Healthcare SIU Investigator - Fraud & Compliance
Hispanic Alliance for Career Enhancement
CVS Health is seeking a dedicated SIU Investigator to conduct investigations into healthcare fraud and abuse, supporting prevention, investigation, and prosecution efforts. This role emphasizes gathering evidence, collaborating with legal teams, and ensuring compliance with regulations to protect funds and patients. The ideal candidate has 1–3 years of investigative experience in healthcare fraud, strong Word/Excel/Outlook skills, and willingness to travel for business and legal proceedings. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Healthcare SIU Investigator - Fraud & Compliance in Columbus, OH vacancy
$43.89k - $93.57k
...and one community at a time. Position Summary The Special Investigations Unit (SIU) Investigator conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with federal...FraudHourly payFull timeTemporary workLocal area$70.4k - $116.2k
...Openings 1 What Is the Opportunity? Travelers Investigative Services provides industry-first... ...risks and combat fraudulent practices. As an SIU Investigator, you will analyze, summarize... ...the subject matter expert (liaison) on fraud to business and industry partners. Applies...FraudWork at officeLocal areaShift work$26.42 per hour
...hiring a Financial Crimes Operations Specialist to support our fraud investigations and regulatory reporting team. This position plays a key... ...external fraud, and documenting findings that support compliance with federal regulations. The role involves detailed analysis...FraudContract work- ...as it will transfer to your application. Job Title: Sr. Compliance Investigator Department: Health System Shared Services | Compliance and... ...compliance with applicable federal, state, and local laws, healthcare regulations and ordinances as well as enforcing commitment...SuggestedTemporary workWork experience placementWork at officeLocal areaShift workDay shift
- JPMorgan Chase is seeking a Wrongdoer Strategy Analyst to improve protections against fraud and scams. You will use data analytics to develop strategies that balance fraud losses and customer experience, collaborating with various teams to enhance fraud prevention capabilities...Fraud
- JPMorgan Chase & Co. is seeking a Wrongdoer Strategy Analyst in Columbus, Ohio, to combat fraud and scams. In this role, you will develop data-driven strategies and analyze trends to improve fraud prevention outcomes by monitoring portfolio performance and diagnosing any...Fraud
- ...Nursing Service Department. Success in this position is measured by compliance with current federal, state, and local standards, guidelines,... ...and incidents § Report known or suspected incidents of fraud, abuse, neglect, and/or misappropriation to the Administrator...FraudWork at officeLocal areaImmediate startAll shiftsWeekend work
Paradigm Healthcare Services
Columbus, OH3 days ago $75.4k - $182.55k
...dynamic Human Resources team? As an Employee Relations (ER) Investigator, you are responsible for the execution and ownership of investigating... ...matters. Ensure documentation is complete, secure, and in compliance with legal and company requirements. Interpret and apply...Hourly payFull timeTemporary workWork experience placementLocal area$20 - $22 per hour
.... Ongoing employment may also be contingent upon compliance with the company's Drug-Free Workplace Policy, which... ...of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on...FraudContract workLocal areaShift work- ...ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront of, we provide accurate data and actionable insights that translate into better decision-making...FraudFull timeLocal areaNight shiftWeekend work
Ethos Risk Services
Columbus, OH10 days ago - The Business Analysis and Reporting Manager is an individual contributor position on the Global Security (GS) Investigations Fraud Analytics and Investigative Technologies Team (FAIT). The ideal candidate will provide innovative solutions to support fraud prevention, detection...Fraud
$34.53 per hour
Field Investigator (Public Utilities Gas Pipeline Safety Compliance Investigator) The Public Utilities Commission of Ohio (PUCO) regulates utility services and works to ensure safe and reliable services for Ohioans. This role is within the Service Monitoring & Enforcement...Hourly payFor contractorsRelocation- A leading financial services firm is seeking a Division Leader for its Fraud Compliance Operations Investigations team in Columbus, OH. The ideal candidate will manage a team investigating suspicious activities and advising on fraud issues. Candidates should have over...Fraud
$34.53 per hour
...reviews plant operating practices to ensure regulated utility service providers deliver safe, reliable and quality service. Field investigators from the division's electric, telephone, water/wastewater and gas pipeline safety sections perform on‑site inspections and audit...Hourly payContract workFor contractorsLocal areaRelocationLong distanceNight shift- Wells Media Group is seeking an SIU Investigator in Columbus, Ohio, responsible for conducting insurance investigations aimed at uncovering fraudulent claims. The ideal candidate will have a Bachelor's Degree and at least two years of investigative experience. This role...Fraud
$140k - $145k
...recognition for exceptional strides in healthcare innovation, is supported by medical societies... ...to act in accordance with regulatory compliance requirements, including but not limited... ...referrals. Heartflow has become aware of a fraud where unknown entities are posing as...FraudContract workWork experience placementLocal areaWorldwideRelocation$209.6k - $313.38k
Company Overview Otsuka is a global healthcare company driven by our purpose “to defy limitation, so that others can too.” Patients are at... ...@otsuka-us.com) . Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and protection of your personal...FraudTemporary workLocal areaFlexible hours$25 - $35 per hour
About Us Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making for...FraudHourly payLocal areaNight shiftWeekend work$146.96k - $219.65k
...strategy, planning and execution of global investigational and marketed prescription drug... ...Experience working in the pharmaceutical and/or healthcare industry. Knowledge and experience... ...) . Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and protection...FraudTemporary workWork at officeLocal areaFlexible hours$150.03k - $224.25k
...and HCP needs in an evolving healthcare environment. This model is... ...registrational, post‑marketing and Investigator‑Sponsored Trials (ISTs),... ...legal, regulatory, and compliance landscape. Ability to work... ...Statement Regarding Job Recruiting Fraud Scams At Otsuka we take...FraudTemporary workWork at officeLocal areaFlexible hours- A leading educational institution in Columbus, Ohio, is hiring a Sr. Compliance Investigator. This role involves conducting investigations on compliance matters, particularly related to HIPAA. Candidates should possess a Bachelor's degree and a minimum of four years' experience...
$27.92 per hour
The Ohio Department of Public Safety is hiring an Investigator based in Columbus, Ohio. This role involves responding to inquiries about alleged violations, preparing case findings, and maintaining accurate records. The position offers a salary of $27.92 per hour with...Hourly payFull time- ...benefits and growth opportunities. Purpose of Position The Safety Investigator supports the Safety Investigations Manager in executing the... ...Suite Of Benefits Include Medical, Dental, and Vision Healthcare Advocacy Employee Assistance Program Flexible Spending Accounts...Temporary workWork at officeRemote workFlexible hours
$34.53 per hour
The State of Ohio is seeking a Field Investigator for the Public Utilities Commission. This role involves conducting field audits, reviewing company compliance with regulations, and preparing inspection reports. Candidates should have extensive experience in natural gas...Hourly payRelocation- ...Administration Management Analyst for its Division of Medical Oncology. This role will involve overseeing investigator-initiated clinical trials, ensuring compliance and integrity of data. Candidates should have a Bachelor's in a relevant field and two years of...
- ...complex card transaction data into clear, actionable fraud insights. You'll surface emerging fraud schemes,... ...and oversight, and support high-impact investigations. Partnering across Fraud Operations, Risk, Compliance, and Technology, you'll improve data quality and...Fraud
J.P. Morgan
Columbus, OH16 hours ago - ...in Powell, Ohio is seeking an Asset Protection Specialist to prevent financial loss caused by theft and fraud while supporting safety and environmental compliance. This role requires monitoring physical security, identifying theft incidents, and preparing detailed case...Fraud
The Home Depot
Powell, OH3 days ago - ...Asset Protection Specialist in Columbus, Ohio. This role is crucial for preventing financial loss through theft and fraud while ensuring safety compliance in the store. Responsibilities include preparing detailed case reports, monitoring store security, and interacting...Fraud
The Home Depot
Columbus, OH2 days ago - JPMorganChase seeks a Quantitative Analytics Associate for their Point of Sale Fraud team in Columbus, Ohio. This role involves driving impactful fraud prevention through advanced risk analysis and strategic insights that help reduce fraud losses and protect customers....Fraud
- ...into a pivotal role at JPMorganChase, where your expertise in compliance and risk management will shape the future of our operations. You... ...compliance and operational risks, applying your knowledge of anti-fraud awareness and cybersecurity. Develop and implement effective...Fraud
Chase
Columbus, OH5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare SIU Investigator - Fraud & Compliance. Be the first to apply!
Related searches
- employee relations investigator Columbus, OH
- insurance investigator Columbus, OH
- case investigator Columbus, OH
- security investigator Columbus, OH
- compliance investigator Columbus, OH
- legal investigator Columbus, OH
- housing investigator Columbus, OH
- forensic investigator Columbus, OH
- healthcare investigator Columbus, OH
- senior investigator Columbus, OH