Senior Healthcare Fraud Investigator
$70.2k - $105.32kMedica
Medica is looking for an SIU Investigator IV to lead advanced investigations into fraud, waste, and abuse. This role requires overseeing complex cases, conducting audits, and collaborating with law enforcement. Candidates should have a bachelor’s degree and over 7 years of investigatory experience. Located in Minnetonka, MN, the typical hiring salary range is $70,200 – $105,315, with comprehensive benefits including medical, dental, and 401(k) contributions. #J-18808-Ljbffr Medica
$23.89 - $42.69 per hour
Stryker Corporation is seeking a Fraud Investigator to telecommute within the U.S. The role includes examining healthcare fraud cases, conducting interviews, and analyzing data. Candidates should have a high school diploma or GED with 5+ years of related experience or...SeniorRemote jobHourly pay$60.2k - $107.4k
UnitedHealth Group seeks a Senior Investigator to manage agent/broker complaints across various business lines while adhering to regulations... ...issues. Ideal candidates will have investigative and healthcare experience, with strong communication and analytical skills...SeniorRemote job- ...responsible for overseeing care management teams for Medica. This role focuses on managing staff compliance and ensuring adherence to healthcare measures while providing clinical supervision and support to team members. The ideal candidate has 5+ years of behavioral health...SeniorRemote work
- ...multiple teams to optimize health outcomes. You will leverage your healthcare experience and project management skills in an inclusive... ...Responsibilities include user acceptance testing, communication with senior leadership, and maintaining templates in proper formats for...SeniorRemote work
$112.7k - $193.2k
Optum is seeking a Senior Manager, Technical Product Management, to drive product capabilities in cloud optimization within a regulated healthcare environment. This crucial role requires at least 7 years of experience managing complex product ecosystems, applying AI-assisted...SeniorRemote work$134.6k - $230.8k
...UnitedHealth Group is seeking a Senior Clinical Application Director to join their remote team in Eden Prairie, Minnesota. In this role... .... The ideal candidate will have extensive experience in healthcare, particularly within the payer or provider space, along with a...SeniorRemote work$134.6k - $230.8k
...A healthcare technology organization is seeking a Senior Clinical Application Director to lead implementations and optimizations of clinical workflows for its applications. The position requires substantial healthcare experience and proficiency with HealthEdge Guiding...SeniorRemote work$110.2k - $188.8k
A healthcare organization is seeking an Associate Director, Actuarial, to oversee key actuarial functions for Medicare ACO lines. The role requires a Bachelor's degree in Actuarial Science and at least 5 years of actuarial experience, with skills in analysis and modeling...SeniorRemote work- A leading healthcare technology firm is seeking a Senior AI/ML Engineer to revolutionize healthcare through advanced machine learning and generative AI solutions. In this role, you will design and implement innovative AI systems to improve healthcare outcomes. The ideal...SeniorRemote work
- U.S. Bank is seeking a Fraud Risk Management professional in Minneapolis to manage, monitor, and coordinate fraud risk projects for card, deposit, and loan products. You will develop policies, predict fraud risk levels, and analyze the impact of risk management strategies...Senior
- A leading healthcare technology company is looking for a Senior Manager of AI/ML Engineering to lead teams in building scalable machine learning platforms. This role requires strong technical leadership, experience in MLOps, and collaboration with various teams. Candidates...SeniorRemote work
$91.7k - $163.7k
...Stryker Corporation is seeking a Senior Consultant, Care Transformation to work remotely and tackle complex issues in healthcare systems. This position focuses on data analysis, project management, and collaborating with senior leaders to enhance care delivery and outcomes...SeniorRemote work- U.S. Bank is seeking an experienced professional to manage fraud risk management projects in Minneapolis. The role involves predicting... ...analytical and project management skills. Benefits include healthcare, a 401(k) plan, and paid vacation. #J-18808-Ljbffr U.S. BankSenior
- ...is seeking a National Accounts Medical Director to act as the senior clinical leader for assigned national employer clients, focusing... ...requires a strong clinical background, the ability to analyze healthcare data, and excellent interpersonal communication skills to influence...SeniorRemote work
- ...A leading healthcare organization is seeking a Senior Inpatient Medical Coder to work remotely. The role involves assigning ICD-10 codes, providing feedback to healthcare providers, and maintaining coding quality standards. Candidates must have at least 3 years of inpatient...SeniorRemote workFlexible hours
$134.6k - $230.8k
A leading healthcare technology company is seeking a Principal AI/ML Engineer to drive generative AI and machine learning projects. The role requires a Bachelor's degree in Computer Science and 10+ years of experience in machine learning, along with a strong understanding...SeniorRemote work- ...Optum is seeking a Senior Product Manager - Network Performance to translate healthcare network insights into actionable outcomes. This role plays a crucial part in client-facing enablement and collaborates closely with product and engineering teams. Applicants should...SeniorWork at officeRemote work
- Padagis-LL is seeking a Principal/Senior Principal Scientist in New Hope, MN. This role involves leading product and process development... ...the time. Join a market-leading company focused on improving healthcare products and achieving outstanding results in a dynamic...Senior
$23.41 - $41.83 per hour
...A healthcare services organization is seeking a full-time ICD-10 Coding Specialist to work from anywhere in the U.S. This role involves identifying coding assignments, maintaining coding standards, and engaging in continuous education. The ideal candidate will have a...SeniorHourly payFull timeRemote work- ...A healthcare company in Eden Prairie is searching for a Sr Project Manager. This position is remote and involves managing critical projects, collaborating with various stakeholders, and achieving strategic outcomes. Candidates should have at least 6 years in project management...SeniorRemote work
$112.7k - $193.2k
UnitedHealth Group seeks a Senior Clinical Program Manager - Devices and Durable Medical Equipment to optimize the utilization of medical devices in healthcare. This role involves program development, analysis, and collaboration with various teams. Applicants should have...SeniorRemote work$91.7k - $163.7k
A leading health care innovation firm seeks a lead AI/ML engineer to drive generative AI and machine learning projects. Applicants should have over 10 years of experience, including proficiency in deep learning, Python, and cloud technologies. The role is remote-friendly...SeniorWork at officeRemote work- ...your accounts. The role requires an active medical license and over 5 years of clinical experience, with a strong foundation in healthcare analytics. This position allows remote work from anywhere in the U.S., offering a competitive salary and benefits package. #J-188...SeniorRemote work
- A healthcare innovation leader is seeking a Full Stack Engineer to design and develop critical applications. This role requires over 10 years of IT experience with strong abilities in cloud platforms and application support. You will collaborate with teams to build resilient...SeniorRemote work
- A leading healthcare organization is seeking a Principal AI / Machine Learning Data Engineer to design and build scalable data platforms for advanced analytics and AI solutions. The ideal candidate will have extensive experience in data engineering, proficient in Python...SeniorRemote work
$91.7k - $163.7k
UnitedHealth Group seeks an experienced AI/ML Software Engineer to lead innovative solutions in healthcare. You will design and develop AI-powered software, drive AI adoption, and mentor team members. Ideal candidates will have 6+ years in software engineering and 5+ years...SeniorRemote job$159.3k - $273.2k
UnitedHealth Group seeks a Senior Director, Clinical Design for their Eden Prairie office. This role is accountable for leading clinical... .... The ideal candidate will have 8+ years of experience in healthcare product strategy, exceptional leadership skills, and the ability...SeniorRemote jobWork at office- UnitedHealth Group is looking for a Senior Architect to define and manage the architectural direction of health care platforms. Candidates... ..., a strong background in AI/ML systems, and familiarity with healthcare ecosystems. This remote position comes with opportunities for...SeniorRemote jobWork at office
- A leading healthcare technology company is seeking an experienced Software Engineering Leader in Minnetonka, Minnesota. The role focuses on driving operational excellence in software quality and team management. Candidates should have over 8 years of software engineering...Senior
$112.7k - $193.2k
UnitedHealth Group is looking for a Senior M&A Associate in Eden Prairie, MN. In this role, you will work on strategic acquisitions, utilizing advanced financial modeling, due diligence, and a comprehensive understanding of M&A trends. Ideal candidates have a Bachelor'...Senior
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