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
$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$46.99k - $122.4k
CVS Health is seeking an experienced professional for a full-time role in health care fraud investigations in United States, Kentucky. The position requires a minimum of 3 years of experience in related fields and knowledge of health care coding systems. This role offers...SeniorFull time- CVS Health is seeking a qualified professional to manage health care fraud investigations. This role requires expertise in CPT/HCPCS/ICD coding and 3 years of experience in fraud investigations. You will investigate cases, document findings, and participate in legal proceedings...SeniorFull time
- 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
$81k - $123k
...Adjuster experienced in handling General Liability claims. The candidate should have at least 4 years of experience and strong investigative and communication skills. Responsibilities include evaluating claims, analyzing coverage, and guiding clients through the claims...SeniorFull time$85k - $105k
...range $85,000.00/yr - $105,000.00/yr 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...Full timeWork experience placementWork at officeLocal area- 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
- ...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...
- 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
- HRA/DEPT OF SOCIAL SERVICES in New York is seeking a Fraud Investigator II to conduct detailed investigations of IDNYC applicants' documents. This role requires a four-year high school diploma and three years of experience in investigations involving criminal activities...SeniorFlexible hoursAfternoon shift
$50k - $70k
A leading insurance audit team is looking for experienced premium auditors in the United States. The position offers a competitive total compensation package, including an hourly base wage plus production bonuses that can total between $50K–$70K in the first year. Key ...SeniorHourly payRemote workWork from home- ...RELX INC is seeking a Senior Fraud Analyst responsible for providing investigative and analytical support to clients. This role involves analyzing data, developing methodologies to assess risk, and utilizing SQL and programming skills. A Bachelor's degree and 5+ years...SeniorRemote work
- ...Job Title Responsibilities Conducts investigations into allegations of fraud, waste, or abuse, including preliminary assessments and full end-... ...field. Certified Professional Coder (CPC), Accredited Healthcare Fraud Investigator (AFHI), Certified Insurance Fraud...SeniorWork at office
$108k - $184k
...A leading healthcare solutions provider in the United States is seeking an experienced M365/Azure Principal Systems Engineer to shape strategic direction and drive innovation in Microsoft cloud solutions. The ideal candidate will have over 7 years of technical experience...SeniorRemote work$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 work- 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
- A next-generation payments platform is seeking a Fraud/Risk Analyst to join its Risk & Compliance team in New York. The role focuses on... ...offers the opportunity to build a robust fraud detection framework and work closely with senior leadership. #J-18808-Ljbffr fin.techSenior
$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...SeniorWork experience placementWork at officeRemote workWork from home- A healthcare investigation organization based in New York is seeking a professional to conduct investigations into allegations of fraud, waste, and abuse in the healthcare sector. Candidates should hold a Bachelor’s degree and possess at least three years of experience...Senior
$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- 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
$62k - $106.39k
A prominent healthcare institution in New York is seeking a Senior Associate Researcher. This role is ideal for a dedicated scientist focused on advancing research and potentially moving into managerial responsibilities. You will lead key projects, conduct experiments...Senior$187k - $253k
...Consumer Group. We are seeking a brilliant and passionate Senior Staff Analyst for Fraud Policy to be a key player in safeguarding our ecosystem... ...regulations. Responsibilities Fraud Detection & Investigation Monitor alerts and analyze real-time signals to detect...SeniorRemote work$85k - $140k
...Assistant Vice President, External Fraud Risk The Wealth Management (WM) Chief Data Office (CDO) sits within the WM Risk organization... ...and documentation tasks when there are fraud incidents and senior management queries related to fraud rules. Key Responsibilities...SeniorTemporary workWork at office$17 per hour
..., education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating... ...funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges....Hourly payDaily paidFull timeTraineeshipLocal areaShift 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...SeniorRemote jobWork experience placement
- ...Senior Research and Operations Executive (healthcare market research) Remote-based This is a night shift position. Hours: 9pm to 6am PH time About Us: At Branding Science Research, we're not just another consultancy - we're pioneers in the fusion of behavioural, marketing...SeniorWork at officeRemote workWork from homeShift workNight shift
$68k - $80k
We are the market research partner of choice for healthcare, pharma and biotech businesses seeking a competitive edge, through scientifically... ...projects, taking any necessary remedial action as agreed with Senior Management What we’re looking for: Experience in market...SeniorFreelanceLocal areaWorldwideFlexible hours- A healthcare company focused on improving people's health is seeking a Staff User Researcher in New York City. This role leads strategic research across patient and provider ecosystems, aiming to enhance product direction and the clinical experience. Candidates should...SeniorFull timeRemote work
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