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
- Medica seeks an SIU Investigator IV to lead advanced investigations into suspected fraud, waste, and abuse. This role is pivotal in managing complex cases, conducting specialized audits, and ensuring compliance with legal standards. The ideal candidate will have over 7...SeniorWork at office
- Crains Cleveland is seeking an experienced fraud investigator for a role focused on analyzing behaviors related to fraud, waste, and abuse (FWA) in healthcare. The position requires 5+ years of experience in fraud investigations, a high school diploma, and relevant certifications...SeniorRemote job
$24 - $43 per hour
Texas Health Institute is looking for an experienced fraud investigator to gather and analyze data related to fraud and waste. This role allows for telecommuting from anywhere in the U.S. Applicants should have at least 5 years in a fraud investigations role and appropriate...SeniorRemote jobHourly pay- ...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
$60.2k - $107.4k
...Connecting. Growing together. The Senior Investigator will be responsible for investigating... ...experience ~2+ years of healthcare related experience ~ Advanced level... ...Preferred Qualifications: Fraud Certification, such as CFE of AHFI...SeniorMinimum wageFull timeWork experience placementLocal areaRemote work- ...-scale projects. The ideal candidate will have over 5 years of project management experience in a fintech environment. You'll ensure project alignment with strategic objectives while leading programs that improve healthcare financing. #J-18808-Ljbffr UnitedHealth-GrouSenior
- Medica is seeking an Affordability Analyst to support data analysis and insights aimed at enhancing healthcare affordability. This role involves mentoring junior analysts, conducting comprehensive analyses, and collaborating with cross-functional teams to drive data-driven...Senior
$112.7k - $193.2k
UnitedHealth Group is seeking an experienced AI/ML professional to join Optum AI, a leader in healthcare innovation. You will develop cutting-edge AI solutions, collaborate with various teams, and solve complex challenges in healthcare. This role allows flexibility to...SeniorRemote job$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$145.5k - $249.5k
...defining architectures, leading workshops, and prototyping applications. Candidates should have extensive experience with AI and healthcare technologies. Join us at Optum to shape the future of AI in healthcare! The salary ranges from $145,500 - $249,500 annually, and...SeniorRemote job$72.8k - $130k
UnitedHealth Group is seeking a Product Owner to manage product backlog for scrum teams in the healthcare payments domain. The position offers the flexibility of remote work and requires significant experience in product ownership and healthcare payments. You will gather...SeniorRemote job$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- Texas Health Institute is seeking an Advisory Services Senior Consultant to work remotely from the U.S. You will engage clients, leveraging your healthcare expertise within the Optum Advisory practice. The ideal candidate has extensive project management experience in...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 job- Medica is seeking a financial analyst to join our team in Minnetonka. The ideal candidate will have over 7 years of experience in financial analysis and reporting, with strong analytical and problem-solving skills. Responsibilities include analyzing financial data and assisting...Senior
- Crains Cleveland is looking for an Advisory Services Manager to lead consulting efforts within the Optum Advisory Services. This remote position requires expertise in project management and the effective use of AI tools. Candidates must have over 7 years of experience in...SeniorRemote job
$90k - $195k
...offering flexibility to work remotely from anywhere in the U.S. Candidates should have at least 3 years of sales experience in the healthcare field, a demonstrated record of meeting quota targets, and the willingness to travel 50% of the time. The role offers a...SeniorRemote job- ...payment integrity initiatives for our health services. A required qualification is a BA/BS or equivalent experience, along with significant healthcare knowledge. Join us to contribute to global health outcomes while enjoying comprehensive benefits. #J-18808-Ljbffr OptumSeniorRemote work
$78.7k - $118.02k
Medica, a nonprofit health plan, is seeking a contract manager responsible for vendor contracting and negotiations. You will work closely with internal stakeholders to ensure contracts meet business needs. The role requires a bachelor's degree and 5+ years of experience...SeniorContract work$112.7k - $193.2k
...an Advisory Services Manager to join their Optum Advisory team remotely. This role involves leading consulting engagements across healthcare, driving efficiency through AI tools, and engaging with clients to enhance operational performance. Candidates should have...SeniorRemote job- ...Solutions Sales Executive to join its Consumer Payments Payer business. This role will focus on building market relationships with healthcare plans and drive sales of payment solutions. Candidates should have extensive experience in healthcare sales and a strong network...SeniorRemote job
- Crains Cleveland is looking for an Advisory Services Senior Consultant to join Optum Insight's Enterprise Delivery Services team. In this remote role, you'll manage complex engagements across the healthcare ecosystem, guiding clients through process improvements and AI-...SeniorRemote work
$34.41 - $56.82 per hour
...meetings in Baltimore, MD, once a month. Healthcare experience is highly preferred. Epic experience is highly preferred. The Senior Operations Intelligence Analyst is... ...auditing billing and compliance metrics. Investigate and resolve telemedicine-related patient...SeniorRemote jobFull timeWork experience placementWork at office$27.97 - $46.18 per hour
A global healthcare organization is seeking a Family Advocate Program Coordinator in Hopkins, MN. This role involves providing spiritual care and emotional support to patients and families facing critical conditions. You'll collaborate with medical teams and lead educational...SeniorHourly payFull time$72.8k - $130k
UnitedHealth Group is seeking a Sr Industrial Engineer to improve healthcare processes through statistical modeling and project management. This role focuses on leading business process management and developing data-driven solutions. Located in Eden Prairie, Minnesota...SeniorRemote job$112.7k - $193.2k
Lehighbar is seeking an Advisory Services Manager to deliver consulting talent across the healthcare ecosystem. This senior role requires extensive experience in enterprise program management and advanced project management tools. The ideal candidate will work remotely...SeniorRemote jobWork at office$91.7k - $163.7k
UnitedHealth Group is seeking an experienced AI/ML scientist to develop cutting-edge solutions that improve healthcare systems. You'll leverage your expertise in Large Language Models and collaborate with top researchers on impactful projects. This role, based in Eden...SeniorRemote jobLocal area$90k - $195k
...includes sourcing new business and managing relationships while working remotely within the U.S. Candidates must have 3+ years in healthcare sales and a proven record of success. Benefits include a salary range of $90,000 to $195,000 annually, eligibility for bonuses,...SeniorRemote job- ...experienced professionals to join Optum AI, a leader in AI/ML solutions. The role focuses on delivering impactful AI technologies for healthcare, involving collaboration with cross-functional teams and managing advanced machine learning systems. Candidates should have...SeniorRemote job
- UnitedHealth Group is seeking a Senior Actuarial Consultant in Eden Prairie, Minnesota, who will work with healthcare analytics to develop data-driven strategies. In this role, you will design trend forecast models and analyze healthcare claims data to support financial...Senior
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