Senior Investigator, Fraud & Abuse — Special Investigations
$46.99k - $112.2kCVS Health
CVS Health is seeking a Fraud Investigator in Tallahassee, Florida. The role involves conducting complex analyses of Pharmacy and Prescriber behaviors to combat Fraud, Waste, and Abuse. Applicants should have 3-5 years of investigative experience in Healthcare fraud and a Bachelor's degree in Criminal Justice is preferred. The typical salary range is $46,988 to $112,200 annually, along with a comprehensive benefits package. #J-18808-Ljbffr CVS Health
$46.99k - $112.2k
...Conducts high level, complex analysis of Pharmacy and Prescriber behavior to effectively pursue the prevention, investigation and prosecution of Fraud Waste and Abuse. Collaboration with Pharmacy Benefit Manager, providing meaningful evidence of Fraud, Waste and Abuse to...SeniorFraudHourly payFull timeTemporary workWork at officeLocal area- ...and highly motivated Part-Time SIU FIELD INVESTIGATORS that would like to join our team of... ...our efforts to deter and combat insurance fraud. We have several work from home, part-time... ...positions available in our rapidly expanding Special Investigations Unit. This hybrid style...FraudBi-weekly payHourly payFull timePart timeWork at officeWork from home
$30 - $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$82.8k - $141.2k
...includes all our associates as well. The AML Investigator has extensive knowledge of the... ...requirements. Analyze, plan and complete special projects assigned by the AML management.... ...years experience with emphasis on BSA/AML, fraud, loss prevention or corporate security...FraudFull timePart timeWork at office$28.13 - $29.79 per hour
...founded on integrity and a people-first philosophy. As a Fraud Investigator I , you will help protect the credit union and its members... ...appropriate to recover losses. Qualifications Associate Degree or specialized certification or equivalent field experience. ABA...FraudHourly payWork at officeMonday to FridayFlexible hours2 days per week- Criminal Investigator (Special Agent) - $40,000 Recruitment Incentive Join to apply for the Criminal Investigator (Special Agent) - $40,000... ...Selective Service System if applicable Additional Details Seniority Level: Entry level Employment Type: Full-time Job Functions...Full time
- ...Job Description Job Description We are seeking a Special Investigative Unit (SIU) Coordinator to join our team at Independent Living... ...role in overseeing and managing investigations related to fraud, abuse, and other compliance issues within the healthcare and social...Fraud
- ...The Home Depot is seeking an Asset Protection Specialist responsible for preventing financial loss due to theft and fraud and ensuring safety and environmental program compliance in assigned stores. The role involves identifying incidents, reviewing CCTV and exception...Fraud
- An established agency is seeking courageous and determined individuals to join their ranks as Criminal Investigators. This role offers a unique opportunity to serve your country while engaging in critical investigative and protective missions. As part of a diverse team,...
- ...Agency: Commission on Offender Review Working Title: COMMISSION INVESTIGATOR - 78001810 1 The Florida Commission on Offender Review is... ...review and processing of the general clemency case workload and special initiatives of the Board of the Executive Clemency. Provides...Work at officeLocal areaMonday to FridayFlexible hours
- ...Drug Enforcement Administration Criminal Investigator GL-1811-7/9/11 positions open to U.S.... ...For more information or questions about Special Agent positions, please visit Talk to a... ...investigative reports and deliver briefings for senior personnel and other federal, state, and...Permanent employmentLocal areaRelocationTrial periodWeekend work
$97.3k - $125.54k
...Special Agent at Federal Bureau of Investigation (FBI) Join to apply for the Special Agent role at Federal Bureau of... ...nation from cyberattacks, terrorism, fraud, and evolving threats. From... ..., or any other non-merit factors. Seniority level Associate Employment type Full...FraudFull timeWork experience placementWork at officeLocal area$25 - $30 per hour
Join to apply for the Surveillance Investigator II role at Command Investigations. Get AI-powered advice on this job and more exclusive... ...Investigations, LLC is an Equal Opportunity Employer. Seniority Level Entry level Employment Type Part-time Job Function Other...Hourly pay16 hoursFull timePart timeWork at officeRemote workFlexible hoursShift workNight shiftWeekend work- A federal law enforcement agency is seeking a Criminal Investigator to conduct complex investigations targeting narcotics and drug-related crimes. Responsibilities include preparing investigative reports and gathering evidence through various means. Applicants must be...
$66.75k
...organization dedicated exclusively to fighting insurance fraud and crime. NICB membership includes more... ...fraud in their designated geographical areas. Special Agents are responsible for initiating and conducting investigations which result in the dismantlement of organized...FraudWork at office- ...Northwest Partners is seeking an experienced Senior .NET Developer to support the modernization of mission-critical public health applications... ..., given the rise in applicant impersonation and employment fraud. Benefits Include Health Insurance, Vision Insurance, Dental...SeniorFraudTemporary work
$96.26k - $129.38k
...use of City tax dollars; By providing a mechanism to investigate suspected fraud, waste and abuse; and By serving as an independent, objective source of... ...audit plan, as approved, including as appropriate any special tasks or projects requested by the City Commission; Maintain...FraudFull timeContract workFlexible hours- ...and Families Working Title: SENIOR ATTORNEY OPS - 60932416 MAKE... ...and permanency of Florida’s abused, abandoned, and neglected children... ...attorney collaborates with investigators and case managers to gather the... ...members to participate on special projects that create strategies...SeniorPermanent employmentWork at officeMonday to Friday
- ...Senior Marketing Manager Anywhere Type: Contract Category: Marketing Industry: Financial Services Workplace Type: Remote... ...have any indication of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group: Eliassen Group is...SeniorFraudHourly payContract workFor contractorsLocal areaRemote work
$100k - $125k
...complex or technically difficult professional liability claims by investigating and gathering information to determine the exposure on the... ...cost for our clients. Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management...SeniorFraudRemote jobWork at officeLocal areaFlexible hours- ...Terracon is seeking a dedicated individual in Tallahassee, Florida, to conduct environmental site investigations and testing of construction materials. The role involves close collaboration with project managers and adherence to strict safety standards. Applicants should...
- ...to medications, management of diseases, home treatments and special diets. Prepares patients for examinations and performs routing... ...& CMS guidelines for Parts C & D on General Compliance and Fraud, Waste & Abuse. Performs other position related duties as assigned....FraudFull timeWork at officeShift workDay shift
$10k
...level if you possess one (1) year of specialized experience, equivalent to at least the... ...Proficient in the use of firearms, preparing investigative reports, serving court orders (e.g.,... ...official. Leading investigations of fraud, contraband, criminal activity, threats...FraudFull timeLocal areaImmediate startRelocationNight shift- ...include performing and/or leading field investigations, engineering analysis, calculations,... ...familiar with company risk policies. Senior level engineering professional providing... ...into a successful multi-discipline firm specializing in environmental, facilities,...Senior
$10k
...grade level if you possess one (1) year of specialized experience, equivalent to at least the... ...in the use of firearms, preparing investigative reports, serving court orders (e.g., warrants... .... Leading investigations of fraud, contraband, criminal activity, threats...FraudFull timeLocal areaImmediate startRelocationNight shift$73.69k
...: Children and Families Working Title: SENIOR ATTORNEY - 60062181 1 1 This position will... ...well-being, and permanency of Florida’s abused, abandoned, and neglected children. With... .... A CLS attorney collaborates with investigators and case managers to gather the evidence...SeniorPermanent employmentFull timeWork at officeFlexible hours- ...Senior Clinical Research Associate (Sr. CRA) The Senior Clinical Research Associate... ...appropriate. Training, supporting and advising Investigators and site staff in study related matters,... .... If you have a disability or special need that requires accommodation, please...SeniorInterim roleLocal areaRemote workFlexible hoursShift work
$23.16 per hour
...utilizing the appropriate application and/or template. Identifies potential discrepancies in claim submissions and involves the Special Investigation Unit as necessary. Identifies issues which can be used to educate/train internal staff, streamline, and improve processes...SeniorFor contractorsWork at officeLocal area- Senior Electrical Engineer - Data Center (Remote) Arizona - Remote; Arkansas - Remote... ...the client and their project work Investigation and troubleshooting of problems to find... ...nationally recognized, employee-owned firm specializing in planning and design, engineering,...SeniorRemote jobFull timeInternshipFlexible hours
- ...environment. Conducts and resolves internal investigations. Works with the Asset Protection... ...goals. RESPONSIBILITIES Work closely with senior leadership in order to foster awareness... ...employee activity to detect and deter theft, fraud, and policy violations. Document and...FraudFull time
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