Healthcare Fraud Investigator I
Jobtailor
Jobtailor in Boston, MA is hiring an investigator to conduct complex criminal and civil investigations into Medicaid fraud and abuse. You will review complaints, access Medicaid claims, and develop investigative plans. The role requires strong analytical and communication skills, familiarity with health care compliance, and law enforcement experience is a plus. Bilingual candidates are encouraged. A bachelor’s degree or equivalent experience is required and travel may be necessary. #J-18808-Ljbffr Jobtailor
- ...Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions...SuggestedFull timeWork experience placementWork at officeLocal area
- ...A leading government services provider is seeking a Healthcare Fraud Investigator to provide legal support for a government project. The ideal candidate will have a degree in criminal justice or a related field, with at least three years of relevant experience. Responsibilities...SuggestedFull timeWork at office
$65k - $88.6k
...our caring community Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit. Do... ...? But, most of all do you have a passion for combating Fraud, Waste, and Abuse in the Health Care Industry? If this resonates...SuggestedFull timeTemporary workFor contractorsApprenticeshipWork experience placementWork at officeLocal areaRemote workWork from homeHome officeMonday to Friday- CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure...Suggested
$100k - $150k
...for a better today and tomorrow.Ascensus is seeking a Senior Fraud Strategy Analyst to join our Fraud Risk Management team. This... ...Qualifications3-7 years of progressive experience in fraud strategy, fraud investigations, financial crimes, or financial services risk...SuggestedFull timeRemote work- ...Fraud Investigator As a member of the Financial Intelligence Unit's Fraud Investigations Team, the incumbent is responsible for handling all aspects of the fraud investigation process – including incident intake, advising on best practices for remediation, case management...Work at office
$70k - $85k
...We are currently seeking an entry-level Staff candidate with up to two years of public accounting experience to work within our Investigative Accounting Group. We offer a flexible, hybrid work environment. The majority of our engagements involve working with commercial...Work experience placementLocal areaFlexible hoursNight shift- ...PaymentWorks is hiring an Analyst for our Fraud Operations team. The Fraud Operations Analyst plays a key role in identifying, investigating, and preventing fraudulent activity in vendor onboarding and payments. In this role, you’ll review vendor registration details...Flexible hours
- Physician: Academic Clinical Investigator- Genitourinary OncologyBoston University Aram V. Chobanian and Edward Avedisian School of MedicineThe... ...the underserved.Our doctors are changing the face of healthcare. At every level and on every unit, BMC doctors are advancing...Full timeFor contractorsFixed term contractLocal areaNight shift
- PaymentWorks is seeking an Analyst for our Fraud Operations team. The role focuses on identifying, investigating, and preventing fraudulent activity in vendor onboarding and payments. You will assess vendor legitimacy, flag risk, and help refine team processes to stop fraud...
- ...is seeking a candidate for the Life Sciences Intelligence team to shape commercial strategies, market access, and innovation in healthcare through analytics and AI. This hybrid role involves 2-3 days in-office and collaboration with global teams on client projects. You...Work at office
- Cubic Transportation Systems in Boston, MA is seeking a Fraud Analyst to detect and prevent fraud across project-related ticketing networks. You will monitor daily activity, investigate cases, and configure fraud-detection systems while coordinating with vendors and stakeholders...
- Ahold Delhaize USA is seeking an Admin to investigate newly reported Workers' Compensation claims, determine compensability, and support Analysts. This role includes a hybrid schedule with 3 in-person days and 2 remote days, based in Quincy, MA or Carlisle, PA. Applicants...Full timeRemote work
$134.4k - $201.6k
...Bring your talents to an industry leader in medical technology and healthcare solutions – we're a market leader and growing every day. You... ...time of hire and for the duration of employment.Recruitment Fraud AlertWe are aware of phishing scams targeting job seekers. Please...H1bWork at officeLocal areaImmediate startFlexible hoursShift work- Physician: Clinical Investigator, Head and Neck Oncology ProgramBoston University Aram V. Chobanian and Edward Avedisian School of MedicineThe... ...the underserved.Our doctors are changing the face of healthcare. At every level and on every unit, BMC doctors are advancing...Full timeFor contractorsFixed term contractLocal areaNight shift
- ...Sergeant, the Detective will perform comprehensive criminal investigations, non-criminal investigations, law enforcement and crime prevention... ...following areas:Criminal Investigation/prosecutions within a healthcare settingEmployment in a security/police capacity in a large...Full timeFixed term contractLocal areaFlexible hours
$100.75k - $172.71k
...? Join u s today ! About Siemens We are a global technology company focused on industry, infrastructure, transport, and healthcare. From more resource-efficient factories, resilient supply chains, and smarter buildings and grids, to sustainable transportation...Permanent employmentFor subcontractorWork at officeImmediate start- Description Asset Protection Officer Do you have a passion for service? Ready to build a career, not just find another job? Metro One Loss Prevention Services Group has the opportunity you've been looking for! About Us: At Metro One LPSG, we are reshaping...Weekly payFlexible hours
- ...offices, including Boston, MA and Braintree, MA. This hybrid role expects about 3 in-office days per week and focuses on forensic investigations, economic damages, and related financial analyses. Ideal candidates have a bachelor's or master's in accounting, are CPA exam...Work at office3 days per week
$25 - $28 per hour
Job Title Location Main, Boston, MA, 02215, United States Base Pay $25.00 - $28.00 / Hour Required Degree High school Manage Others No Minimum Experience 2 Years Maximum Experience 6 Years Contact Information Name Beth Chesler Email bchesler@...- Criminal InvestigationA description of the business units can be found at: are to be filled in the following area(s): CI - Criminal InvestigationConsider each location carefully when applying. If you are selected for a location, that location will become your official...
- ...The Suffolk County Sheriff's Department in Boston is seeking a dedicated investigator to conduct criminal investigations and maintain documentation. Ideal candidates will possess superior communication skills, the ability to work independently, and a Bachelor’s Degree...
- ...confidentiality of all Security/Loss Prevention and property reports/documents; release information only to authorized individuals. Conduct investigations and gather evidence. Conduct interviews with relevant parties. Follow all company policies and procedures; report...Work experience placementShift work
- Omni Mount Washington Resort, 310 Mount Washington Hotel Rd, Bretton Woods, New Hampshire, United States of America Job Description Posted Monday, August 3, 2026 at 4:00 AM Omni Mount Washington Resort & Spa As grand as the history behind it, the Omni Mount Washington Resort...Immediate startAll shiftsFlexible hoursShift workNight shift
$72k
...is to improve loss ratio and reduce or prevent loss related to fraud, theft, and operational inaccuracies. The LPM must also work... ...Competencies Extensive experience in all aspects of internal investigations and ability to independently conduct internal interviews. Significant...Full timeTemporary workLocal areaRemote work- ...with other units within BPD, including the Youth Violence Strike Force and Firearms Analysis Unit, to provide direct support to investigations.Collaborate with external agencies, including the Federal Bureau of Investigation's Violent Crime Task Force and the Bureau of...Permanent employmentFull timeTemporary workPart timeWork at officeLocal area1 day per week
$22.6 per hour
...support a diverse workplace for the benefit of all: our employees, customers and communities. Responsibilities The Analyst, Fraud Investigation role is a senior analytical position responsible for handling more complex, higher-risk fraud cases that require deeper review...Local area- ...align plans with senior leadership. This role manages budgets, drives compliance with HIPAA, Joint Commission, OSHA, and other regulations, and builds cross‑disciplinary partnerships to ensure a secure healthcare environment. #J-18808-Ljbffr Massachusetts General Hospital
$130k - $165k
...that is better and more accessible for all. To learn more about Care Access, visit How This Role Makes a Difference The Sub-Investigator will be responsible for travel mixed with remote tele-medicine work to support our clinical research studies. Additionally, our...Full timeTemporary workWork experience placementLive inLocal areaRemote workWorldwideFlexible hours$80k - $400k
...whole health/mind-body medicinePatient-centered digital healthShared decision-makingResearch Section faculty: 16 M.D. and Ph.D. investigators who conduct research, pursue external funding, and mentor students and fellows, including in Harvard's general medicine and integrative...Full timeWork experience placementWork from home
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