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
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Hybrid Healthcare Fraud Investigator - Investigate & Prosecute in Richardson, TX vacancy
- 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$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$61.5k - $136.1k
Health Care Service Corporation is seeking a dynamic individual for its Fraud Investigations team. The role involves identifying and managing complex healthcare fraud investigations, preparing reports for law enforcement, and mentoring junior investigators. Candidates...SuggestedWork at officeRemote work3 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...Local areaWork from homeRelocationFlexible hours3 days per week- ...company in Texas is seeking a Bodily Injury Claims Adjuster to investigate and resolve auto claims. The position requires strong... ...experience in auto insurance claims management. This role offers a hybrid work environment along with competitive salary, medical benefits...
- 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- Liberty Mutual Insurance is hiring a Commercial Insurance Claims Representative in Plano, TX. This role involves investigating and processing commercial claims within assigned authority limits, ensuring compliance with policy and legal standards. Ideal candidates should...
- ...financial services firm in Plano, Texas, is seeking an Investigator to handle suspicious activity and fraud alerts. Responsibilities include conducting fraud... ...The role offers comprehensive benefits, including healthcare and retirement savings plans. #J-18808-Ljbffr...
- First United Bank in Plano, Texas, is looking for a Fraud Specialist II to analyze alerts for suspicious transactions and investigate fraud cases. The role involves maintaining records for fraud investigations and ensuring compliance with federal laws. Ideal candidates...
$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...$60.6k - $94.45k
PepsiCo in Plano, Texas is seeking a People Operations Assist Analyst to support North America Employee Relations. This hybrid role involves investigating employee concerns, maintaining data integrity, and providing excellent customer service. Candidates should have a...- ...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
Intellipro Group
Plano, TX4 days ago - 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...
$74.2k - $84.7k
...AML Senior Investigator I - Special Investigations Unit AML Senior Investigator I - Special Investigations Unit The Anti-Money Laundering... ...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 officeCapital One
Plano, TX4 days ago- What you’ll be doing: The Investigator will receive and review suspicious activity and fraud alerts daily that need to be cleared, researched and/or investigated.... ...Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental...
- ...Description Responsible for handling customer escalations related to Fraud and/or Dispute actions, processes, or follow-ups. As part... ...applicable next steps. You will assist in educating our Fraud Investigators on identification and prevention of fraudulent activity. Our...
- A leading global testing and certification company in Richardson, Texas, seeks a Clinical Investigator to oversee clinical research involving healthy volunteers. The role includes writing protocols, ensuring adherence to regulations, and protecting subjects' rights. The...
$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- ...offices and laboratories, working together to enable a better, safer and more interconnected world. Job Description The Clinical Investigator, CRS oversees the clinical research of consumer products involving healthy paid volunteers. Develops research studies and...For contractorsWork at office
- ...Great Rewards and Great Careers.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 flexibility...Local areaFlexible hours
- GEICO is seeking candidates with prior SIU experience. A medical investigative background is strongly preferred. The ideal candidate must be disciplined, self-motivated, and able to work independently, handling difficult situations with customers proficiently. Additional...Remote job
- ...Step into a new opportunity as a Assistant Investigator Associate, where you will work with supervisors to meet daily goals, coordinate with other departments when needed, and support returns and exchanges in a timely manner. Additional duties include adhere to safety...Weekly payFlexible hours
TradeJobsWorkforce
Plano, TX1 day ago - ...Be part of our success story as a PayPal Fraud Analyst to review transactions and identify suspicious activity. Work with your team to maintain efficiency and high standards. Stay adaptable to changing priorities and business needs. Perks include competitive pay, flexible...Flexible hours
TradeJobsWorkforce
Plano, TX2 days ago $23 - $27 per hour
...holidays. Flexible work schedule. Paid continued education and training. Bilingual candidates encouraged. Job Description LJK Investigations, a leading investigation firm in Austin, TX is seeking an experienced Criminal Defense Private Investigator to join their team....Hourly payWork at officeFlexible hoursNight shiftAfternoon shift$24.99 per hour
...About The Role Summary Under the direction of the CRP Fraud Ops Supervisor, the CRP Fraud Operations Analyst will be responsible... ...Analyst will also be responsible for providing backup fraud investigation services for, debit and credit cards, new accounts, account...Hourly payFull timeTemporary workPart timeWork experience placementBank staffWork at officeLocal areaVisa sponsorshipWork visaGlacier Bancorp
Addison, TX1 day ago$65.5k
...circumstances require; prevent crime; suppress disturbances; investigate criminal offenses; and arrest offenders. Responsible for enforcement... ...courts of this state and the United States. Confer with prosecuting attorneys, preserve evidence, and maintain confidential...Full timeTemporary workLocal areaRemote workTrial periodDay shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Hybrid Healthcare Fraud Investigator - Investigate & Prosecute. Be the first to apply!
Related searches
- fraud manager Richardson, TX
- fraud prevention Richardson, TX
- lpn health care Richardson, TX
- healthcare systems engineer Richardson, TX
- health services administrator Richardson, TX
- healthcare temporary Richardson, TX
- healthcare work from home Richardson, TX
- health care administrator Richardson, TX
- remote healthcare Richardson, TX
- quality manager healthcare Richardson, TX