Senior Healthcare Fraud Investigator
$46.99k - $122.4kHispanic Alliance for Career Enhancement
Join CVS Health in West Virginia as a key investigator in health care fraud. This role requires 3+ years in fraud investigations with knowledge of clinical issues and coding systems. You will work collaboratively on complex cases while adhering to legal standards and documentation requirements. We offer a competitive pay range of $46,988 - $122,400, alongside a robust benefits package designed to support your well-being. If you’re passionate about promoting community health and preventing fraud, apply today. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$126.2k - $264.1k
...Health Applications & Infrastructure (OHAI) is building a modern healthcare platform that connects data, workflows, and experiences across... ..., and healthcare transformation. About the Role As an Senior Principal Product Manager, you will own product outcomes for key...SeniorTemporary workFlexible hours$89k - $121.4k
...A leading healthcare organization is looking for a passionate Senior Business Intelligence Engineer to solve complex business problems using data analysis. This remote role involves working with big data and creating analytics solutions in the healthcare sector. The ideal...SeniorRemote work- Cognizant is seeking a Senior Facets Configuration Analyst to support the configuration and validation of the Facets core claims platform for healthcare. This remote role involves configuring Facets components, validating claims processing, and collaborating with cross-...SeniorRemote job
- A technology solutions provider is seeking a Senior .NET Developer to work on critical healthcare systems. The ideal candidate should have over 7 years of experience in software development, strong programming skills in C#, and extensive knowledge of .NET frameworks. Familiarity...SeniorRemote job
$18.7 - $22 per hour
A healthcare services company seeks a Senior Representative for Customer Service Operations to provide outsourced services in medical billing and customer support. This remote position entails handling calls with home health nurses, managing order placements, and resolving...SeniorRemote jobHourly pay$27 - $30 per hour
...Senior Maintenance Director At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive...SeniorTemporary workImmediate start$27 - $30 per hour
...Overview At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional... .... Responsibilities Join our center leadership team as a Senior Maintenance Director. In this role, you will primarily serve as...SeniorTemporary workImmediate start- ...A leading investigative firm based in the United States is seeking an Experienced Field Investigator to conduct surveillance and investigative activities. The ideal candidate should demonstrate proficiency in covert surveillance techniques and possess a valid driver's...SeniorWeekend work
$180k - $220k
...Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible... ...about creating transformative change in healthcare. Senior Software Engineer The Role As a Senior Software Engineer,...Senior$120k - $150k
...Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible... .... We are seeking a highly skilled and experienced Senior Systems Analyst – Oracle HCM to join our HRIT team. This individual...Senior- High Value Residential Insurance Inspector Posted On 05/01/2026 Job Information Insurance Work Experience 1-3 years City Charleston State/Province West Virginia 25301 Job Description Signature is looking to add a Field Consultant for the following counties in West Virginia...For contractorsWork experience placementWork from homeHome office
$101.3k - $168.7k
...significant interface with the Program Manager, senior technical staff on the contract, as... ...assured and compliant solutions for healthcare, we understand that digital... ...applicant may be subject to a background investigation and/or education verification. SMX does...SeniorContract workWork experience placementFor subcontractorH1bWork at officeRemote work$126.3k - $173.7k
...community The Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist monitors drug development pipeline, and... ...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- ...health assessments and obtaining medical history information. Documenting details related to illnesses, surgeries, medications, healthcare providers, and provider contact information. Recording physical measurements such as height, weight, blood pressure, pulse,...For contractors
- ...Garage to enhance a safe and secure environment for patients, staff, and visitors. Key responsibilities include responding to and investigating suspected violations of law and acting as a liaison with other law enforcement agencies. The ideal candidate must have a High...
$31.83 - $63.65 per hour
...position that acts as a liaison between the clinical and IT departments, leveraging clinical knowledge specific to a domain expertise (Healthcare, informatics, clinical) to provide innovative solutions. Responsible for applying statistical, research, clinical theories and...SeniorHourly payTemporary workFlexible hours$117.6k - $161.7k
...Become a part of our caring community The Senior Data Scientist uses advanced analytics, machine learning, and predictive modeling to solve complex healthcare challenges and drive improved outcomes. You will develop data-driven solutions that support population health...SeniorFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$86.3k - $118.7k
...Advantage is sold, and we drive that change with our design. As a Senior Product Designer, you'll join a growing digital organization.... ..., work in an agile setting, and shape the future of digital healthcare through design. If you’re passionate about mobile‑first UX, honing...SeniorFull timeTemporary workApprenticeship$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... ...in the investigation and prosecution of healthcare fraud and abuse matters. Demonstrates high...SeniorHourly payFull timeTemporary workLocal area$94.9k - $130.5k
...Become a part of our caring community The CenterWell Senior Strategy Consultant provides data-based strategic direction to support... ...Master's degree in finance, economics, or a related field. Prior healthcare industry experience within healthcare services or care delivery...SeniorFull timeTemporary workApprenticeshipRemote work$86.3k - $118.7k
...of our caring community At Humana, we're building human-centered experiences that help people navigate healthcare with confidence. We're looking for a Senior Content Designer to drive content design and strategy within product areas across our digital ecosystem....SeniorFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$89.2k - $209.5k
...engineers to design and build high-scale, cloud-based data processing pipelines that ingest, transform, and analyze massive volumes of healthcare data with low latency, powering business insights and analytics across EHR and RCM systems. You will leverage LLMs, AI agents,...SeniorTemporary workFlexible hours$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$83k - $166.1k
...Program Manager III to drive strategic operational programs across healthcare technology, financial planning, and regulatory initiatives.... ...based on program and business data. Facilitate discussions with senior leaders to align priorities, drive decision-making, and resolve...SeniorTemporary workFlexible hours$89.2k - $209.5k
...Job Description Oracle Health is transforming the future of healthcare by building secure, scalable, AI-enabled healthcare platforms and applications that improve patient outcomes, reduce administrative burden, and enable healthcare organizations to operate more efficiently...SeniorTemporary workFlexible hours$111.18k - $201.18k
...system, including organizing workload, submitting findings, and corresponding with the Quality Assurance Team. Collaborate with Healthcare Professionals. Document Examination Findings accurately in medical opinions and reports following established VA guidelines. Partner...For contractorsLocal area$82.5k - $166.1k
...Job Description Travel: 80% Overview: Are you ready to take on a pivotal role in transforming healthcare systems? As a Senior Clinical Consultant, you will play a crucial part in shaping the clinical strategy for Post Go-Live (PGL) Readiness Methodology. This dynamic...SeniorTemporary workVisa sponsorshipFlexible hours$83k - $166.1k
...reliability, and sustainability of the platform. The ideal candidate will combine strong software development expertise with healthcare technology experience and the ability to collaborate effectively with cross-functional stakeholders to deliver secure, scalable solutions...SeniorTemporary workWork experience placementImmediate startFlexible hours$91.4k - $187k
...Description Job Description Oracle Health is transforming healthcare through intelligent, connected, and AI-powered solutions that... ...and reduce clinician burden. We are seeking a highly motivated Senior Product Manager to lead product strategy, roadmap, and execution...SeniorTemporary workWorldwideFlexible hours$73.4k - $100.1k
...Become a part of our caring community SENIOR DATA ANALYST - WORKFORCE PLANNING CenterWell Pharmacy, a Humana company ABOUT... ...distribution, fulfillment, manufacturing, or logistics environment Healthcare, pharmacy, or other regulated-industry experience Additional...SeniorBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Healthcare Fraud Investigator. Be the first to apply!
- senior magento developer Charleston, WV
- sr technical product manager Charleston, WV
- senior manager pmo Charleston, WV
- senior accountant part time Charleston, WV
- senior analyst Charleston, WV
- senior tax Charleston, WV
- senior manager legal Charleston, WV
- senior human factors engineer Charleston, WV
- senior brand strategist Charleston, WV
- senior aws cloud engineer Charleston, WV


