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
$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 knowledge...SeniorFraudHourly payFull timeTemporary workLocal area$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- ...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
$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- ...GFC Investigator (Brokerage - AML) Phoenix, Arizona;Pennington... ...focused on Special Investigations, Global... ...investigations, including fraud committed by external parties... ...the investigation to senior stakeholders, assisting... ...illicit drug use and alcohol abuse. Our Drug-Free...FraudWork at officeShift workDay shift
$17.68 - $24.7 per hour
...interest of any individual, the nursing profession, or any special interest group. SENIOR INVESTIGATOR Job Location: 1740 West Adams Street, Phoenix, Arizona... ...(s) Experience with investigations, substance abuse, social work, and or legal testifying preferred Pre-Employment...SeniorHourly payTemporary workInterim roleWork at office$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- ...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
$25 - $28 per hour
...Overview Investigator - Network Services Phoenix, AZ and the surrounding area Immediate need for an undercover investigator... ...critical programs, strengthen oversight, and address fraud, waste, abuse, and operational risk. CoventBridge Integrity Systems is...FraudHourly payFull timeH1bH2bLocal areaImmediate startWorldwideFlexible hoursNight shift- ...highly motivated (Part-Time) SURVEILLANCE INVESTIGATORS that would like to join our team of... ...efforts to deter and combat insurance fraud. The surveillance investigator position... ...will be followed up by on-the-job and specialized training as needed. Benefits: VRC provides...FraudBi-weekly payHourly payPart timeWork at office
- ...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
- 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...
- Prosper in Phoenix is looking for a detail-oriented Fraud Analyst to join its rapidly growing Fraud Team. This role involves reviewing and investigating fraud cases across various products, conducting thorough analyses of suspicious transactions, and using AI tools for...FraudRemote jobFlexible hours
$32.5 per hour
...candidates must have at least 2 years of experience within Financial Crimes, Compliance, Operational Risk, Law Enforcement or Fraud Investigations to be considered for FTE at the time for conversion. That means that all candidates we source for right now need at least 1....FraudFor contractors- A leading live shopping platform is seeking a Fraud Agent to investigate and develop solutions to mitigate fraud. This role requires identifying fraud patterns proactively and working collaboratively with the team to enhance user experience. Candidates should have experience...FraudRemote jobWork at officeWork from home
$55k - $61k
...constant; generating revenue for education, health and public welfare, economic and business development, and the environment. Senior Investigator Job Location: Division/Unit Name: Legal & Regulatory Address: 4740 E. University Dr Phoenix, AZ 85034 Posting Details: Salary...SeniorTemporary workFor contractorsWork at officeWeekend workAfternoon shift- Dexian is looking for candidates with experience in Financial Crimes, Compliance, Operational Risk, Law Enforcement, or Fraud Investigations. Qualified candidates must have at least 2 years of relevant experience for consideration as full-time employees, and 1.5 years...FraudFull time
$70k - $80k
...seeking a Forensic Accountant to manage significant financial fraud cases. The role involves conducting forensic analyses and testifying... ...least 2 years of experience in forensic accounting or fraud investigation. This position offers a competitive salary range of $70,000 -...Fraud- ...is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis... ...workers' compensation, suspected fraud, liability and aimed at mitigating expenses... ...investigations, including Surveillance and Special Investigations Unit (SIU) assignments, within...FraudFlexible hours
- ...Enforcement Administration Criminal Investigator GL-1811-7/9/11 positions open... ...or questions about Special Agent positions, please visit... ...prepares and delivers briefings for senior personnel and other Federal,... ...have used illegal drugs or abused legal drugs or substances in...Permanent employmentFull timePart timeCasual workWork at officeLocal areaRelocationTrial period
$46.7k - $60.7k
...Industry Operations Investigator This position is an entry-level Industry Operations Investigator responsible for conducting investigations... ..., importers, and providing support to Criminal Investigators (Special Agent) on criminal investigations. If selected for this...Permanent employmentFull timeTemporary workWork at officeRemote workRelocationTrial period- A leading live shopping platform is seeking a Fraud Agent to help prevent and mitigate fraud on their platform. The ideal candidate will have 1 to 5 years of experience in customer service or fraud operations and a proactive problem-solving mentality. Team members can work...FraudRemote jobWork from homeWeekend work
- ...Arizona Department of Child Safety (DCS) is seeking a Child Welfare Investigator to join the Office of Child Welfare Investigations in Maricopa... ...investigating criminal conduct reports involving felony child abuse and neglect, with home visits, documentation, and testimony in...Work at officeRemote work
- ...Drug Enforcement Administration Criminal Investigator GL-1811-7/9/11 positions open to U.S.... ...For more information or questions about Special Agent positions, please visit Talk to a... ...investigative reports and deliver briefings for senior personnel and other federal, state, and...Permanent employmentLocal areaRelocationTrial periodWeekend work
- ...Special Agent Position Joining the United States Secret Service (USSS) as a Special... ...nation through our dual mission of criminal investigations and protection. Special Agents play a... ...crimes, including counterfeiting, cyber fraud, and other threats to the financial infrastructure...Fraud
- ...A leading insurance claims investigation firm is seeking an Experienced Field Investigator to conduct surveillance and investigate potential fraudulent claims around Phoenix, Arizona. The role includes capturing video evidence, drafting reports, and requires proficiency...Fraud
$78.54k
...GENERAL (DEPT OF LAW) SPECIAL AGENT Job Location: Phoenix... ...Division/Special Investigations Section. Units within... ...Agents include Major Fraud, Health Care Fraud, Consumer... .... In the Elder Abuse Unit: Ideal applicants... ...facilitate protection of seniors from abuse and...FraudTemporary workWork at officeLocal areaRemote workFlexible hoursWeekend work2 days per week- ...candidates with diverse backgrounds, experiences, and perspectives to join our network of industry subject matter experts. The Security Investigator, assigned to a specific client, will conduct post‑incident investigations on vehicle‑related cases, file police reports, and...Work at officeLocal area
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