Hybrid Director, Healthcare Fraud & SIU Investigations
Mass General Brigham Health Plan
The Director, Special Investigations Unit (SIU) at Mass General Brigham Health Plan leads a team focused on preventing and detecting healthcare fraud, waste and abuse, with oversight of audits, referrals, and regulatory reporting. Hybrid role based in Assembly Row, Somerville, requiring 5–7 years in audits and 3–5 years in management within healthcare, plus CPS/CCS or AHFI/CFE credentials; flexible schedule and strong leadership are essential. #J-18808-Ljbffr Mass General Brigham Health Plan
- ...Company, Inc. is looking for a Director for their Special Investigations Unit (SIU). This role requires a leader to... ...manage investigations related to healthcare fraud, waste, and abuse while overseeing... ...of regulatory compliance. This hybrid position offers competitive...Fraud
$124.34k - $225k
...exciting place to be within the healthcare industry. As a member of... ..., and much more. The Director, Special Investigations Unit (SIU) will report to Sr. Vice... ...related to health care fraud, waste, and abuse. The... ...Conditions ~ This is a hybrid role that requires an on-...FraudWork at officeLocal areaFlexible hours- ...Holding Company, Inc. is seeking a Data Analyst to conduct confidential investigations of suspected fraud, waste and abuse, and to perform analytic reporting across claims and provider data. Hybrid role with on-site presence at Assembly Row, Somerville roughly once per...Fraud
- ...an exciting place to be within the healthcare industry. As a member of Mass General... ...Responsible for conducting confidential investigations of suspected fraud, waste & abuse (FWA) involving... ...skills. Working Conditions This is a hybrid role that requires an on-site...FraudContract workWork at officeLocal areaFlexible hours
- CVS Health in Boston, MA is seeking an SIU Investigator to conduct investigations into healthcare fraud and abuse, pursue prevention and prosecution, and ensure compliance with federal and state regulations. The role requires 1-3 years of investigative experience and proficiency...FraudFull time
- ...Commonwealth of Massachusetts is seeking candidates for the Investigator I / II / III roles in the Medicaid Fraud Division. The position involves conducting complex... ...skills are essential. The role offers a hybrid work model in Boston, making it an excellent opportunity...Fraud
- A national investigative services firm is seeking a meticulous and experienced SIU Investigator to conduct comprehensive investigations into potential fraud and misconduct. This role involves various investigative tasks such as analyzing incidents, obtaining witness statements...Fraud
- ISG is seeking a Part-Time SIU Investigator in Boston, MA to conduct in-depth investigations into fraud and misconduct. This role requires experience in insurance-related cases and proficiency in report writing. The ideal candidate will handle various investigative tasks...FraudPart time
- Insight Service Group (ISG) is looking for an experienced SIU Investigator to join their team in Boston, MA. This role involves conducting thorough investigations into potential fraud and misconduct, including gathering evidence, compiling reports, and engaging with witnesses...Fraud
- ...contracts, and social media reviews, and documenting activities in concise reports. The ideal candidate will have 5-7 years of FWA investigation experience, strong data analysis skills, and the ability to translate complex topics for diverse #J-18808-Ljbffr Mass General...Fraud
- About Us Insight Service Group (ISG) is a national investigative services firm specializing in cost containment and anti-fraud related services. We are dedicated to... ...our operations. Our Special Investigations Unit (SIU) plays a vital role in identifying and mitigating...Fraud
- CVS Health is seeking an SIU Investigator for Meritain Health to support network cost management and anti-fraud efforts. You will conduct investigations, pursue prevention of fraud, and coordinate with federal, state, and local agencies to recover funds. The role requires...FraudFull timeLocal area
- About Us:Insight Service Group (ISG) is a national investigative services firm specializing in cost containment and anti-fraud related services. We are dedicated to... ...our operations. Our Special Investigations Unit (SIU) plays a vital role in identifying and mitigating...FraudFor subcontractor
- ...Office direct application page.** **.** INVESTIGATOR I, INVESTIGATOR II, and INVESTIGATOR III ** ** HEALTHCARE&FAIRCOMPETITIONBUREAU MEDICAID FRAUD DIVISION AttorneyGeneralAndrea Joy... ...: Full-Time/Non-Exempt /Our current hybrid model includes some remote workdays for...FraudFull timeWork at officeLocal areaRemote workAfternoon shiftEarly shift
$70k - $150k
...Kroll’s North American Investigations, Diligence and Compliance - Specialist practice is seeking... ...financial forensics (CFF) or certified fraud examiner (CFE) designation is preferred... ...U.S.-specific benefits, which include: Healthcare Coverage: Comprehensive medical, dental...FraudTemporary workInterim roleFlexible hours$43.89k - $93.57k
...and one community at a time. Position Summary The Special Investigations Unit (SIU) Investigator conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with federal...FraudHourly payFull timeTemporary workLocal area$46.99k - $122.4k
...administrator of self‑insured commercial health plans. The SIU Investigator will support Meritain Health’s Network Cost Management team... ...effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state...FraudHourly payFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hours- A healthcare financial solutions provider is looking for a professional with strong interpersonal skills to engage various stakeholders and... ...the healthcare financial experience. The role fosters a hybrid and remote friendly culture, emphasizing a collaborative environment...Remote job
- Unknown Healthcare Company in Boston (Hybrid) seeks a Director of Financial Reporting to lead its U.S. SEC reporting function, reporting to the CAO and partnering with executive leadership on IPO readiness and external reporting excellence. The role drives SEC filings...
- A leading government services provider is seeking a Healthcare Fraud Investigator to provide legal support for a government project. The ideal candidate will have a degree in criminal justice or a related field, with at least three years of relevant experience. Responsibilities...FraudFull timeWork at office
- ...and Hyderabad, India. We foster a hybrid and remote friendly culture, and... ....Zelis is modernizing the healthcare financial experience across payers... ...recruitment. Forward any suspected fraud to ****@*****.*** for prompt investigation. Thank you for staying vigilant....FraudWork at officeRemote workVisa sponsorship
$68.74k
...Job Title Investigator I / II / III (260004OV) Agency Office of the Attorney... ...Competition Bureau, Medicaid Fraud Division Position Overview We... ...Type Full‑time, non‑exempt. Hybrid model with remote workdays;... .... Experience working in healthcare settings such as home health,...FraudFull timeWork at officeLocal areaRemote workAfternoon shiftEarly shift- A leading healthcare non-profit organization in Boston is seeking an Associate Director of Development to build and lead a major donor program while enhancing engagement... ...especially in major gifts of $100,000 or more. This hybrid position involves regular donor meetings and...
$141.5k - $268.5k
...response analyses reports, CTDs, label sections, relevant section of investigator brochures, white papers, and other similar documents. Leads... ...accommodation, click here to learn more: Recruitment Fraud Alert AbbVie will never request sensitive personal...FraudWork at officeImmediate startRemote workMonday to Friday- Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete...FraudFull timeWork experience placementWork at officeLocal area
$116k - $165k
...in insuring Allied Healthcare Providers,... ...responsible for the overall investigation, management and... ...enjoys a flexible, hybrid work schedule and... ...opportunities or potential fraud occurrences by... ..., Recovery or SIU resources for... ...Relationship Typically Director or above. Skills,...FraudWork experience placementWork at officeLocal areaFlexible hoursShift work$99.01k - $143.57k
...Concur platform. The Associate Director, Travel & Expense is a... ...professionalism. This is a hybrid position (3 days in the office... ...adherence, unusual activity, and fraud indicators; coordinate with Internal... ..., and card issuers on investigations as needed. Policy, Compliance...FraudContract workWork experience placementWork at office$189.98k - $237.47k
...What you’ll need to succeed as a Director, Artificial Intelligence at XPO: Minimum Qualifications: ~ Bachelor's degree or equivalent... ...may include bonuses, incentive or commission plans. #LI-Hybrid About XPO XPO is a top ten global provider of...- ...Associate Director, Clinical Scientist, Internal Medicine At... ...Warren, NJ, Cambridge, MA Hybrid: 4 days per week on site... ...and information to external investigators (SIV) and internal collaborators... ...education/degree in life science/healthcare preferred (PhD/PharmD/MSc)...Worldwide
$152.8k - $283.4k
The Healthcare Businesswomen’s Association is seeking an Associate Director for Clinical Data Strategy in Cambridge, MA. This strategic role focuses on shaping data strategies for clinical trials, with responsibilities including the definition of study-level data strategies...
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