Senior Healthcare Fraud Investigator
Hispanic Alliance for Career Enhancement
CVS Health in Pennsylvania is seeking a skilled professional to manage complex cases involving health care fraud. The candidate will investigate claims, collaborate with law enforcement, and ensure adherence to health care regulations. Interested individuals must hold a degree and possess at least three years of relevant experience in fraud investigations. Strong analytical skills and proficiency with Microsoft Office are essential for success in this full-time position. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
Vacancy posted 12 hours ago
Similar jobs that could be interesting for youBased on the Senior Healthcare Fraud Investigator in New York, NY vacancy
- 1199SEIU Funds seeks an experienced Investigator for a hybrid role in New York, responsible for investigating allegations of fraud, waste, or abuse in healthcare. Candidates must have strong skills in medical coding, report writing, and data analysis, along with interpersonal...Senior
$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is hiring for a position focused on investigating healthcare fraud cases. The ideal candidate will have a Bachelor’s degree and at least 3 years of experience in fraud, waste, and abuse investigations. Responsibilities include...SeniorFull time$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is seeking a professional for health care fraud investigations. The role requires at least three years of experience in related fields and a Bachelor's degree or equivalent. You will investigate and document cases related to...Senior$46.99k - $122.4k
CVS Health is looking for a skilled individual to manage healthcare fraud investigations in New Jersey. The role entails handling complex cases, facilitating legal proceedings, and working closely with law enforcement agencies. The ideal candidate will have a Bachelor's...SeniorFull time- Centene Management Company LLC is seeking a skilled investigator to handle allegations of healthcare fraud and abuse in New York. In this role, you'll plan, organize, and execute claims investigations, utilizing your expertise in data mining and report creation. The ideal...SeniorRemote jobFlexible hours
- Municipal Credit Union in New York is seeking a Digital Fraud Investigator to safeguard the organization from digital fraud threats. The role involves investigating suspicious activities and collaborating with various teams to enhance fraud prevention strategies. The ideal...Senior
- A government services firm in New York is seeking a Healthcare Fraud Investigator to provide legal support for government projects. The role requires proficiency in Microsoft Office and a bachelor's degree in a relevant field, along with three years of investigative experience...Full timeWork at office
- Centene Corporation is looking for a dedicated investigator to monitor healthcare fraud activities. You will utilize your investigation skills to ensure compliance, assist with complex fraud allegations, and provide critical analytical insights. The role requires a Bachelor...Remote jobFlexible hours
- A government services contractor is seeking a Healthcare Fraud Investigator to provide legal support on a large Government project. You will analyze data, review financial and legal documents, and support the development of case referrals. Candidates should have a relevant...Full timeFor contractorsWork at office
- ...processes in Idaho. The role involves conducting audits and investigations into customer claims, analyzing data, and communicating... ...minimum Bachelor's Degree and 0-2 years of experience, with healthcare fraud experience preferred. This position offers a chance to contribute...
- Centene Management Company LLC is seeking candidates for a position dedicated to investigating allegations of healthcare fraud and abuse within the Kentucky Medicaid Program. The ideal applicant will have a Bachelor's Degree in a related field and a minimum of three years...Remote job
- JPMorgan Chase & Co. is seeking a Wrongdoer Strategy Analyst to strengthen fraud prevention strategies. You will collaborate with product and technology partners to tackle real-world fraud threats using data analytics. This role requires a minimum of 2 years' experience...Senior
$50k - $70k
EXL is hiring for their Insurance Premium Audit Team, offering a competitive compensation package between $50K and $70K in total earnings. The role includes remote work options, comprehensive training, and career advancement opportunities. Benefits feature 17 days of paid...SeniorRemote job$68.04k - $118.8k
...Summary of Job Conduct complex, in-depth investigations of reported fraud involving the full range of healthcare products. Develop and maintain relationships with law enforcement (HHS-OIG, FBI, DOJ), regulatory agencies (DFS, MEDIC, OMIG, MFCU) and with industry...SeniorWork experience placementEmblemHealth
New York, NY12 hours ago- CCSi in New York seeks a financial services leader to enhance fiscal strategies for human-centered organizations. The role emphasizes collaboration with executive leaders, mentoring staff, and ensuring exceptional client service. Candidates should possess an advanced degree...Senior
$156k - $213.6k
We are the first line of defense against fraud and abuse on the Plaid platform. Our... ...platform for consumers and customers. As a Senior Fraud and Abuse Operations Analyst, you... ...for responding to fraud and abuse events, investigating claims, and triaging incidents. We also...SeniorWork experience placementLocal area- ...Corporation seeks a Clinical Professional to lead compliance investigations in a diverse national organization. Your role will focus on conducting... ...will have substantial experience in investigations within a healthcare setting. Centene provides competitive benefits, including a...SeniorRemote jobFlexible hours
$161.6k - $202k
...people. Headway's mission is to fix this by building a new mental healthcare system everyone can access. We started by solving the biggest... ...: To protect yourself against phishing and recruitment fraud, please note that Headway only accepts applications through our...SeniorWork from homeFlexible hoursHeadway - Design & Development
New York, NY4 days ago- ...in New York seeks a Clinical Certified Coder to support fraud detection and investigations in the Special Investigations Unit. The successful candidate... ...skills, communication, and integrity in handling sensitive healthcare information. #J-18808-Ljbffr MetroPlusHealth
$70k - $90k
Cotiviti is seeking a Senior Investigator to analyze suspected incidents of healthcare fraud, waste, or abuse through data analysis. The role involves evaluating instances of potential fraud and conducting interviews with patients and providers. Candidates should have...SeniorRemote jobWork from home- A leading insurance firm is looking for experienced Auditors to join their team in the United States. The role involves auditing Workers Compensation and General Liability policies. Ideal candidates should have a minimum of three years of experience and a strong understanding...Senior
$85k - $140k
...caused by inaccurate, untimely, or incomplete WM data. The External Fraud Risk Team within WM CDO works to define appropriate fraud risk... ...and documentation tasks when there are fraud incidents and senior management queries related to fraud rules. Key Responsibilities:...SeniorTemporary workWork at office$70k - $90k
A leading healthcare analytics firm is seeking a Senior Investigator to investigate incidents of healthcare fraud, waste, and abuse through data analysis. This remote position requires a Bachelor's degree, 5-8 years of experience in healthcare FWA investigations, and advanced...SeniorRemote job$140.5k - $190k
Overview Senior Fraud and Risk Analyst job at Intuit. New York, NY. One out of every two small businesses fail within their first five... ...mitigation strategies and design new risk‑adjusted policy proposals. Investigate root causes of anomalous risk behaviors or performance gaps,...SeniorTemporary workLocal area- A prominent healthcare organization in New York is seeking a Hospital Care Investigator to supervise investigations for medical assistance eligibility. The role requires a person-centered approach aligned with the ICARE values. Candidates should have six months of experience...SeniorFull time
$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- # Senior Associate / Principal - Healthcare VCPrimetime PartnersPrincipalVenture CapitalOn-siteLocationNew York, United StatesDate PostedJune 11, 2026RegionAmericasStay ahead of the marketGet instant notifications when new job openings matching "Venture Capital / Principal...Senior
$122k - $162.7k
Overview Join AIR as a Senior Researcher with our Healthcare Innovations team. Our team works collaboratively... ...in roles such as principal investigator, project director, or task lead, ensuring... ...work environment. Accessibility and Fraud Warning ACCESSIBILITY NOTICE: If...SeniorFull timeContract workFixed term contractH1bWork at officeRemote work$45 - $50 per hour
...Senior User Researcher, Insights (Contractor) Senior User Researcher, Insights (Contractor) This range is provided by Swell Partners... ...Researcher, Insights Location: Fully Remote Client: A leading national healthcare tech company (to be disclosed during process) Role Type:...SeniorFull timeContract workFor contractorsFreelanceRemote workSwell Partners
New York, NY2 days ago- ...City Medical Examiner II (Senior Medical Examiner) The Office of Chief Medical Examiner investigates cases of persons who die within New York City from criminal violence, by accident, by suicide, suddenly when in apparent health, when unattended by a physician, in a...SeniorWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Healthcare Fraud Investigator. Be the first to apply!
Related searches
- fraud investigator New York, NY
- bank fraud investigator New York, NY
- senior cloud service delivery manager New York, NY
- senior business analyst contract New York, NY
- senior product design engineer New York, NY
- senior game producer New York, NY
- senior software manager New York, NY
- senior creative strategist New York, NY
- senior manager business analytics New York, NY
- senior marketing account manager New York, NY