Senior FWA Investigator - No Surprises Act & CIDRE
$66.33k - $145.86k4062 Aetna Resources, LLC
4062 Aetna Resources, LLC is hiring an individual contributor for a role focused on healthcare fraud investigations in New York. This position involves directing investigations, ensuring regulatory compliance, and analyzing data for fraud patterns. A Bachelor's degree and 5+ years in fraud investigations or related functions are required. The role offers a pay range between $66,330 and $145,860 annually, depending on experience. The position provides a comprehensive benefits package including medical, dental, and vision coverage, and is full-time, with 40 hours per week expected. #J-18808-Ljbffr
$66.33k - $145.86k
...contributor role supports complex investigations and contributes to... ...healthcare fraud, waste, and abuse (FWA), with a focus on compliance with the No Surprises Act (NSA). This individual contributor... ...providers submitting non-NSA claims to CIDRE. Prioritizes and manages cases...SuggestedHourly payFull timeTemporary workLocal area$70k - $90k
...A leading healthcare analytics firm is seeking a Senior Investigator to investigate incidents of healthcare fraud, waste, and abuse through data... ...a Bachelor's degree, 5-8 years of experience in healthcare FWA investigations, and advanced Excel skills. Responsibilities include...SeniorRemote work$70k - $90k
...Senior Investigator - Pre-Pay (Healthcare FWA) Job Location: US-Remote Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not...SeniorWork experience placementWork at officeRemote workWork from home$60.2k - $107.4k
A leading health care organization is looking for a Senior Investigator Pharmacy to tackle healthcare fraud, waste, and abuse. The role includes investigating complex cases and preparing detailed reports based on findings. Candidates must have a Bachelor's or Associate'...Senior- ...The Hispanic Alliance for Career Enhancement is seeking an experienced investigator for healthcare fraud, waste, and abuse compliance in New York. This role requires at least 5 years in healthcare fraud investigations, expertise in analyzing claims data, and strong analytical...Suggested
$125k - $150k
...Senior BSA/AML Investigator New York, NY; Palo Alto, CA About XAI XAI's mission is to create AI systems that can accurately understand the... ...BSA/AML laws and regulations, including the Bank Secrecy Act (BSA), USA PATRIOT Act, OFAC sanctions, and related requirements...SeniorPermanent employmentTemporary workWork at officeLocal area- ...Description Job Description The New York City Department of Investigation ("DOI") is one of the oldest law enforcement agencies in the... ...corruption. DOI serves the people of New York City by acting as an independent and nonpartisan watchdog for New York City government...SeniorFull time
- ...justice. By recognizing these significant distinctions and acting accordingly, BXDA has established a standard of excellence... ...mission, the BXDA seeks an experienced and enthusiastic Senior Rackets Investigator. The Senior Investigator is responsible for conducting a wide...SeniorFull timeWork at officeWeekend workAfternoon shift
$46.99k - $122.4k
...multi-disciplinary provider groups in a prepayment environment Investigates to prevent payment of fraudulent claims committed by insured's,... ...high level of knowledge and expertise during interactions and acts confidently when providing testimony during civil and criminal...SeniorHourly payFull timeTemporary workLocal area- ...direction of the Deputy Equal Opportunity Officer, the Senior Equal Opportunity (EO) Investigator partners with Agency management to develop, coordinate,... ...employees, supervisors, and managers regarding alleged acts of discrimination while managing and monitoring the activities...SeniorLocal areaWeekend workAfternoon shift
$60.2k - $107.4k
Senior Investigator Pharmacy At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers... ...+ years of experience in healthcare, fraud, waste and abuse (FWA) 2+ years of experience in state or federal regulatory FWA...SeniorFull timeTemporary workWork experience placementLocal areaRemote work$65k - $75k
...A global IP protection firm is seeking a Senior Investigator for their Special Investigations Unit to lead complex OSINT investigations. The role requires a minimum of 3 years of experience in high-stakes investigations and skills in network traffic analysis and Python...SeniorRemote work- ...MaziCTools is seeking a Sr Innovation Investigator to apply data analysis skills and work collaboratively to support business decisions. The role demands a four year certification and involves using tools like Alteryx and Power BI. This position requires the ability to...Senior
$54.08k - $58k
...A government agency in Florida is seeking a Law Enforcement Investigator II to conduct complex investigations related to arson and financial crimes. The role requires collaboration with various law enforcement agencies, gathering intelligence, and managing crime scenes...SeniorFull time- ...platform for consumers and customers. As a Senior Fraud and Abuse Operations Analyst ,... ...responding to fraud and abuse events, investigating claims, and triaging incidents. We also... ...reputation. Shape Product Strategy: Act as the key operational partner to Consumer...SeniorWork experience placementLocal area
- ...About the Position We're looking for an experienced incident responder and forensic investigator to join our Cybersecurity team. The ideal candidate would have real-world experience responding to externally driven cyber incidents, as well as investigating potential...SeniorFlexible hours
$65k - $75k
...Role Our clients rely on us to fiercely protect their intellectual property. To support the company’s rapid growth, we seek a Senior Investigator for our Special Investigations Unit to lead complex investigations aimed at dismantling criminal operations worldwide. The...SeniorRemote workWorldwideFlexible hours- ...A leading telecommunications company is seeking a Sr Investigator in Employee Relations to lead investigations into claims of harassment... ...remote role offers opportunities to work collaboratively with senior leadership while adhering to state and federal employment laws...SeniorRemote work
- ...Teleperformance is hiring an Employee Relations Investigator for remote work with a potential return to on-site. This role involves conducting employee relations investigations, providing coaching and consultation, and ensuring compliance with policies and legal regulations...SeniorRemote work
- The Bronx District Attorney's Office is seeking a Senior Rackets Investigator to conduct thorough investigations, execute search warrants, and mentor junior staff. The successful candidate must possess strong investigative skills and the ability to carry a firearm. Applicants...SeniorWork at office
$125k - $150k
xAI is looking for an experienced BSA/AML Investigator in New York City to join its Payments team. This role involves investigating financial crimes and ensuring compliance with regulations. The ideal candidate will have over four years of experience in AML, specifically...Senior$74.44k
A government office in New York is seeking a Senior Rackets Investigator to conduct complex investigations within the Detective Investigator Squad. This role requires a high school diploma and substantial investigative experience in areas like narcotics, gun trafficking...SeniorWork at office- Bank of America is seeking a Global Financial Crimes Compliance Investigator in New York City. This role involves performing complex investigations related to fraud, money laundering, and regulatory compliance. The ideal candidate must have at least five years of relevant...Senior
- Robinhood is seeking a Senior Crypto AML Investigator in New York, NY, to lead investigations into cryptocurrency transactions and ensure compliance with regulatory standards. The successful candidate will have over four years of experience in AML investigations, particularly...Senior3 days per week
- The Office of the NYS Comptroller Thomas P. DiNapoli is seeking an Investigator to direct and conduct confidential investigations regarding fraud, waste, and abuse. Candidates should possess at least 8 years of experience as a Police or Peace Officer and significant experience...SeniorWork at officeRemote work
- Centene Corporation in Kentucky is looking for a skilled professional to lead complex internal investigations. The ideal candidate needs 7+ years of experience in investigations, proficiency in regulatory compliance, and a bachelor’s degree in a related field. Knowledge...SeniorRemote jobFlexible hours
$130k - $250k
NAXO, a leader in blockchain investigations and digital forensics, is looking for a highly technical investigator in New York. The role requires strong analytical skills, experience in technical investigations, and proficiency in programming languages such as Python and...Senior$81k - $123k
...Adjuster experienced in handling General Liability claims. The candidate should have at least 4 years of experience and strong investigative and communication skills. Responsibilities include evaluating claims, analyzing coverage, and guiding clients through the claims...SeniorFull time$59.36k - $68.26k
...Responsibilities Under general supervision, supervisions a unit conducting investigations in hospitals to determine eligibility of applicants for... ...please apply online by clicking the "Apply for Job" button. Seniority level Mid-Senior level Employment type Full-time Job function...SeniorFull timeWork at office$74.44k
The Office of the Queens County District Attorney (QDA) is seeking candidates for Senior Rackets Investigator positions within QDA's Detective Investigator Squad, which serves an office of over 800 staff. Responsibilities include but are not limited to: Conducting complex...SeniorFull timeWork at office
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