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
- CVS Health is seeking an SIU Investigator for Meritain Health to support network cost management and anti-fraud efforts. You will conduct investigations, pursue prevention of fraud, and coordinate with federal, state, and local agencies to recover funds. The role requires...SuggestedFull timeLocal area
- 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
- 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
- CVS Health in Boston, MA is seeking an SIU Investigator to conduct investigations into healthcare fraud and abuse, pursue prevention and prosecution, and ensure compliance with federal and state regulations. The role requires 1-3 years of investigative experience and proficiency...SuggestedFull time
- ...Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at... ...FunctionsResponsible for conducting confidential investigations of suspected fraud, waste & abuse (FWA) involving medical providers, plan members...SuggestedContract workWork at officeLocal areaFlexible hours
- 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...Full timeWork at office
- Mass General Brigham Health Plan Holding Company, Inc. is seeking a Data Analyst to conduct confidential investigations of suspected fraud, waste and abuse, and to perform analytic reporting across claims and provider data. Hybrid role with on-site presence at Assembly...
- Recorded Future is seeking a Fraud Analyst to join their Threat Intelligence team in Boston, MA. This role involves conducting research on cyber threats, analyzing data, and producing intelligence reports. Candidates should have a BA/BS in a relevant field and proficiency...Full time
$18 - $24.91 per hour
Division Risk Management Department BSA/Fraud Status Non-Exempt Grade 4 Salary Range $18.00 - $24.91 Actual compensation within... .... Location MA, RI, CT, NY Purpose/Objective The Fraud Investigator Intern supports the Financial Intelligence Unit (FIU), by assisting...InternshipWork at office- ...contracts, and social media reviews, and documenting activities in concise reports. The ideal candidate will have 5-7 years of FWA investigation experience, strong data analysis skills, and the ability to translate complex topics for diverse #J-18808-Ljbffr Mass General...
$52k - $90.5k
Job Summary 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, and...Work at office- Berkshire Bank is seeking a Fraud Investigator Intern to support the Financial Intelligence Unit. This role involves investigating suspected fraudulent activity, maintaining documentation, and collaborating with other business lines on fraud prevention and compliance....Internship
- ISG is seeking a Part-Time SIU Investigator in Boston, MA to conduct in-depth investigations into fraud and misconduct. This role requires experience in insurance-related cases and proficiency in report writing. The ideal candidate will handle various investigative tasks...Part time
- Insight Service Group (ISG) is looking for a meticulous SIU Investigator in Boston, MA. This role involves conducting thorough investigations into potential fraud and misconduct, requiring a reliable vehicle, digital video camera, and proficiency in web-based systems....
- Jobtailor is seeking an investigator to generate new investigations and continue with ongoing civil actions involving fraud in areas such as healthcare, contracting, and grants, as well as other fraud and abuse of federal public funds and programs. The investigator will...
$79k - $95k
...Description The Fraud Risk Sr Analyst is accountable for monitoring and developing fraud risk strategies for Citizens Consumer Debit & ATM Card accounts with a focus on IT tools and systems to monitor and mitigate fraud. The Fraud Risk Sr Analyst will take the lead in...Work experience placementWork at officeLocal areaMonday to FridayFlexible hours- A reputable insurance service company based in Boston is seeking Independent Contractors for Insurance Loss Control. You will conduct detailed inspections assessing properties while preparing comprehensive reports on hazards and eligibility requirements. This role offers...For contractorsFlexible hours
$28 per hour
Job Overview Our group is seeking Insurance Inspectors to regularly service Suffolk County, MA by devoting anywhere from 3 to 5 days per week photographing properties. Inspectors use their photos and observations to complete reports at their home office and submit them...Hourly payFull timeContract workPart timeHome office3 days per week- ...ensure the integrity of claims processes by conducting audits and investigations into customer claims. This role requires a blend of analytical... ...and two to four years of relevant experience. A Certified Fraud Examiner designation is preferred. The position emphasizes communication...
$28 per hour
Our group is seeking Insurance Inspectors who can regularly service Norfolk County MA by devoting anywhere from 3 to 5 days per week photographing properties. Inspectors use their photos and observations to complete reports at their home office to submit back to Venture...Hourly payFull timeContract workPart timeHome office3 days per week- ...design and product strategies to enhance user satisfaction and engagement. At Sanofi, we are committed to delivering next‑generation healthcare that meets the evolving needs of patients, caregivers, and healthcare professionals. By harnessing insights from these...Shift work
$46.99k - $122.4k
...administrator of self‑insured commercial health plans. The SIU Investigator will support Meritain Health’s Network Cost Management team,... ...pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state regulations...Hourly payFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hours- The investigator will generate new investigations, and to continue with ongoing investigation and civil actions involving fraud in areas such as healthcare, contracting, and grants, as well as other fraud and abuse of federal public funds and programs. Regularly meets...Work at office
- Berkshire Bank is seeking a Fraud Investigator for its Financial Intelligence Unit. The role includes handling fraud investigations, documenting cases, and collaborating with various teams to mitigate fraud losses. Candidates should have a Bachelor's degree and at least...
- Santander US is looking for a Manager, Claims & Fraud Operations to lead investigative teams focused on mitigating fraud-related losses. This role requires strong operational oversight and collaboration with law enforcement to ensure compliance and efficiency in fraud...
$85k - $95k
...advise organizations that are breaking new ground and realigning for this new patient‑centric health model. A large number of the healthcare assignments we undertake involve international collaboration, from brainstorming to shared execution. Our work includes hundreds...Work experience placementShift work- Commercial Independent Contractor for Insurance Loss Control. Independent Contractors Duties: The physical characteristics, exterior measurements, general conditions, photographs, unusual hazards and recommendations associated with a property are part of our comprehensive...For contractorsWork at officeImmediate start
- Dormont Manufacturing Co is seeking a Senior Financial Investigator in Boston, MA, to provide essential legal support and conduct investigations for a large federal agency. The ideal candidate will have at least four years of experience in investigations, along with strong...
- Allied Universal is seeking a Security Officer Healthcare Patrol in Milton, MA. You will safeguard staff, patients, and visitors in a hospital setting, patrolling assigned areas and delivering exceptional customer service. Responsibilities include monitoring entrances,...
$134.4k - $201.6k
...that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and... ...of hire and for the duration of employment. Recruitment Fraud Alert We are aware of phishing scams targeting job seekers....H1bWork at officeLocal areaImmediate startFlexible hoursShift work
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