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
- Ll Oefentherapie is seeking a Senior Principal Product Manager to lead analytics product capabilities within Oracle Health Applications... ...collaboration, and delivering impactful solutions for healthcare organizations. The ideal candidate will have over 10 years of experience...Senior
- 6AM City, LLC in Maryland is looking for a Senior Signals Analyst responsible for operating signal collection and analysis tools, with a strong focus on translating results into briefings. The role requires collaboration with analysts and oversight of signal data evaluation...Senior
$90k - $120k
Job Description Position: Analyst (Fraud Management & Forensics) Location: Glen Burnie, MD Salary: $90,000 to $120,000 per year Responsibilities... ...System to prevent high‑dollar liability. Monitor and investigate fraudulent activity to protect cardholder accounts. Develop...Senior$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$115.4k - $251.6k
...Health Applications & Infrastructure (OHAI) is building a modern healthcare platform that connects data, workflows, and experiences across... ..., and healthcare transformation. About the Role As an Senior Principal Product Manager, you will own product outcomes for key...SeniorTemporary 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
- Job Description As Senior Signals Analyst you will be responsible for operating signal collection, processing, and analysis tool suites for exploitation of recordings or live environment; collaborate with analysts throughout the Intelligence Community and maintain awareness...Senior
$78.9k - $147.5k
A leading healthcare organization seeks an experienced specialty pharmacist with expertise in program management. This role involves leading strategic pharmacy initiatives, collaborating with interdisciplinary teams, and implementing specialty programs. The ideal candidate...Senior- ...position involves clinical decision-making, team leadership, and driving strategic initiatives that enhance quality and efficiency in healthcare delivery. The ideal candidate will hold an MD or DO with board certification and has substantial experience in Medicare Advantage...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- 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
$62.7k - $97.2k
A healthcare organization in Annapolis, Maryland is seeking a professional accountant to perform vital accounting functions including the preparation of financial statements and reports. Candidates must possess a Bachelor's degree, along with 5 years of progressive accounting...Senior- Datavant is seeking a Senior Strategic Engagement Lead in Annapolis, Maryland, to drive meaningful outcomes for customers in the healthcare sector. This role involves managing a portfolio of accounts, focusing on strategic alignment and customer satisfaction. Ideal candidates...Senior
- Adventist HealthCare is seeking a Senior Manager of Hospital Construction and Special Projects at Shady Grove Medical Center. This pivotal role ensures efficient project management in a team-oriented environment, supporting the overall mission of the organization. The...Senior
- Johns Hopkins Medicine is seeking an IT Audit Manager to oversee planning, execution, and documentation of all IS-related audit activities. The role involves ensuring compliance with industry standards and regulatory requirements, along with managing audit tests and recommending...Senior
- A leading healthcare technology firm in Maryland is seeking a Logistics Analyst III to provide senior-level logistics analysis and coordination support. This role involves providing technical guidance, coordinating sustainment activities, and assisting with logistics planning...Senior
- ...teams. The ideal candidate will hold a bachelor's degree in a quantitative field, possess strong analytical skills, and have experience in healthcare analytics. This position offers a remote work option but prefers candidates in Louisville, KY. #J-18808-Ljbffr Humana IncSeniorRemote job
- ...monitoring activities. The ideal candidate will have a background in clinical research and demonstrate strong communication skills. Join us to positively impact patient lives and advance healthcare outcomes. #J-18808-Ljbffr Syneos Health/ inVentiv Health Commercial LLCSeniorRemote 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
$72.76k - $130.04k
A healthcare provider in Maryland is looking for a Clinical Dietitian to provide Medical Nutrition Therapy to patients with various medical conditions. Responsibilities include consultation with healthcare professionals, formulating nutrition assessments, and maintaining...Senior$132k - $155k
Cognizant is seeking a Senior Test Architect for a remote position focused on designing end-to-end testing architecture for healthcare payer systems. The role includes responsibilities such as defining testing approaches, providing technical leadership and ensuring regulatory...SeniorRemote job- Five Star Senior Living in Severna Park, MD is seeking a Director of Health & Wellness to provide clinical leadership at assigned communities... ...accredited RN nursing program with 2+ years of experience in healthcare leadership. Key responsibilities include managing health and...Senior
$113k - $132k
Cognizant is hiring a Senior Facets Configuration Analyst for a remote role in Annapolis, Maryland. This position involves configuring and validating healthcare claims on the Facets platform. Candidates should have experience in claims setup and a strong understanding...SeniorRemote job- ...conditions. Applicants must have current Maryland CNA and Medication Technician certifications. The position offers a supportive work environment, benefits such as medical insurance, retirement plan, and opportunities for growth in healthcare. #J-18808-Ljbffr Ginger CoveSeniorFull timeNight shift
$78.4k - $107.8k
Humana Inc is seeking a Senior Business Intelligence Engineer in Annapolis, Maryland to enhance business processes for Medicaid and Medicare programs through rigorous data analysis. The role requires a focus on data quality and working collaboratively with peers to solve...Senior- Humana Inc is looking for a Senior Talent Sourcer to enhance hiring initiatives within its Primary Care Organization. The successful applicant will leverage advanced sourcing techniques and market intelligence to engage top clinical and operational talent. This role requires...SeniorRemote job
- A leading healthcare company is seeking a Risk Adjustment Coding Specialist in Maryland. This full-time position requires a Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) with 3-5 years of experience. The specialist will review and audit provider...SeniorFull timeRemote work
- GovCIO is hiring a Senior Technical Program Manager to manage the full software development lifecycle for products supporting the VA... ...Care. This fully remote position requires strong expertise in healthcare project management and Agile methodologies. The ideal candidate...SeniorRemote jobWork at officeFlexible hours
$18.7 - $22 per hour
A healthcare management firm is seeking a Senior Representative for Customer Service Operations to provide outsourced services related to medical billing and reimbursement. This role involves assisting home health nurses with order placement, handling complex B2B customer...SeniorRemote jobHourly pay
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