Senior Healthcare Fraud Investigator
Hispanic Alliance for Career Enhancement
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 to combat fraud. The ideal candidate will hold a Bachelor's degree and possess strong analytical, communication, and customer service skills. This full-time position comes with competitive pay and a comprehensive benefits package. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$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- 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
- 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 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...SuggestedFull 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
- 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
- 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 candidate must take the initiative to ask questions to successfully complete...Full timeWork experience placementWork at officeLocal area
- ...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...
$50k - $70k
A leading insurance audit team is looking for experienced premium auditors in the United States. The position offers a competitive total compensation package, including an hourly base wage plus production bonuses that can total between $50K–$70K in the first year. Key ...SeniorHourly payRemote workWork from home- ...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
$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$70k - $90k
...Cotiviti is seeking a Senior Investigator to support the post-pay Fraud Waste & Abuse team. In this role, you will analyze incidents of fraud, manage investigations, and interact with various stakeholders. A Bachelor’s Degree along with 5-8 years of investigative experience...SeniorRemote work- ...A leading healthcare organization in New York is seeking an experienced Fraud Investigator to conduct complex investigations of reported fraud. The ideal candidate will maintain regulatory agency relationships and provide guidance to the Fraud Investigators. They should...Senior
$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- 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
- ...Summary of Job Conduct complex, in-depth investigations of reported fraud involving the full range of healthcare products. Develop and maintain relationships with law enforcement (HHS-OIG, FBI, DOJ), regulatory agencies (DFS, MEDIC, OMIG, MFCU) and with industry peers....SeniorWork experience placementRemote work
$70k - $90k
...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 a physical investigator role. This role aligns with our post-pay Fraud...SeniorWork experience placementWork at officeWork from home$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- 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
$187k - $253k
...Consumer Group. We are seeking a brilliant and passionate Senior Staff Analyst for Fraud Policy to be a key player in safeguarding our ecosystem... ...regulations. Responsibilities Fraud Detection & Investigation Monitor alerts and analyze real-time signals to detect...SeniorRemote work$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$68k - $80k
We are the market research partner of choice for healthcare, pharma and biotech businesses seeking a competitive edge, through scientifically... ...projects, taking any necessary remedial action as agreed with Senior Management What we’re looking for: Experience in market...SeniorFreelanceLocal areaWorldwideFlexible hours- ...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
- 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
- A prominent healthcare provider in New York seeks a professional to assist sexual assault survivors in the Emergency Department. Responsibilities include responding to requests, providing medical and forensic assessments, and maintaining detailed documentation. Candidates...
- ...partners.* Stay informed on **market access and payer dynamics**, healthcare policy changes, and regulatory or compliance requirements (e.g.... ...* Demonstrated success engaging and influencing C-suite and senior executives* Deep understanding of Life Sciences commercialization...SeniorImmediate start
- ...A healthcare technology company in the United States is seeking a Senior Business Development Manager to drive revenue for their healthcare solutions. The role focuses on managing a defined territory and leading complex sales cycles. Ideal candidates will possess over...Senior
- ...A healthcare consulting firm is looking for a 340B Auditor to join their audit team. This role requires strong attention to detail and experience in the 340B space. The successful candidate will conduct external audits, collaborate with analysts, and engage with clients...Senior
- A national recruiting firm is seeking an individual to own and operate the Healthcare Information Technology niche, focusing on driving business development and cultivating client relationships. The ideal candidate has 3-5 years of recruiting or business development experience...Senior
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