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
$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$126.2k - $264.1k
...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 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$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- ...advance the state of clinical development. We are seeking a Senior Director, Business Development with extensive experience with Biometric... ...sales, with a strong background in selling within the Healthcare and Life Sciences industry. ~ A history of achieving and surpassing...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- ...create a more efficient path to quality care. With human-centered, healthcare-relevant, and value-based solutions, we create new... ...expertise, Commence cuts straight to better care. Requirements The Senior Business Analyst will lead requirements management, business process...SeniorRemote work
$31.83 - $63.65 per hour
...position that acts as a liaison between the clinical and IT departments, leveraging clinical knowledge specific to a domain expertise (Healthcare, informatics, clinical) to provide innovative solutions. Responsible for applying statistical, research, clinical theories and...SeniorHourly payTemporary workFlexible hours$90.31k - $135.46k
Position Objective Join our analytics team and help us enable our healthcare providers to improve the lives of our patients. You’ll have the opportunity to think globally about the health of our patient populations and drive new insights into interventions that make patients...SeniorFull time$151k - $178k
...clearance at the TS/SCI polygraph level is required. Dive deep into reverse engineering, scripting, and vulnerability research. This Senior Exploitation and Vulnerability Researcher role focuses on providing critical development, scripting, reverse engineering, and...Senior$98k - $125k
...significant interface with the Program Manager, senior technical staff on the contract, as... ...assured and compliant solutions for healthcare, we understand that digital... ...applicant may be subject to a background investigation and/or education verification. SMX does...SeniorContract workWork experience placementFor subcontractorH1bWork at officeRemote work$104.9k - $184.92k
...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, to...SeniorFull timeTemporary workFlexible hours$86.3k - $118.7k
...strategic and financial objectives. The Senior Internal Auditor provides value-added... ...operational, compliance, financial and investigative audits that may require in-depth evaluation... .../or Quality Control expertise Prior healthcare experience with processes, audit...SeniorFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$57.7k - $81.6k
Overview At Cardinal Health, we're developing innovative products and services that make healthcare safer and more productive. Join a growing, global company genuinely committed to making a difference for our customers and communities. What Account Management contributes...SeniorTemporary workWork experience placementLocal areaImmediate startFlexible hours$86.3k - $118.7k
...Advantage is sold, and we drive that change with our design. As a Senior Product Designer, you'll join a growing digital organization.... ..., work in an agile setting, and shape the future of digital healthcare through design. If you’re passionate about mobile‑first UX, honing...SeniorFull timeTemporary workApprenticeship$104k - $143k
...but you must work Eastern Standard Time business hours. The Senior Product Manager helps ensure that analytics products and capabilities... ...Preferred Qualifications: Experience in Stars Analytics, healthcare quality performance, or related domains Familiarity with...SeniorFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- CVS Health is seeking a Fraud Investigator based in Annapolis, Maryland, to conduct detailed analysis on Pharmacy and Prescriber behavior to prevent fraud. The role requires 3-5 years of investigative experience and knowledge of Pharmacy terminology. Key responsibilities...SeniorFull time
- ...CENTEGIX® is the industry leader in wearable safety technology for healthcare, education, government, and commercial workplaces with over 800... ...and protect people (every day). Purpose We are looking for a Senior Hardware Test Engineer to join our team in Annapolis, MD at our...Senior
$86.3k - $118.7k
...of our caring community At Humana, we're building human-centered experiences that help people navigate healthcare with confidence. We're looking for a Senior Content Designer to drive content design and strategy within product areas across our digital ecosystem....SeniorFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$72k - $108k
A national health organization is seeking a professional to identify and cultivate prospects for new business opportunities in the employee health benefits sector. The position involves maintaining productive relationships with key stakeholders and requires at least 5 years...SeniorRemote job$99k - $206k
...career journey or are an experienced professional, we offer a total rewards package that goes above and beyond with compensation; healthcare, wellness, retirement and work/life benefits; career development and recognition programs. Previously part of a leading Fortune 1...Senior$180k - $220k
...world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in... ...and life experiences to realize our bold vision for healthcare. Senior Software Engineer The Role As a Senior Software Engineer, you...Senior$91.4k - $187k
...Description Job Description Oracle Health is transforming healthcare through intelligent, connected, and AI-powered solutions that... ...and reduce clinician burden. We are seeking a highly motivated Senior Product Manager to lead product strategy, roadmap, and execution...SeniorTemporary workWorldwideFlexible hours$82.5k - $166.1k
...Job Description Travel: 80% Overview: Are you ready to take on a pivotal role in transforming healthcare systems? As a Senior Clinical Consultant, you will play a crucial part in shaping the clinical strategy for Post Go-Live (PGL) Readiness Methodology. This dynamic...SeniorTemporary workVisa sponsorshipFlexible hours$168k - $231k
A national health services company seeks a Senior Counsel to provide legal guidance and support for its senior-focused primary care operations. The role requires significant legal expertise, particularly in health care, and involves advising on complex negotiations and...SeniorRemote job$73.4k - $100.1k
...Become a part of our caring community SENIOR DATA ANALYST - WORKFORCE PLANNING CenterWell Pharmacy, a Humana company ABOUT... ...distribution, fulfillment, manufacturing, or logistics environment Healthcare, pharmacy, or other regulated-industry experience Additional...SeniorBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$284.32k - $355.4k
...diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery,... ...individual for the position of Senior Medical Director, Clinical Research (Neurology... ...activities for the betterment of healthcare and fuller lives of people worldwide....SeniorWorldwideFlexible hours$72.8k - $187k
...Health Applications & Infrastructure (OHAI) is building a modern healthcare platform that connects data, workflows, and experiences across... ..., and researchers. We are looking for an experienced Senior Product Manager to help define, prioritize, and deliver the platform...SeniorContract workTemporary workFlexible hoursShift work$46.99k - $122.4k
...provider groups in a prepayment environment Investigates to prevent payment of fraudulent claims... ...recovery of company lost as a result of fraud matters. Assists team in identifying... ...in the investigation and prosecution of healthcare fraud and abuse matters. Demonstrates...SeniorHourly payFull timeTemporary workLocal area
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