Healthcare Fraud Investigator II - Hybrid
IEHP
A healthcare organization is looking for a Special Investigations Unit Investigator II to investigate fraud and abuse in the healthcare environment. This role conducts thorough investigations leveraging data analytics, ensuring compliance with regulations, and supports the FWA Program. Candidates should have a bachelor's degree or equivalent professional experience. The position offers a hybrid work schedule and includes benefits like medical and retirement plans. #J-18808-Ljbffr
$80.06k - $106.06k
Special Investigations Unit Investigator II (Healthcare) The SIU Investigator II is responsible for investigating and analyzing suspected cases of fraud, waste, and abuse within the healthcare environment... ...0 - $106,059.20 USD Annually Hybrid Schedule, Monday & Friday are...SuggestedWork experience placementWork from homeMonday to Friday$21.56 - $29.11 per hour
...position is also eligible for an annual bonus.SUMMARYThe Payment Fraud Analyst is responsible for reviewing and analyzing suspicious... ...bank’s fraud detection systems and uses sound judgment and investigative skills to determine whether transactions are authorized or potentially...SuggestedWork at officeShift work- ...Aspire General Insurance in Rancho Cucamonga, California, is seeking an SIU Specialist dedicated to investigating and resolving automobile claims. The ideal candidate will have over three years of experience in the Property and Casualty insurance industry and possess strong...Suggested
- ...Citizens Business Bank is seeking a Payment Fraud Analyst to review and analyze suspicious transactions related to banking activities. This role involves investigating potential fraud cases, preparing documentation, and communicating findings with various stakeholders...Suggested
- ...persons accurately; learn radio and dispatching systems; learn investigative techniques; work cooperatively with other employees and public;... ...courses are required. Courses required by POST are: Level II - Completion of Level II Reserve Officer Level I -...SuggestedPart timeLocal area
- ...persons accurately; learn radio and dispatching systems; learn investigative techniques; work cooperatively with other employees and public;... ...Standards and Training (POST) courses are required: Level II - Completion of Level II Reserve Officer Level I -...Part timeLocal area
$25 - $30 per hour
...fuel station locations. In this role, you’ll conduct fact-based investigations, gather evidence, interview involved parties, and provide... ...to assess liability, identify root cause, and flag potential fraud or negligence Prepare clear, professional investigative reports...- Rebel Convenience Stores is seeking a detail-oriented Claims Investigator to support fair, accurate, and timely resolution of general liability, property damage, and injury claims across our store and fuel locations in California. You will conduct fact-based investigations...
$148.35k - $178.35k
...including organizing workload, submitting examination findings, and corresponding with the Quality Assurance Team. Collaborate with Healthcare Professionals: Coordinate and collaborate with other healthcare professionals, specialists, and experts as needed to obtain...For contractorsFor subcontractorWorldwideMonday to Friday$67.32 per hour
...Examiner Physician AssistantRancho Cucamonga, California On-Site Healthcare WorkforceJob DescriptionAs an Examiner, you will be conducting Compensation & Pension(C&P) Examinations for Veterans applying for disability compensation from the Department of Veteran Affairs...Hourly payFor contractorsFor subcontractorWorldwideMonday to Friday- Allied Universal Surveillance Investigators are needed to perform discreet mobile and stationary surveillance to support insurance claims. The role requires driving and the ability to operate surveillance equipment, with reporting duties to document observations clearly...
- Quest Diagnostics Incorporated is searching for a Mobile Examiner in Rancho Cucamonga, California. In this role, you will be responsible for conducting insurance exams, ensuring they are completed accurately and on time. Your duties include specimen collection, conducting...Flexible hoursWeekend work
$90k
...the safeguarding of company assets from losses due to theft or fraud. ~ Oversees video surveillance program for the area/region... ...employee training and audits to prevent merchandise loss; investigates known losses and coordinates with police on theft prosecution....Flexible hoursAfternoon shift- Loyal Source Government Services seeks a licensed Physician Assistant to conduct VA Compensation & Pension examinations for disability claims. You will review medical records, perform focused physicals, and render objective opinions, with about 10% travel to other clinics...Remote job
$25 - $65 per hour
A consulting firm is seeking an experienced Plans Examiner in Upland, California. This role involves examining building plans for compliance with established codes, providing information to clients, and coordinating with other departments. Candidates should have strong ...$32.55 - $41.55 per hour
...Qualified applicants will be required to complete oral interviews as part of the recruitment process. Step 4: Background Investigation and Administrative Interviews: Qualified applicants will undergo a complete, comprehensive, POST approved Background...Hourly payTemporary workPart timeFor contractorsTraineeshipWork at officeTrial periodNight shiftDay shift$3,500 per month
...and property, and the enforcement of laws, codes, and ordinances; patrols areas of the City and conducts surveillance; performs investigative work; controls traffic flow and enforces traffic regulations; participates in and provides support and assistance to special department...Full timeFor contractorsWork at officeLocal areaRelocation package- ...focus on the Consumer Products, Tech, Healthcare, Automotive, and Publisher industries.... ...service levels. Manage incident response, investigations, and corrective actions. Coordinate... ...theft, workplace violence, vandalism, fraud, policy violations, and other security...Full timeContract workWork at officeFlexible hours
- ..., those who join the Secret Service are courageous, intelligent, strong and determined. A diverse team capable of balancing our investigative mission and fulfilling our protective legacy. Proven to be worthy of trust and confidence. Be tomorrow's Secret Service. Duties...Relocation
$2,500 per month
...and property, and the enforcement of laws, codes, and ordinances; patrols areas of the City and conducts surveillance; performs investigative work; controls traffic flow and enforces traffic regulations; participates in and provides support and assistance to special department...Permanent employmentFull timeFor contractorsWork at officeLocal areaRelocation package- ...communities we serve.Job Summary:The Loss Prevention Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their assigned territory. They utilize tools to minimize loss to the...Local area
$13.97 - $26.71 per hour
Job Description Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment ...Work experience placementWork at officeImmediate startFlexible hoursAfternoon shiftWeekday work$13.97 - $26.71 per hour
Job Description Under the direction of the Branch Manager or Field Leader, the Mobile Examiner’s primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for ...Hourly payWork experience placementWork at officeImmediate startFlexible hoursAfternoon shiftWeekday work- Allied Universal is seeking a Part-Time Security Officer in Ontario, CA to monitor access points, verify credentials, and patrol facilities, ensuring safe and secure operations at a retail distribution center. You will provide courteous customer service while enforcing ...Part timeFlexible hours
- ...asset-loss risks, promoting business-process optimization and refined cost control. Professional Case Investigation Mechanism: For internal/external theft, fraud, and other violations, conduct in-depth investigations jointly with integrity/ethics teams. Establish a closed...Local areaOverseas
- NTT DATA Services is seeking a Claims Examiner to process medical claims within the Xcelys environment. You will handle adjudication, coding, and contract issues while supporting system improvements and audits. The role requires 2+ years of claims adjudication, 1 year in...Remote jobLong term contractContract work
$25 - $65 per hour
A consulting firm in California is looking for an experienced Plans Examiner to ensure compliance with building codes. This role involves reviewing plans, coordinating with various departments, and assisting at the permit counter. Candidates should have at least two years...$25 - $65 per hour
A consulting group is seeking an experienced Plans Examiner in California. This role involves examining building plans for compliance with codes, coordinating with departments, and providing information to contractors. The ideal candidate will have at least two years of...For contractors$25 - $65 per hour
BPR Consulting Group ( ) is seeking an experienced and certified Plans Examiner to join our growing company and serve our clients. Full time and part time opportunities are available for qualified candidates. The successful candidates must have experience and success ...Full timePart timeFor contractorsLocal areaFlexible hours- ...and apprehends suspects; coordinates crime scene control and investigation activities. Patrols a designated area of the City to ensure... ...reports relating to vehicle theft/accidents and cellular phone fraud; identifies locations of illicit drug use and sales. Provides...Full timeLocal areaTrial period
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