Hybrid Healthcare Fraud Investigator - Investigate & Prosecute
HCSC
HCSC is seeking a dynamic individual for the Fraud Investigations team to plan and conduct detailed investigations of potentially fraudulent claim activities. The role involves reviewing operational controls and making recommendations to enhance fraud prevention measures. Qualified candidates will have a Bachelor’s Degree and relevant experience in healthcare fraud investigations or law enforcement. This hybrid role requires in-office presence three days a week, with professional development opportunities provided. #J-18808-Ljbffr HCSC
$61.5k - $136.1k
HCSC is seeking a Fraud Investigator to lead complex investigations into healthcare fraud. The candidate will conduct detailed analyses and prepare reports for legal... ..., while mentoring junior investigators. This hybrid role requires in-office presence three days a week...SuggestedWork at office3 days per week- Health Care Service Corp. is seeking an experienced professional for a hybrid role in healthcare fraud investigations. This position involves managing complex investigations, liaising with law enforcement, and utilizing data analysis tools to detect fraudulent activities...Suggested
$55.9k - $123.5k
A healthcare company is seeking a dynamic individual to join its Fraud Investigations team in Richardson, Texas. The role focuses on planning investigation tools and conducting... ...in law enforcement. The position offers a hybrid working model with office visibility three...SuggestedWork at office3 days per week$55.9k - $123.5k
...Corp. is seeking a dynamic individual to join its Fraud Investigations team in Richardson, Texas. This role involves planning... ...s Degree and at least three years of experience in healthcare fraud investigations. This hybrid position requires in-office presence three days a...SuggestedWork at office3 days per week$61.5k - $136.1k
...developing and managing complex, high-impact healthcare fraud investigations resulting in criminal and/or civil prosecution and misuse of claims, billing, or improper payments... ...communication skills. Note: this role is hybrid/flex and requires in-office visibility three days...SuggestedLocal areaWork from homeRelocationFlexible hours3 days per week- A global HR solutions provider is seeking a Fraud Analyst/Admin to investigate suspicious activities and fraud alerts. The candidate should have proficiency... ...skills, and experience in credit underwriting. This hybrid role includes tasks such as reviewing claims, conducting...
$55.9k - $123.5k
...dynamic individual to join its Fraud Investigations team. The role plans and... ...for fraud. The position is hybrid/flex, requiring in‑office... ...organize preparation of cases for prosecution or litigation. Prepare... ...Degree. Three (3) years of healthcare fraud investigative...Local areaRelocationFlexible hours3 days per week- IntelliPro Group is seeking a Fraud Analyst/Admin in Plano, TX, for a hybrid role over 12+ months with a pay rate of $39/hr on W2. The candidate should possess strong investigative and analytical skills, alongside proficiency in investigative tools like TLO and LexisNexis...
- Allied Universal is hiring a Major Case Unit Investigator (MCU) to investigate potentially fraudulent insurance claims. This role requires extensive knowledge of policies and fraud indicators, with responsibilities including complex investigations and detailed report preparation...
$30 - $35 per hour
Toyota Motor is seeking a Fraud Analyst/Admin for a 6-month temporary assignment in Plano, TX, offering an hourly rate between $30 and $35. The role involves investigating fraudulent activities, managing alerts, and performing administrative tasks related to fraud detection...Hourly payContract workTemporary work$112k - $125k
Philadelphia Insurance Companies, located in Plano, Texas, is seeking an individual to investigate, evaluate, and settle complex first and third party insurance claims. Responsibilities include communicating with all relevant parties, understanding policy coverages, and...$82.8k - $97.3k
Maguire Insurance Agency Inc is seeking a skilled professional to investigate, evaluate, and settle complex commercial insurance auto claims. Applicants should have at least 10 years of experience in the field and preferably a Bachelor's degree. The role includes coverage...- ...Job Title: Fraud Analyst/Admin Duration: 12+ Months Location: Plano, TX (Hybrid) Pay rate: $39/hr on W2 Job Description: What we’re looking for... ...skills relevant to the job. Proficiency in investigative tools (such as TLO/LexisNexis), analytical...Work experience placementRemote work
$24.99 per hour
Glacier Bancorp is seeking a CRP Fraud Operations Analyst to handle legal requests including subpoenas and garnishments. The role... ...maintaining customer relations with law enforcement and developing investigative plans. A comprehensive benefits package and competitive pay...Hourly pay$70k - $75k
Control Risks is seeking a Background Check Investigations Analyst to support a financial institution client. This role involves managing pre... ...offers a base salary range of $70,000-$75,000 along with hybrid working arrangements and a comprehensive benefits package. #J...- ...Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance... ...policies and the components of fraud to determine if claims warrant reporting to the appropriate state agency for prosecution. Responsibilities Use specialized services...Full timeWork at officeLocal area
- Description Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This will include researching and investigating EZ Claim Total Loss, GAP, CPI and others as assigned...
- Lonestar seeks an Auto Liability PD Claims Specialist to manage auto liability claims while ensuring compliance and providing stellar customer service. You will analyze loss details, communicate with policyholders, and negotiate settlements, all within a collaborative workplace...
- A healthcare organization in Texas is seeking a Police Officer (PRN, Off Duty) to perform essential law enforcement functions, including patrol and investigations. The ideal candidate will have a Texas Peace Officer License, strong communication skills, and a commitment...Relief
- ...ensure the welfare of students, employees, and visitors through effective law enforcement practices. Key responsibilities include investigating criminal offenses, preparing reports, and collaborating with other law enforcement agencies. Applicants must possess a High...Full time
$74.2k - $84.7k
...Capital One in Plano, TX is hiring an AML Senior Investigator I to support various anti-money laundering processes including reviewing system... ...investigations. Ideal candidates will have 2+ years in AML or Fraud investigations and experience with Microsoft Office or Google...Work at officeRemote work$30 - $35 per hour
Magnit Direct Sourcing on behalf of Toyota is currently hiring a Fraud Analyst / Admin for a temporary assignment in Plano, TX. This... ...a candidate with experience and specific skills relevant to investigative work, including proficiency with investigative tools (e.g., TLO...Hourly payContract workTemporary workCurrently hiring- GEICO in Richardson, Texas, is looking for dedicated individuals for an investigative role. Candidates should have prior SIU experience and a medical investigative background. Excellent computer skills and the ability to work independently are essential. The role includes...Remote job
- Gfoat in Richardson, Texas is seeking a dedicated Police Officer to provide comprehensive police services and conduct thorough investigations. Candidates must possess a high school diploma, a valid Texas Driver’s License, and two years of relevant work experience, with...Work experience placement
$63.59k - $121.53k
Life Special Investigations Unit Investigator I (Mid-Level) - Medicare Supplement Fraud Waste & Abuse Join to apply for the Life Special Investigations Unit Investigator... ...spouse/domestic partner 5 or more years healthcare/insurance claim investigations experience or law...Full timeContract workH1bWork at officeRelocation packageFlexible hours- Responsibilities & Qualifications Prior SIU is required. Medical investigative background strongly preferred. College degree or actively... ...tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports...Local areaFlexible hours
- Lennox International is looking for an Investigator in Corporate Security & Global Investigations to conduct inquiries into theft and workplace safety issues. The role demands a professional capable of supporting business operations while protecting assets and associates...
$74.2k - $84.7k
AML Senior Investigator I - Special Investigations Unit The Anti‑Money Laundering (AML) Senior Investigator I supports various AML processes... .... At least 2 years of Anti‑Money Laundering (AML) or Fraud investigative experience filing Suspicious Activity Reports (SARs...Full timePart timeWork at officeLocal areaWork from homeHome office$90k - $118.65k
Lennox is seeking an Investigator for Corporate Security & Global Investigations. This role involves conducting investigations on theft, fraud, and workplace misconduct to protect the company's assets and reputation. The Investigator will work closely with HR and Legal...- ...Texas Driver's License, and a Basic Law Enforcement Certificate. Police Officers will perform various duties, including conducting investigations, making arrests, and sometimes engaging in physical confrontations if required. The role demands effective communication skills...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Hybrid Healthcare Fraud Investigator - Investigate & Prosecute. Be the first to apply!
- fraud prevention Richardson, TX
- project manager healthcare construction Richardson, TX
- marketing manager healthcare Richardson, TX
- business development manager healthcare Richardson, TX
- healthcare strategy Richardson, TX
- healthcare informatics Richardson, TX
- healthcare team leader Richardson, TX
- health care technician Richardson, TX
- healthcare coordinator Richardson, TX
- hca healthcare Richardson, TX

