Senior Investigator, Fraud & Abuse — Special Investigations
$46.99k - $112.2kCVS Health
CVS Health in Phoenix, Arizona is seeking a dedicated professional to conduct complex analyses of Pharmacy and Prescriber behavior aimed at preventing fraud. The ideal candidate should have 3-5 years of investigative experience in healthcare fraud, as well as knowledge of pharmacy terminology. Responsibilities include documenting case activities, collaborating with pharmacy benefits managers, and communicating with law enforcement. This full-time position offers a competitive salary range of $46,988 to $112,200 and a comprehensive benefits package supporting physical and emotional well-being. Join CVS Health and contribute to a workplace committed to diversity and equal opportunity. #J-18808-Ljbffr CVS Health
$77k - $97k
...Job Title Senior Investigator - Special Investigations Unit Location US-AZ-Phoenix – Remote with up to 50% on‑field service in Arizona Job Summary Investigate suspected insurance fraud involving auto, property, casualty, workers' compensation, and other personal, commercial...SeniorFraudTemporary workLocal areaRemote workWork from homeFlexible hours$46.99k - $122.4k
...provider groups in a prepayment environment Investigates to prevent payment of fraudulent claims... ...recovery of company lost as a result of fraud matters. Assists team in identifying... ...and prosecution of healthcare fraud and abuse matters. Demonstrates high level of...SeniorFraudHourly payFull timeTemporary workLocal area$46.99k - $112.2k
...Conducts high level, complex analysis of Pharmacy and Prescriber behavior to effectively pursue the prevention, investigation and prosecution of Fraud Waste and Abuse. Collaboration with Pharmacy Benefit Manager, providing meaningful evidence of Fraud, Waste and Abuse to...SeniorFraudHourly payFull timeTemporary workWork at officeLocal area$77k - $97k
West Bend Insurance Company is seeking a Fraud Investigator to work remotely but may require occasional travel to Arizona for team activities. This role involves investigating suspected insurance fraud across various lines including auto and property. The ideal candidate...SeniorFraudRemote job- ...favorably adjudicated DOD background investigation for this position. Veterans, Reservists... ..., and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department... ...risk management issues. Reconciles special, unresolved issues associated with beneficiary...FraudContract workFor subcontractorInterim roleRemote work
$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 I (Mid-... ...disability, or status as a protected veteran. Seniority level Seniority level Mid-Senior level...FraudFull timeContract workH1bWork at officeRelocation packageFlexible hours- ...seeking a Global Financial Crimes Compliance Investigator in Phoenix, Arizona. This position... ...related to financial crimes, including fraud and money laundering. Candidates should... ...Activity Reports, and collaborating with senior stakeholders. Benefits and a discretionary...SeniorFraud
$92k - $102.5k
Uber is seeking an Investigator for the NORAM region to conduct both internal and external investigations. The role requires managing full... ...utilizing case management systems to analyze data related to fraud and cyber crimes. Ideal candidates will have over 5 years in investigative...SeniorFraud$46.99k - $122.4k
CVS Health is seeking a dedicated professional for the role focused on healthcare fraud investigation. The successful candidate will handle complex cases, prevent fraudulent claims, and cooperate with law enforcement. Qualifications include 3 years of experience in fraud...SeniorFraudFull time$21.53 - $26.91 per hour
...YOU WILL BE As an Asset Protection Investigator, you will work as a member of our Asset... ...losses from external and internal theft and fraud. You will work on-site in our... ...with Saks Global and would like to request special assistance or an accommodation, please let...FraudHourly payFull timeFlexible hours$68.5k - $100k
...Financial Crimes Compliance (GFCC) Investigator performs end-to-end... ...responsibility, specifically focused on Special Investigations, Global... ...complex investigations, including fraud committed by external parties... ...of the investigation to senior stakeholders, assisting in identifying...FraudShift workDay shift- A healthcare organization is seeking a PI Investigator responsible for investigating fraud, waste, and abuse. This role requires 2 years of relevant experience and can be performed remotely in several U.S. states. The ideal candidate will have a background in healthcare...FraudRemote job
- ...Investigator Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making...FraudLocal areaNight shiftWeekend work
$104k
About the Role Global Investigations is dedicated to combating serious and organized crime on the... ...large amounts of data, and understand fraud & cyber-related crimes. Your focus will... ...requirements. If you have a disability or special need that requires accommodation, please...FraudFull time$30 - $35 per hour
...determined, and highly motivated Part‑Time SIU INVESTIGATORS who would like to join our team of... ...efforts to deter and combat insurance fraud. We have several work‑from‑home, part‑time... ...available in our rapidly expanding Special Investigations Unit. This hybrid style position...FraudBi-weekly payHourly payFull timePart timeWork at officeWork from home$24.7 per hour
...paid parental leave What to Expect (Job Responsibilities): - Investigate complaints regarding alleged violations of the Nurse Practice Act... ...Qualifications): - Experience with investigations, substance abuse, social work, or legal testifying preferred #HealthcareServices...SeniorHourly payImmediate start$63k - $85k
...government by receiving public complaints, investigating the administrative acts of state... ...in matters relating to public access. Senior Investigator & Child Safety Specialist All... ...material related to DCS, as needed Complete special assignments as directed by management...SeniorTemporary workWork experience placementWork at officeLocal areaFlexible hours$65.9k - $107.9k
Zurich is seeking an experienced Claims Fraud Investigator to join its Claims Fraud and Investigation team. At Zurich North America Claims... ...activities such as surveillance, scene investigations, and specialized investigative tasks; review deliverables and ensure proper...FraudTemporary workFor contractorsApprenticeshipWork at officeLocal areaRemote work$21.53 - $26.91 per hour
...retail. YOU WILL BE As an Asset Protection Investigator, you will work as a member of our Asset... ...from external and internal theft and fraud. You will work on-site in our Distribution... ...Saks Global and would like to request special assistance or an accommodation, please let...FraudHourly payFull timeFlexible hours$30 - $35 per hour
VRC Investigations is seeking experienced, self-determined Part-Time SIU Investigators to join their Special Investigations Unit. This hybrid position involves investigating potential insurance fraud and conducting interviews with insureds, claimants, and witnesses. Applicants...FraudHourly payPart time$103.24k - $133.2k
The Federal Bureau of Investigation (FBI) is looking for individuals with STEM backgrounds to become special agents. This role involves planning and conducting investigations of federal law violations and maintaining effective relationships with law enforcement agencies...Work at office- An elite law enforcement agency is seeking courageous and intelligent individuals to join as Criminal Investigators (Special Agents). This prestigious role offers a unique opportunity to balance investigative missions and protective duties. Candidates will undergo rigorous...
- ...federal law enforcement agency is seeking experienced Criminal Investigators to join their ranks in Phoenix, Arizona. The position... ...work environment with the potential for advancement through specialized training and assignments. Ideal candidates should have a strong...
- ...research, & technology. Visit Duties This is an Open Continuous Announcement (OCA) that will be used to fill multiple Criminal Investigator (Special Agent) vacancies for the Homeland Security Task Force. Eligible candidates will be referred as long as there are vacancies....Permanent employmentTemporary workWork at officeLocal area
- Criminal Investigator (Special Agent) - $40,000 Recruitment Incentive Join to apply for the Criminal Investigator (Special Agent) - $40,000... ...applicants born after December 31, 1959) Additional Details Seniority level: Entry level Employment type: Full-time Job functions...Full timeOverseas
$68.5k - $100k
Role, Inc. seeks a Global Financial Crimes Compliance Investigator in Phoenix, Arizona. This role involves conducting end-to-end investigations focused on fraud and compliance within the financial sector. Candidates should have at least 5 years of relevant experience and...Fraud- ...presently seeking motivated Investigative Analysts to work with us performing... ..., and guidance for less senior Investigative Analysts.... ...Reviewing incident reports, such as fraud and other law violations,... ...applications and specialized software applications to manage...FraudContract workWork at officeImmediate start
$43.89k - $69k
...Experienced Anti-Money Laundering (AML) Investigator As an Experienced Anti-Money Laundering (AML) Investigator, you will leverage your... ...red flags related to money laundering, terrorist financing, fraud, and sanctions violations, escalating cases for second-level review...FraudOngoing contractFull timeWork at officeLocal areaWork from homeMonday to Friday- A state government agency is seeking motivated Special Agents for the Criminal Division in Arizona. The role involves investigating various fraud cases, conducting interviews, and processing evidence while maintaining firearms proficiency. Ideal candidates possess knowledge...FraudRemote jobFlexible hours
- ...located at Department of Housing and Urban Development Office of Inspector General, OIG, Office of Investigation. As a SUPERVISORY CRIMINAL INVESTIGATOR (ASSISTANT SPECIAL AGENT IN CHARGE), you will serve as the Assistant Special Agent in Charge (ASAC) and be...Work at officeImmediate start
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