Senior Healthcare Fraud Investigator — National SIU
CVS Health
CVS Health is seeking a Senior Investigator for the Aetna Special Investigations Unit to conduct high-level fraud and abuse investigations with national reach. The role involves data mining, extensive claims analysis, and preparing cases for clinical and legal review. The candidate will collaborate with Medical Directors, document case activity, and may train junior investigators while coordinating with federal and state authorities as needed. #J-18808-Ljbffr CVS Health
- Premera Blue Cross is hiring an Investigator III in our Hybrid SIU team. You will lead medium to high complexity fraud cases from start to finish, analyze claims data, and coordinate... ...enforcement as needed. The role requires healthcare fraud investigation experience, strong...Senior
- ...based in Mountlake Terrace, WA, is hiring an Investigator III for its Special Investigations Unit.... ...Spokane. The investigator leads complex fraud cases, analyzes data, conducts interviews... ...’s degree or 4 years’ related experience and SIU expertise. #J-18808-Ljbffr PremeraSenior
- PEMCO, a mutual insurer headquartered near Seattle, seeks a Principal Claims Adjuster, SIU to lead fraud investigations for referred claims. The role requires travel to support investigations, training, CAT readiness, and collaboration with claims and enforcement partners...Senior
$25 - $32 per hour
...surveillance skills to work for a national leader? Join Lemieux & Associates , a trusted leader in investigative services, and make an impact with your SIU expertise. Our leadership team brings... ...as a Private Investigator or Fraud Investigator and live in the Seattle...SuggestedHourly payPart timeLive inFlexible hours$46.99k - $112.2k
...time. Position Summary The Senior Investigator, Aetna Special Investigations... ...known or suspected acts of healthcare fraud and abuse. This position... ...matters involving cases that are national in scope, as well as,... ...proactive data mining using SIU Tools to identify aberrant...SeniorHourly payFull timeTemporary workWork at officeLocal area$69.6k - $118.3k
...customers’ lives by making healthcare work better, is far from... ...Healthsource blog: The Senior Special Investigative Unit (SIU) Auditor Investigates and... ...audits potential healthcare fraud, waste, abuse, and coding... ..., color, religion, sex, national origin, age, disability,...Senior- Premera in Mountlake Terrace, WA, is seeking a Senior SIU Auditor to investigate healthcare fraud, waste, abuse, and coding irregularities across claims and reimbursement. This role requires advanced auditing expertise and strong judgment to lead proactive audit initiatives...Senior
- Premera Blue Cross is seeking an experienced Senior SIU Auditor to conduct audits of medical... ..., and documentation. You will lead fraud prevention efforts and support corrective... ...requires CPC and AHFI credentials, 5+ years in healthcare auditing, and proficiency with SQL and...Senior
- ...support the County’s risk management efforts through thorough investigation, evaluation, and resolution of complex liability and bodily injury... ...? Come join the team dedicated to serving one of the nation's best places to live, work and play. King County's Vision, Mission...SeniorBi-weekly payContract workWork at officeRemote work
- ...future, today. About the Role As our Senior Fraud Analyst for Consumer Lending , you will... ...and scale automated block and manual investigation policies. Advanced Risk Tooling: Liaison... ...without regard to race, religion, nationality, sex, sexual orientation, gender identity...SeniorRemote work
- ...Principal, National Healthcare About the Company Technology consulting and engineering firm specializing in integrated technology systems across complex building environments Industry Information Technology and Services Type Privately Held About the...
- ...Special Unit Investigations (Siu) Field InvestigatorEthos Risk Services is a leading insurance claims... ..., specializing in surveillance and fraud detection. At the forefront, we provide... ...on the basis of religious creed, sex, national origin, race, veteran status, disability...Casual workLocal areaNight shift
- Rover’s Account Safety Team in Seattle seeks detail-oriented professionals to investigate account takeovers, payment fraud, phishing, and organized fraud rings, shaping proactive detection and safer experiences for our community. You will analyze patterns, dispute chargebacks...Senior
$80.2k - $118.3k
...customers’ lives by making healthcare work better, is far from ordinary... ...of Premera’s Special Investigations Unit (SIU), the Investigator III leads... ...allegations of external fraud, waste, and abuse (FWA). This... ...and conferences like BCBSA, National Health Care Anti‑Fraud...Work experience placementWork at office- Lemieux & Associates LLC is seeking experienced SIU Field Investigators in Seattle, WA on a part-time basis. Join a national leader in investigative services with flexible hours and competitive pay. You will handle complex cases, conduct scene investigations, and document...Part timeFlexible hours
$240.3k - $282.4k
...besolvedany other way. The potential is enormous, and we have a clearpathto make it real. Come join us. Job Summary The Senior Director, U.S. National Security Partnerships, will lead PsiQuantum’s efforts to position the company for sustained collaboration with the...SeniorFull timeContract workRemote workShift work- King County's Office of Risk Management Services seeks a skilled claims professional to investigate, evaluate, and resolve complex liability and bodily injury claims. The role emphasizes equity, timely outcomes, and collaboration with internal and external partners to safeguard...Senior
- King County’s Office of Risk Management Services seeks a skilled claims professional to investigate, evaluate, and resolve complex liability and bodily injury claims. The role emphasizes fair, timely outcomes, effective collaboration with partners, and a commitment to Equity...SeniorRemote jobWork at office
- King County’s Office of Risk Management Services seeks a skilled claims professional to support risk management through thorough investigation, evaluation, and resolution of complex liability and bodily injury claims. This role safeguards public resources and ensures...SeniorWork at office
- Félix is hiring a Senior Fraud Analyst for Consumer Lending, a high-visibility hybrid role reporting to the Head of Credit Risk. You will define and mitigate fraud in the Send Now Pay Later product, building prevention frameworks and detecting sophisticated attack vectors...SeniorRemote job
- Washington State Department of Health is seeking a Health Care Investigator 3 to perform remote and travel-based investigations of licensed healthcare professionals. The role involves planning, data collection, on-site interviews, and preparation of formal reports for disciplinary...SeniorRemote job
- ...Department seeks a Principal Accountant to lead fiscal reviews, monitor sub-recipients, and strengthen internal controls. You will guide fraud risk management, support audits, and advise on policy and risk across HSD-funded providers, driving equity and accountability in...Senior
- Samsung Electronics America, Inc. invites applications for a Senior National Account Manager who will serve as the Samsung contact for Home Entertainment categories with major national retailers. The role leads cross-functional teams to drive annual sales, market share,...Senior
- Northwestern Medicine is seeking a Senior Media Relations Specialist to manage local and national media outreach for key clinical services and hospital programs. The role collaborates with hospital leadership, communications, and marketing to promote programs and experts...SeniorLocal area
- Consonus Healthcare is seeking a Physical Therapist to join a dynamic team delivering person-centered therapy to seniors and other motivated patients in need. You will craft personalized... ...opportunities for professional growth within a national network. #J-18808-Ljbffr AgeRightSenior
$29.37 - $41.12 per hour
...Fraud Investigator II Salal Credit Union is seeking a Fraud Investigator II to play a vital role in safeguarding our members and organization... ...or mental disability, size or shape, marital status, national origin, genetics/genetic markers, military or veteran status...Hourly payLocal areaRemote workWork from home$1,000 per month
...is responsible for protecting Rover's reputation by investigating, mitigating and monitoring fraud trends while protecting our customer and business from... ...applicants without regard to age, race, color, ancestry, national origin, religion, disability, protected veteran...Hourly payFull timeImmediate startWeekend work1 day per week- Samsung Electronics America, Inc. seeks a Senior National Account Manager for Home Entertainment to lead cross-functional teams and drive sales, market share, and promotional spend for major retailers. You will own item sell-in, lifecycle management, pricing, and online...Senior
- Brooks is seeking a Senior Runner Experience National Account Specialist to deliver outstanding service to Brooks national accounts and oversee end-to-end order management. You will collaborate with sales, retail channels, and internal teams to ensure needs are not only...Senior
- ...Senior Electrical Engineer Our client is a nationally recognized engineering firm delivering electrical, mechanical, plumbing, fire protection, and technology solutions across federal, ports, healthcare, education, and infrastructure markets. With a strong West Coast...Senior
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Healthcare Fraud Investigator — National SIU. Be the first to apply!
- bank fraud investigator Seattle, WA
- fraud investigator Seattle, WA
- senior operations technician Seattle, WA
- senior operations associate Seattle, WA
- senior cloud service delivery manager Seattle, WA
- senior it service manager Seattle, WA
- senior project engineer Seattle, WA
- senior chief engineer Seattle, WA
- sr operations manager Seattle, WA
- senior physical design engineer Seattle, WA

