Senior Healthcare Fraud Investigator
Highmark Health
Highmark Inc. seeks a seasoned anti-fraud professional to develop and maintain an enterprise fraud program, conduct investigations into provider and member fraud, and coordinate data from multiple sources. The role tests interviewing, legal coordination, and proactive audit skills in a regulatory environment. The candidate will testify when needed, update fraud plans, and work with enforcement entities while driving recovery of misappropriated funds. #J-18808-Ljbffr
- ...What this role looks like: The fraud analyst is responsible for investigating fraud and suspicious activity within members' accounts and transactions on behalf of the credit union. They will identify, trace and track any suspicious or high-risk transactions, determine...SuggestedApprenticeshipLocal area
$37 per hour
...Job title Senior Care Specialist (Registered Nurse) – Work From Home About Sagility Sagility combines industry-leading... ...and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members....SeniorHourly payDaily paidSeasonal workRemote workWork from home$168k - $200k
...Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible... ...healthcare. What We're Looking For We're looking for a Senior Site Reliability Engineer to join our Data & ML Platform team....Senior- ...do their best work — both in and out of the office. Reporting to the VP of Legal, this role will serve as Director, Senior Commercial Counsel, Healthcare and be a key member of Oura’s Legal Team. The role will partner closely with the Commercial, Science and Product teams...SeniorContract workWork at officeLocal areaRemote workFlexible hours
$168k - $231k
...operations and contract structuring. This Senior Counsel role is responsible for... ...regulatory changes. Support audits, investigations, and responses to regulatory inquiries.... ...encourage personal wellness and smart healthcare decisions for you and your family while...SeniorFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$86.4k
...Company : Highmark Health Job Description : JOB SUMMARY This job promotes the understanding, integration, and use of healthcare data and information technology in support of scholarly research and addressing healthcare business challenges. Leveraging experience...SeniorFor contractorsWork at officeLocal area$46.99k - $112.2k
...Dental Fraud Investigator We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...company. Required Qualifications ~3-5 years of healthcare fraud investigations experience ~ Experience with Microsoft...SeniorHourly payFull timeTemporary workLocal area$80.5k - $166.1k
...Description Oracle Health Government Services is seeking a skilled Senior Consultant to join our VA Critical Support Team within a... ...Expert knowledge of Oracle Health (Cerner Millennium) solutions, healthcare workflows, system build, implementation, and workflow alignment...SeniorTemporary workFlexible hours$125.3k - $178.9k
...day legal contacts for business clients. Job Summary The Senior Legal Counsel serves as the primary legal partner to leaders of... ...Commercial/transactional experience required; knowledge of healthcare law preferred Excellent oral and written communication skills...SeniorFull timeContract workTemporary workLocal areaImmediate startFlexible hours$78.4k - $107.8k
...Become a part of our caring community Humana is seeking a Senior Accountant to join the Corporate Accounting Operations team. Reporting... ...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life...SeniorFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$71.2k - $166.1k
...patients, and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data. It’s a big... ...Oracle Health Government Services is seeking a skilled Federal Senior Engineer/Architect (Principal Consultant) to join our mission-driven...SeniorTemporary workFlexible hours$123.4k - $176.3k
...application, information, technology and security architecture. A Senior Enterprise Architect is a strategic technology leader who... ...products, and a provider of performance and data solutions for healthcare facilities. We are a crucial link between the clinical and operational...SeniorFull timeTemporary workWork experience placementLocal areaImmediate startRemote workWork from homeFlexible hours$46.99k - $112.2k
...family and one community at a time. Position Summary The Senior Investigator, Aetna Special Investigations Unit, will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. This position will routinely handle high profile...SeniorHourly payFull timeTemporary workWork at officeLocal area- ...across the Midwest. At Tech Electronics, we specialize in low voltage life safety and communication systems in the education, healthcare, construction, government, commercial-industrial, SMB, and worship industries. From fire alarm installation and testing to security...SeniorTemporary workFor contractorsWork at officeRelocation packageWeekend work
$106.9k - $147k
Become a part of our caring community The Senior Database Engineer leads important projects in design, development, implementation and... ...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life...SeniorBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$150k - $206.3k
...members. Stay current on latest trends in AI, automation, and healthcare improvement to inform opportunity development. Use your... ...Application Deadline: 09-20-2026 About us About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$80.9k - $127.05k
..., a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for healthcare facilities. We are a crucial link between the clinical and operational sides of healthcare, delivering end‑to‑end solutions and...Full timeTemporary workWork experience placementLocal areaImmediate startRemote workFlexible hours$169.8k - $355.4k
Job Description The computer vision team is responsible for growing our capabilities in image analysis and recognition. Our goal is to enable customers to apply computer vision to solve their particular business problems with our assistance and expertise. In this role...SeniorTemporary workFlexible hours$150k - $200k
Senior Director FP&A (100% remote) - Health Insurance This range is provided by Jobot. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $150,000.00/yr - $200,000.00/yr Job Details We are searching for...SeniorRemote jobLocal area$100k - $115k
...Morrison Healthcare **Position Title:** Sr. Executive Chef **Pay Grade:** 16 **Reports To: Sr. DFNS** **Salary: $100,000 - $115,000** **... ...Referral Policy, email ****@*****.***** **Job Summary** Senior Executive Chef - Macon, GA Salary: $100K-$115K + Relocation...SeniorContract workLocal areaRemote workRelocation packageFlexible hours$143k - $193.05k
...people truly BELIEVE in what they're doing! Job Description Summary: The Infrastructure Modernization business unit is seeking a Senior Principal Software Engineer to serve as a visionary and hands-on technical leader for our Workload Automation solutions. The...SeniorFull timeRemote workWorldwide$72k
...we serve. What We're Looking For: Experience: 5+ years of successful B2B outside sales experience, specifically within the healthcare benefits, self-funded insurance, or TPA industry. Industry Expertise: Comprehensive understanding of self-funded health plans,...SeniorFor contractorsWork at officeLocal areaRemote workFlexible hours$105k - $130k
...Senior Analyst, Life Sciences Consulting Company: Dedham Group Location: Remote, United States Date Posted: Sep 20, 2026 Employment Type: Full Time Job ID: R-410 Description About Us The Dedham Group has set out to develop a health care innovation...SeniorFull timeTemporary workLocal areaRemote workFlexible hoursShift work- True Zero Technologies, a veteran-owned small business, seeks a seasoned Program Manager to lead cross-functional initiatives from concept through deployment. You will drive project vision, planning, and execution while aligning engineering, product, IT, QA, and vendors...Senior
- Advisors Excel is seeking a Financial Reporting Accountant to support multiple entities from its Topeka and Lenexa onsite offices. You will prepare statements, analyze results, and drive the close process while partnering with leaders to translate complex data into actionable...Senior
$99.75k - $214.37k
A leading financial institution in Kansas seeks a Sr. Relationship Manager - Commercial Agriculture to lead a team, build a loan portfolio, and engage with clients. Candidates should have 5 years of sales experience in Agricultural Commercial Bank Sales and a bachelor'...Senior- ...McCownGordon Construction, LLC is seeking an experienced Senior Construction Manager to lead large, complex projects and mentor teams across markets. You will drive preconstruction planning, develop master schedules, and ensure safety and quality standards are met on...Senior
$100k - $125k
...Morrison Healthcare Position Title: Sr. Executive Chef Pay Grade: 16 Reports To: Sr. DFNS Salary: $100,000 - $125,000 Other... ...Policy, email ****@*****.***. Job Summary SENIOR EXECUTIVE CHEF OPPORTUNITIES Gainesville, FL | Columbia, SC...SeniorWork at officeLocal areaRemote workRelocation packageFlexible hours$85k - $105k
...Senior Tax Associate - Fully Remote Salary $85,000 - $105,000 + bonus (up to 20% of salary, paid quarterly) Requirements Bachelor’s or Master’s Degree in Accounting/Tax or related field. CPA/EA certification or actively sitting. 3-5 years of experience in public accounting...SeniorRemote work- ...externally with customers. Company Overview At FUJIFILM Healthcare Americas Corporation, we're on a mission to innovate for a healthier... ...in a hospital, Cardiology or Radiology setting in an senior technical or managerial role. Special Skills or Other Job...SeniorFull timeLocal areaRemote workFlexible hours
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