Senior Healthcare Fraud Investigator
CVS Health
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 a bachelor’s degree or equivalent experience, 3+ years in investigations, and strong analytical skills. 40-hour week, full-time, with competitive benefits and bonuses. #J-18808-Ljbffr CVS Health
- ...Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at... ...Functions Responsible for conducting confidential investigations of suspected fraud, waste & abuse (FWA) involving medical providers, plan members...SuggestedContract workWork at officeLocal areaFlexible hours
- 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
- 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...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
- ...A leading healthcare institution in Boston seeks a Sr. Principal Scientist to oversee operations in a GMP lab, focusing on the production and quality control of radiopharmaceuticals. The ideal candidate will have extensive experience in aseptic operations, knowledge of...Senior
$86.4k - $138.6k
A healthcare services provider is seeking a Senior Cyber Incident Responder to lead incident investigations and document processes according to the Cyber Incident Response Plan. Your role entails coordinating with internal teams for incident resolution and performing detailed...SeniorRemote work- 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...
- A multinational healthcare company is seeking a Senior Principal Scientist, Computational Multiomics in Cambridge, MA. This role involves applying large scale multiomics in Neuroscience and collaborating with various teams to advance precision medicine. The ideal candidate...SeniorWork at officeRemote work
$148.5k - $214.5k
...Job title : Senior Principal Scientist ~ Location: Cambridge, MA About the Job We are seeking a highly motivated Senior... ...range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs and at least 14 weeks' gender...Senior$147k - $185k
InterSystems is a global leader in healthcare data management and interoperability, providing mission‑critical technology that powers hospitals... ..., availability, and security are non‑negotiable. As a Senior Program Manager, you lead large-scale, complex, cross‑functional...SeniorTemporary workWorldwide$181k
...Senior Principal, Market Access Strategy Consulting Join to apply for the Senior Principal, Market Access Strategy Consulting role at... ...pharmaceutical and biologic therapies, targeting challenging and complex healthcare needs of patients in the US. Our team uses the power of...SeniorFull timePart timeWorldwide- ...across our system. We are seeking an experienced, collaborative Senior Immigration Advisor to guide and support this important work.... ...relationship management, and problem‑solving in a mission‑driven healthcare environment. Hybrid Schedule - 2-3x/wk onsite at Assembly Row...SeniorPermanent employmentWork at officeVisa sponsorshipWork visaFlexible hours
$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...SeniorWork experience placementWork at officeLocal areaMonday to FridayFlexible hours$80k - $135.2k
...strong project management skills and collaboration with stakeholders to implement viable solutions. The ideal candidate will have a healthcare background, project management certification, and experience leading improvement initiatives. A competitive salary range of $79,9...Senior- A cutting-edge Biotech firm located in Boston is looking for a Staff Machine Learning Researcher to develop foundational models for single-cell RNA sequencing data. The ideal candidate should have at least 6 years of machine learning experience and a strong background in...Senior
- ...Praxis Precision Medicines, Inc. is seeking a Senior Product Manager to shape commercialization strategy for therapies targeting CNS... ...business strategy, creating significant impact for patients and healthcare providers. The right candidate will lead cross-functional initiatives...SeniorRemote workFlexible hours
$155k - $215k
...Whoop is looking for a Senior Product Manager in Boston, MA, to improve health outcomes through innovative product strategies. The role involves defining and executing product strategies in healthcare, collaborating with cross-functional teams, and driving engagement via...Senior$135k
...About the Role Entensiv is looking for a Senior Building Automation Service Engineer to join our growing team. This is a hands-on technical... ...core business — we serve universities, research facilities, healthcare environments, and commercial buildings where system reliability...SeniorFull timeWork at officeFlexible hours$228k - $280k
...Flagship Pioneering in Cambridge, MA is seeking a Senior Director, Head of Toxicology to lead the toxicology function within Pioneering... ...offers a salary range of $228,000 - $280,000 along with comprehensive benefits, including healthcare and retirement. #J-18808-Ljbffr...Senior$200k - $220k
...JobRx, Inc. is looking for a Senior Medical Science Liaison to engage with healthcare professionals and drive scientific dialogue. The ideal candidate has a strong scientific background, with 2+ years in a similar role and relevant clinical experience. This position offers...Senior- A global biotechnology company is seeking a Pathology Senior Principal Research Scientist in Boston to lead the scientific design and conduct of pathology endpoints for drug development. This role requires a DVM with board certification in veterinary anatomic pathology...Senior
- ...Senior Director of Product About the Company Successful healthcare tech company Industry Hospital & Health Care Type Privately Held About the Role The Company is seeking a Sr Director of Product to lead their Research Data Organization...Senior
- ...Senior Vice President, People Business Partnerships & Workforce Architecture About the Company Tech-driven healthcare services provider Industry Hospital & Health Care Type Privately Held, VC-backed Founded 2017 Employees 1001-5000 Funding...Senior
$125k - $130k
McKinsey & Company is seeking a skilled professional in Boston to conduct due diligence, analyze investments, and collaborate with stakeholders. The ideal candidate will have at least 2 years of experience in consulting or investment banking with strong analytical skills...Senior$126.2k - $264.1k
...Health Applications & Infrastructure (OHAI) is building a modern healthcare platform that connects data, workflows, and experiences across... ..., and healthcare transformation. About the Role As an Senior Principal Product Manager, you will own product outcomes for key...SeniorTemporary workFlexible hours- ...negotiate rates, and drive value-based care strategies in collaboration with leadership and finance. The role requires five years of healthcare experience including provider relations or contracting, strong negotiation and communication skills, and #J-18808-Ljbffr...Senior
- EY is seeking a Senior Manager for Health consulting focused on Revenue Cycle transformations. You will lead cross-functional teams, advise senior healthcare executives, and drive technology-enabled operational improvements across patient access, billing, denials, and more...Senior
$150k - $200k
A healthcare provider is seeking a compassionate Endocrinology Nurse Practitioner/Physician Assistant to join their team in Massachusetts... ...disorders, contributing to the health and well-being of seniors. Candidates should have a Master's Degree in Nursing and previous...SeniorFull time- ...provide legal expertise on the 340B Drug Pricing Program. This senior role involves managing legal matters, providing counsel on regulations... .... The ideal candidate will have over 10 years of experience in healthcare law, knowledge of the 340B program, and exceptional...Senior
$115k - $140k
NBBJ Design is seeking a Senior Healthcare Project Architect for their Boston studio. The ideal candidate will have at least 15 years of architectural experience with a focus on large-scale healthcare projects. Responsibilities include leading project documentation, collaborating...Senior
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