Bank is looking for a Managing Director for its Healthcare Commercial Real Estate Team in New York. This position requires extensive experience in originating and underwriting commercial loans, as well as risk management activities associated with existing portfolio...Senior
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