Senior Investigator, Fraud & Abuse — Special Investigations
CVS Health
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 include collaborating with Pharmacy Benefit Managers and investigating payments related to fraud. Candidates should possess a Bachelor’s degree in Criminal Justice or equivalent experience. The position offers full-time employment with competitive pay and comprehensive benefits. #J-18808-Ljbffr CVS Health
$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... ...and prosecution of healthcare fraud and abuse matters. Demonstrates high level of...SeniorFraudHourly payFull timeTemporary workLocal area$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$46.99k - $122.4k
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...SeniorFraudFull time- ...Security Investigator - Entry to Mid Level (Maryland) Security and Counterintelligence is responsible for the protection of NSA/CSS's information... ...a daily basis Successfully complete all phases of the NSA/CSS Special Agent's Course/Security Investigator Training Maintain working...SuggestedLocal areaWorldwide
- ...Cold Case Investigator The Annapolis Police Department (APD) is dedicated to preventing and reducing crime for the community it serves... ...enforcement, with a significant portion in criminal investigations. Special Qualifications: This position is designated as Safety...SuggestedWork at officeLocal area
- ...We are seeking a Marine Investigator to support our client in Fort Lauderdale, Reston, Annapolis, or New York. Please see below to find the job description and desired qualifications; Requirements: • Attend on-scene marine casualties and marine incidents as deemed...
$40 - $45 per hour
...Anne Arundel County – County Executive Department is seeking an experienced investigator to examine civil rights complaints related to discrimination in employment, housing, and public accommodations. This hybrid role is a full-time contractual assignment with an anticipated...Hourly payFull time- Southern Arkansas University is hiring a Security Investigator at the entry to mid-level in Maryland. This role involves the protection of NSA/CSS's information through various investigative techniques. The candidate must complete the NSA Security Investigator Training...
$40 - $45 per hour
Overview Anne Arundel County is seeking an experienced investigator to investigate civil rights complaints related to discrimination in employment, housing, public accommodations, and the provision of County services. This is a full-time, contractual assignment. This...Hourly payFull timeLocal areaAfternoon shift$90.2k - $175.1k
...high-quality clinical trials. In this role, you'll partner with investigative sites and cross-functional teams to ensure studies are... ...hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application...SeniorFraudFull timePart timeImmediate startWorldwide- ...compliance across assigned stores. You will analyze incidents, review CCTV and reports, audit security controls, prepare detailed case files, preserve evidence, and coordinate with law enforcement, potentially testifying in court to support investigations. #J-18808-Ljbffr...
$96.11k - $143.75k
...Engineer position typically reports to a senior leader in the Packaging and Device Technology... ...physical characteristics of item, special handling, environmental and safety requirements... .... Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and...SeniorFraudTemporary workLocal areaFlexible hours- ...procedure that they discover and is responsible for investigating allegations of fraud, waste, and abuse. Examples of Duties and Knowledge, Skills and Abilities... .... Reviews financial reports or audit reports of Special Community Benefit Districts to verify compliance with...FraudWork at officeLocal area
$90k - $120k
...Job Description Position: Analyst (Fraud Management & Forensics) Location: Glen Burnie, MD Salary: $90,000 to $120,000 per year Responsibilities... ...Detection System to prevent high‑dollar liability. Monitor and investigate fraudulent activity to protect cardholder accounts. Develop and...Fraud- ...product certification body serving the fenestration industry. The Senior Manager of Quality Assurance leads the function that protects... ...counsel on participant license agreements, complaints and appeals, fraud and copyright matters, and anything else that challenges NFRC's...SeniorFraud
$77.6k - $176k
...Collection Requirements Manager, Senior The Opportunity: With all the information... ...selected will be subject to a security investigation and may need to meet eligibility... ...authenticity and protect against identity fraud. You are expected to be on camera during...SeniorFraudFull timeContract workPart timeWork at officeLocal areaRemote work$104.9k - $174.7k
...are looking to immediately hire a highly skilled and proactive Senior SRE to join our dynamic team. You will combine software thinking... ...fair results for their clients; businesses and governments prevent fraud; consumers access financial services and get fair prices on...SeniorFraudLocal areaImmediate startWorldwide$95.3k - $158.8k
...largest medical and scholarly landscapes. About the role, as a Senior Machine Learning Engineer you'll work on AI-based features (... ...fair results for their clients; businesses and governments prevent fraud; consumers access financial services and get fair prices on...SeniorFraudLocal area$230.72k - $345k
...Job Summary The Senior Director, Biostatistics, provides leadership, oversight, and technical/scientific direction across multiple... ...****@*****.***) . Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and protection of your...SeniorFraudTemporary workLocal areaFlexible hours$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- ...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
$99k - $225k
...Data Scientist, Senior The Opportunity: As a data scientist, you're excited at the... ...Across private and public sectors from fraud detection to cancer research, to national... ...selected will be subject to a security investigation and may need to meet eligibility requirements...SeniorFraudFull timeContract workPart timeWork at officeLocal areaRemote work- ...Senior Full Stack Software Developer Anywhere Type: Contract Category: Development Industry: Healthcare Workplace Type... ...have any indication of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group: Eliassen Group is...SeniorFraudHourly payContract workLocal areaRemote work
- ...Senior Full Stack Engineer Anywhere Type: Contract Category: Development Industry: Financial Services Workplace Type... ...you have any indication of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group: Eliassen Group is...SeniorFraudHourly payContract workLocal areaRemote work
$102.8k - $171.3k
...Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can... ...and deployment (ERP/cloud solutions). About the Role As a Senior Consultant, you will lead the technical implementation, configuration...SeniorFraudTemporary workLocal areaWork from home- ...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....FraudWork at officeShift workDay shift
$18 per hour
...will perform tax assessments, collections, investigations, or examinations; perform duties... ...due to high volume events, projects or special assignments. Employees are unable to prepare... ...of moral turpitude, e.g. embezzlement, fraud, tax evasion or bribery; any crime of identity...FraudPermanent employmentTemporary workMonday to Friday- The Senior Financial Reporting Analyst plays a critical role in ensuring the integrity... ...and readiness for audits and investigations. Qualifications Active Secret Clearance... ...advancement into senior leadership roles or specialized compliance functions. #J-18808-Ljbffr...Senior
$109.37k - $184.57k
...conducting, and supervising audits and special reviews; internal control evaluations and... ...NOTE: This position requires a background investigation. Supplemental Qualifications... ...Inspector General Auditor (CIGA), Certified Fraud Examiner (CFE), or related professional...FraudPermanent employmentFull timeWork experience placementWork at officeFlexible hours$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
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