Healthcare Fraud Investigator: Deterrence & Recovery
Hispanic Alliance for Career Enhancement
Hispanic Alliance for Career Enhancement is seeking a SIU Investigator in Washington. This full-time role requires analyzing healthcare fraud, communicating with law enforcement, and documenting case activity in tracking systems. The position offers full-time hours, a competitive benefits package, and the opportunity to help recover funds and reduce losses while ensuring compliance with state regulations around fraud plans and practices. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$46.99k - $112.2k
Hispanic Alliance for Career Enhancement is looking for an experienced Senior Healthcare Fraud Investigator to join the Special Investigations Unit in the United States. In this full-time position, you will manage complex investigations into healthcare fraud, waste, and...SuggestedRemote jobFull time$78.32k - $128.16k
Elevance Health is looking for an Investigator II in Seattle, WA, responsible for investigating healthcare fraud and recovering corporate funds from fraudulent claims. This hybrid role requires in-office attendance 1 to 2 days per week, balancing collaboration with flexibility...SuggestedWork at office2 days per week1 day per week$46.99k - $122.4k
SIU Investigator Must be flexible to work EDT hours (8:00 am - 5 pm... ..., and prosecution of healthcare fraud and abuse, in order to recover... ...members, etc. Facilitates the recovery of company and customer... ...programs designed to promote deterrence and detection of fraud and...SuggestedFull timeWork experience placementWork at officeLocal areaFlexible hours- ...A healthcare diagnostics firm is seeking a Mobile Examiner to conduct mobile exams and specimen collections in Seattle. Candidates must have a high school diploma, at least one year of phlebotomy experience, and a valid driver's license. Responsibilities include conducting...Suggested
- ...of experience supporting complex financial analysis relating to tracing the proceeds of fraud with a minimum of five (5) years’ experience specializing in financial investigations with an emphasis on money laundering and asset forfeiture. Experience working with federal...SuggestedContract workWork experience placement
$29.37 - $41.12 per hour
Fraud Investigator II Salal Credit Union is seeking a Fraud Investigator II to play a vital role in safeguarding our members and organization from financial crime. In this impactful position, you'll dive deep into fraud investigations, uncover suspicious activity, and...Hourly payLocal areaRemote workWork from home- Plaid is looking for a Fraud and Abuse Operations Analyst to safeguard its platform against fraud events. The analyst will investigate incidents and collaborate with various teams to improve fraud mitigation strategies. Ideal candidates will have over 3 years of experience...
- Tri-Force Consulting Services, Inc. is looking for a skilled professional to conduct investigative analysis related to government benefit fraud and financial crimes in Washington, D.C. Candidates should possess a minimum of three years of experience in this field and be...
- ...The role We are searching for a passionate Staff Fraud Risk Analyst who is highly self‑motivated, analytical, and has a solid understanding of debit card fraud transactions and account takeover fraud strategies. This role will work on fraud strategies at banking transactional...Work experience placementRemote work
$161.6k - $202k
...people. Headway's mission is to fix this by building a new mental healthcare system everyone can access. We started by solving the biggest... ...: To protect yourself against phishing and recruitment fraud, please note that Headway only accepts applications through our...Work from homeFlexible hours$78.32k - $128.16k
...Investigator II Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity... ...and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent...Temporary workWork experience placementWork at officeLocal area2 days per week1 day per week- The Pokémon Company International is seeking a Payment & Fraud Analyst to oversee payment processing, fraud monitoring, and revenue... ...retail channels. You will work with cross‑functional teams to investigate issues and improve processes. Ideal candidates have 3-4 years in...
- A financial institution is seeking a Fraud Investigator II to safeguard members from financial crime. This remote position requires strong analytical and investigative skills. Candidates should have over three years of banking experience and two years in fraud or financial...Remote job
$156k - $213.6k
We are the first line of defense against fraud and abuse on the Plaid platform. Our mission is to ensure the safety and integrity... ...will be responsible for responding to fraud and abuse events, investigating claims, and triaging incidents. We also partner with product and...Work experience placementLocal area$24.04 per hour
...Currently, we are looking for a highly analytical and detail-oriented Fraud Operations Analyst Intern, to join our dynamic Fraud Ops team.... .../ withdrawals, chargebacks, suspicious user behavior, and investigations. Work in cross‑functional teams to design and manage scalable...Hourly payOngoing contractFull timeInternshipWork at officeImmediate startRemote work- ...ideal candidate will have at least 5 years of experience in forensic accounting and financial analysis specializing in fraud tracing and investigations. Responsibilities will include supporting federal benefit programs and working alongside federal law enforcement. The...
$24.04 per hour
Sleeper, based in Seattle, is seeking a Fraud Operations Analyst Intern for a 12-week internship, with potential to convert to full-time. Responsibilities include analyzing suspicious activities, reviewing user transactions, and supporting fraud prevention efforts. The...Hourly payFull timeInternship- The Hispanic Alliance for Career Enhancement is seeking a full-time Sr. Analyst for Fraud, Waste, and Abuse (FWA) detection. In this role, you'll analyze claims data, investigate complaints, and ensure compliance with coding guidelines. Qualifications include 3-5 years...Full time
- A leading financial technology firm is seeking a Staff Fraud Risk Analyst in Seattle, WA. The successful candidate will have a strong background in Fraud Analytics with over 5 years of experience, particularly in managing risk-decisioning strategies. Proficiency in SQL...
- ...Appriss Retail Secure application. This role will connect technology and business leadership, ensuring systems are configured to identify fraud and risks. Ideal candidates should have 4-6 years of relevant experience and proficiency with POS fraud management systems like...
$101.08k - $168.89k
...end, large-scale quantitative analysis projects and monitoring systems Apply investigational and analytical skills to monitor, audit, and analyze potential fraudulent cases and develop anti-fraud rules Design processes and build effective workflows to define...- A technology solutions provider is seeking a Techno-Functional Business Analyst specializing in Fraud Protection to gather and analyze requirements related to fraud detection. The ideal candidate will have a strong understanding of fraud detection concepts and experience...
$129.96k - $228k
...Employment Type: Regular Job Code: A139623A Responsibilities Monitor, audit, and analyze potential fraudulent cases and consolidate anti-fraud rules. Design processes and build effective workflows to define characteristics of different fraud types, capture new risk types,...Temporary workWork experience placementLocal area- ...including organizing workload, submitting examination findings, and corresponding with the Quality Assurance Team. Collaborate with Healthcare Professionals: Coordinate and collaborate with other healthcare professionals, specialists, and experts as needed to obtain...For contractorsFor subcontractorWorldwideMonday to Friday
- TikTok in Seattle is seeking a data and fraud analytics professional to monitor and analyze fraudulent activity, design workflows, and build intelligence systems. You will define KPIs, develop reporting, and partner with cross‑functional teams to improve tools and models...
$85k - $95k
...advise organizations that are breaking new ground and realigning for this new patient‑centric health model. A large number of the healthcare assignments we undertake involve international collaboration, from brainstorming to shared execution. Our work includes hundreds...Work experience placementShift work- ReSource Pro Growth Solutions is seeking a Premium Insurance Field Auditor (1099/Contractor) to collect data from insured businesses, conduct remote audits, and compile thorough audit reports for providers. The role emphasizes independent work, accurate premium calculations...Remote jobFor contractorsLocal area
$33.5 - $38.5 per hour
Are you a detail-oriented and independent professional ready to take on a challenging and rewarding role? Come Join ReSource Pro! Your Role ReSource Pro is seeking a Premium Insurance Field Auditor (1099/Contractor) to play a vital role in ensuring accurate insurance policy...Hourly payContract workFor contractorsWork experience placementLive outLocal areaRemote work- ...including organizing workload, submitting examination findings, and corresponding with the Quality Assurance Team. Collaborate with Healthcare Professionals: Coordinate and collaborate with other healthcare professionals, specialists, and experts as needed to obtain...For contractorsFor subcontractorWorldwideMonday to Friday
$81k - $155k
...public events by maintaining order, monitoring response and recovery efforts. Coordinate of public safety efforts related to significant... ...correspondence, and creating operational plans. Manage the investigation of vehicle accidents and employee injuries for assigned...Full timeContract workInterim roleWork at officeImmediate startShift workNight shift
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