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
- ...A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates...Senior
$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is looking for a Fraud Investigator to handle complex cases in healthcare fraud. Candidates should have at least 3 years of relevant experience and proficiency in medical coding. This full-time position offers an annual salary...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
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- The Hispanic Alliance for Career Enhancement is looking for a full-time professional in Idaho to help investigate healthcare fraud and abuse. This position involves handling complex cases, documenting findings, and interacting with law enforcement agencies. The ideal candidate...SeniorFull time
$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
- 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
- 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 to successfully complete...Full timeWork experience placementWork at officeLocal area
- ...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...
$90k - $142k
...time Location: New York, NY (Hybrid) ABOUT THE POSITION: The Senior/Supervisor - Litigation will oversee forensic accounting and... ...support engagements, providing expertise in financial fraud investigations, damage calculations, and dispute resolution. The role involves...SeniorFull time- Senior Forensic Accountant Elder Research Inc., a wholly owned subsidiary of MANTECH international... ...analysis relating to tracing the proceeds of fraud. Five (5) years of experience specializing in financial investigations with an emphasis on money laundering and asset...SeniorFull timeLocal areaRemote work
- ...Fraud Investigator 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 placement
$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 hours$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 work- A leading healthcare organization is seeking a Care Manager to ensure continuity of care for newly enrolled members. The role involves developing care plans, conducting assessments, and managing community resources to facilitate member independence. The ideal candidate...Senior
- ...Beebe Healthcare is looking for a Gift Officer to manage major gift prospects and drive fundraising efforts. The successful candidate will have a minimum of 5 years of major gift fundraising experience and a strong track record in securing significant donations. This...Senior
$165.1k - $313.15k
...Milliman is seeking seasoned professionals to join their healthcare consulting team in New York or Atlanta. This role involves managing client relationships, executing data analyses, and leading project teams. The ideal candidate will have extensive experience in healthcare...SeniorRemote work- ...Ipsos Healthcare is seeking a driven Senior Consultant to join its Advisory Services team in the United States. The role focuses on delivering client engagements across the healthcare landscape, including competitive assessments, market landscape analysis, and launch strategies...Senior
- ...A healthcare-focused organization seeks a Senior Program Manager to provide strategic leadership and oversight for large-scale programs. The role requires 10-15 years of experience in program and project management, with proven success in managing multimillion dollar...SeniorFull timeRemote work
$33.11 - $52.14 per hour
...A leading healthcare organization is seeking a Cost Accounting Analyst responsible for managing cost data and supporting various financial projects. The ideal candidate will have a Bachelor's degree in Accounting or Business Administration, alongside 3-7 years of relevant...SeniorHourly pay$84.58k - $111.3k
...A leading healthcare institution in New York is seeking a Senior Supply Chain Management Analyst to lead data integrity initiatives, develop ETL processes, and work closely with stakeholders to optimize reporting. The ideal candidate will possess strong analytical skills...Senior- ...Sailor Health is looking for experienced RN Healthcare Advocates to provide compassionate support to older adults on Medicare. This remote... .... Join a mission-driven team dedicated to redefining how seniors receive care and tackling mental health challenges, ensuring a...SeniorRemote workFlexible hours
- ...A leading healthcare technology company is seeking a Senior Medical Advisor to enhance clinical operations and promote AI technologies in health systems across the U.S. This role demands significant clinical experience and the ability to engage with senior medical audiences...SeniorPart timeFlexible hours
- ...A leading healthcare consultancy seeks a Lead Clinical Consultant to shape strategies for EHR implementations. This pivotal role requires a Bachelor's degree in a relevant field and 5+ years of experience in clinical informatics. The position involves extensive travel...Senior
$200k - $220k
...JobRx, Inc. is looking for a Senior Medical Science Liaison based in New York. This role demands strong scientific expertise and the ability to communicate effectively with healthcare professionals. The ideal candidate has an MD, PhD, or equivalent degree, along with...Senior- ...A leading healthcare communication solutions provider is seeking a Senior Manager for Content Marketing. This role focuses on elevating brand narrative across all buyer journeys through high-impact content creation, strategic outreach, and KPI tracking. Ideal candidates...SeniorRemote work
- ...A leading healthcare recruiting firm in New York is seeking an experienced Senior Application Analyst to lead oncology protocol builds and support integration in Radiation Oncology workflows. The role involves collaboration with clinicians and IT teams to ensure system...SeniorFull timeWork at officeRemote work
$70k - $85k
...A leading healthcare technology company is seeking a Senior Batch Developer to develop healthcare administration products. Responsibilities include programming, testing, and collaborating with teams. Candidates should have over 5 years of experience with C, UNIX/Linux,...SeniorRemote workFlexible hours- ...Job Description Registered Nurse to perform research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment...Senior
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