Senior Healthcare Fraud Investigator
$46.99k - $122.4kHispanic Alliance for Career Enhancement
CVS Health in the United States is looking for a dedicated professional to manage complex health care fraud investigations. This full-time role involves preventing fraudulent claims, preparing cases for review, and cooperating with law enforcement. Applicants should have 3 years of experience in health care fraud and a relevant degree. The company offers a competitive salary range from $46,988 to $122,400, along with a comprehensive benefits package. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$65k - $88.6k
...our caring community Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit. Do... ...? But, most of all do you have a passion for combating Fraud, Waste, and Abuse in the Health Care Industry? If this resonates...SuggestedFull timeTemporary workFor contractorsApprenticeshipWork experience placementWork at officeLocal areaRemote workWork from homeHome officeMonday to Friday- Anne Arundel County - County Auditor Department is seeking a highly skilled investigator to handle complex investigations into fraud, waste, and abuse within county operations. The role includes budget reviews, program analysis, and confidential inquiries, with emphasis...SeniorLocal area
- A leading healthcare data company in Maryland is seeking a Senior Clinical Informaticist to transform clinical data into research-grade evidence. You will collaborate with clinicians and data scientists, ensuring that clinical concepts are standardized and usable for research...Senior
$98.21k - $144.71k
The Enterprise Fraud Reporting & Analytics team is responsible for providing fraud reporting and analytics solutions that guide strategic business decisions across the organization. They collect and transform raw data into actionable fraud insights, with an emphasis toward...SeniorWork experience placementLocal areaRemote workFlexible hours- A leading healthcare technology firm is seeking a Senior Brain Health Analyst to provide expert support in brain health research initiatives focusing on Traumatic Brain Injury (TBI). This role requires a deep understanding of neurobiology, translational research, and strategic...Senior
$107.9k - $172.64k
...experience and preferably a Bachelor’s degree. The position offers a hybrid work model and competitive compensation, ranging from $107,901 to $172,642. Join us to make a positive impact in healthcare delivery! #J-18808-Ljbffr Blue Cross and Blue Shield of North CarolinaSenior$149.55k - $249.25k
Omnissa is seeking a Senior Solutions Consultant focused on the Healthcare sector to support its Solutions Architecture presales team. This role requires extensive engagement with clients at various levels, crafting custom solutions that align with their business objectives...SeniorRemote job- Boston Medical Center in Maryland is seeking a qualified healthcare professional to take on the clinical management of patients, ensuring adherence to hospital standards. Candidates should have completed a Physician Assistant or Nurse Practitioner program and hold the...Senior
$90k - $110k
Owens & Minor, a global healthcare solutions company, is seeking a Sr. Pricing & Deal Desk Analyst in the U.S. You will support the Products & Healthcare Services division by deploying GPO and market-based pricing, leading RFP/bid processes, and aligning with Finance,...Senior- ...should have a Bachelor's degree in Accounting or Finance, with a minimum of 5 years of experience in financial planning and at least 2 years in the healthcare sector. Great communication and analytical skills are essential for this role. #J-18808-Ljbffr Luminis HealthSenior
- ...business partner relationships with clinical and operational leaders. You will coordinate data collection for revenue and expense planning, develop revenue projections, prepare budgets, and deliver timely reports for senior management. #J-18808-Ljbffr Luminis Health IncSenior
- Humana is seeking a Senior Product Manager to conceive, develop, deliver, and manage products for customer use within a large healthcare environment. You will lead end-to-end product lifecycle, guiding complex claims processing initiatives and cross-functional teams to...Senior
- A leading healthcare technology company is looking for a Senior In-House Litigation Attorney to manage complex litigation and provide legal counsel. The role requires a JD and a strong track record in risk mitigation and regulatory matters. You will represent the company...SeniorFull time
- General Dynamics Information Technology is seeking a Sr. Healthcare Data Analyst to deliver insights that turn Medicaid data into action for CMS. You will apply advanced analytics to detect fraud, waste, or abuse and support program oversight. Responsibilities include...SeniorRemote job
$3,000 per month
...citizens and the world depend upon each minute: Financial assets. Healthcare information. Critical infrastructure. Hazardous materials.... ...; analyze systems flow, data usage and work processes; and investigate problem areas • Modify existing software to correct errors,...Senior- ...responsive and professional level of administrative workplace investigative skills and budgetary knowledge in the Office of the County Auditor... ...performing complex investigations involving allegations of fraud, waste, and abuse, and conducting special reviews, program...For contractorsWork at officeLocal areaAfternoon shift
$18 - $22 per hour
...Adjuster in the Annapolis, MD area seeking a great career opportunity? Have you recently been looking for prestigious, national healthcare companies to further your long-term goals? Are you seeking real advancement opportunities in-house with a Fortune 500 company? If...Hourly pay- ...screening solutions serving mid‑market businesses, nonprofits, and healthcare organizations. This is a dual‑function role for a sharp,... ...intersection of analysis and agile delivery. You will serve as both the senior business analyst and scrum master for a cross‑functional team...Senior
$110k - $135k
...of a contract currently under bid. Goldbelt Apex, a part of the Healthcare Technology Transformation Group, is a data-focused company... ...data seamlessly across disparate systems and devices. Summary The Senior Brain Health Analyst (SME) provides expert-level scientific and...SeniorContract workFor contractors$100k - $110k
...Analysis, and Training. Responsibilities As a Senior WTI Analyst with AMERICAN SYSTEMS you... ...Agency (DIA), Federal Bureau of Investigation (FBI), Department of Homeland Security... ...comprehensive benefits program by offering healthcare benefits, paid leave, retirement plans,...SeniorFor contractorsWork experience placementWork at officeLocal area- ...Intelliforce-IT Solutions Group, LLC. is seeking a Senior CNO Vulnerability Researcher to tackle complex security challenges. This role involves researching vulnerabilities, reverse engineering software, and mentoring team members. Ideal candidates will have significant...Senior
- CrowdStrike is seeking a Senior CAO Elite Analyst to protect customers by performing threat hunting, intelligence analysis, and dark web monitoring. You will tailor intelligence to client environments, deliver impactful briefings, and partner across teams to implement...Senior
$90.2k - $175.1k
...trials. In this role, you'll partner with investigative sites and cross-functional teams to... ...~ Bachelor's degree in life sciences, healthcare, or related field (or equivalent experience... ...a zero tolerance policy for candidate fraud. All information and credentials...SeniorFull timePart timeImmediate startWorldwide- ...is a federally focused, employee-owned contractor delivering IT, testing, mission support, engineering, and training solutions. The Senior WTI Analyst will provide research, analysis, and recommendations across the doctrine-to-policy spectrum, supporting Joint, Navy,...SeniorFor contractors
- Google is seeking a Senior Security Analyst in the Google Threat Intelligence Group (GTIG) to lead AI/ML threat intelligence efforts for a DoD-focused client. The role requires onsite presence five days a week in Maryland, with remote eligibility where allowed, and active...SeniorRemote work
- ...State of Maryland is seeking a lawyer to join the Maryland State Police Office of the Department Prosecutor as a trial-focused investigator and prosecutor. The role focuses on investigating misconduct allegations, reviewing investigations for completeness, and preparing...SeniorWork at office
- Google's Threat Intelligence Group (GTIG) within the DoD team seeks a Security Analyst to act as the lead onsite Mandiant authority for a client focused on AI technologies. You will translate intricate cyber threat data into strategic intelligence that helps partners counter...Senior
$18 - $22 per hour
Healthcare Support Staffing is seeking an experienced Medical Claims Adjuster in Annapolis, MD, for a rewarding career opportunity. The ideal candidate will bring expertise in processing physician and hospital claims, along with a solid understanding of PPO plans. This...Hourly pay- ...At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed... ...now. Come deliver this transformation. About the Role As a Senior Forward Deployed Engineer at Commure, you'll play a crucial...SeniorWork at officeImmediate start
- Prince George's County Police Department in Maryland is seeking experienced police officers to join the Comparative Compliance EPO Academy. Candidates must have at least one year of full-time patrol experience and be certified by a recognized agency, with U.S. citizenship...SeniorFull time
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