Healthcare Fraud SIU Investigator
Stryker Orthopaedics
CVS Health is seeking a Special Investigations Unit (SIU) Investigator to conduct investigations into healthcare fraud, waste and abuse, and to support recovery of funds while ensuring compliance with federal and state regulations. The role requires 1–3 years of investigative experience, proficiency with MS Word/Excel/Outlook, open source research, and ability to travel for business and legal proceedings. A bachelor's degree in a related field is preferred. #J-18808-Ljbffr Stryker Corporation
- The Elevance Health Companies, Inc. seeks an Investigator II to identify, investigate, and develop cases against healthcare fraud perpetrators to recover corporate and client funds. The role involves claim reviews, data mining, entity reviews, and law enforcement referrals...Suggested
- Stryker Corporation is seeking a Senior Investigator to conduct complex investigations related to healthcare fraud and abuse. Your role will involve high-level investigative tasks, preparing cases for clinical and legal review, and working closely with law enforcement...Suggested
$46.99k - $112.2k
...person, one family and one community at a time. Position Summary As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, those that...SuggestedHourly payFull timeTemporary workWork at officeLocal area$97k - $180k
...educational background, their work experience, and the specific competencies crucial for success in the role. RealmOne Benefits Healthcare Coverage + Insurance: Medical: Three (3) rich healthcare options through CareFirst with 100% or majority company-paid premiums....SuggestedContract workWork experience placementImmediate startFlexible hours$90.3k - $189.6k
...options is designed to support and protect employees and their families. At CACI, you will receive comprehensive benefits such as; healthcare, wellness, financial, retirement, family support, continuing education, and time off benefits.The proposed salary range for this...SuggestedContract workWork experience placementFlexible hours$128k - $190k
...educational background, their work experience, and the specific competencies crucial for success in the role. RealmOne Benefits: Healthcare Coverage + Insurance: Medical: Three (3) rich healthcare options through CareFirst with 100% or majority company-paid premiums. Tax...Contract workWork experience placementImmediate startFlexible hours- ...Becker & Co Inc is seeking skilled Field Investigators to join our team on an "as needed" basis.... ...for various insurance claims, including fraud and liability. The selected candidates will... ...area, including surveillance and SIU assignments. Successful applicants will be...Flexible hours
$43.89k - $93.57k
...and one community at a time. Position Summary The Special Investigations Unit (SIU) Investigator conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with federal...Hourly payFull timeTemporary workLocal area- ...performance. Employees in this position are also eligible to participate in the Company’s comprehensive benefits programs, which include healthcare, life and disability insurance plans, a 401(k)-retirement savings plan, and time‑off programs. Specific details of these benefits...Permanent employmentFlexible hours
$85k - $90k
...vulnerabilities, and emerging risks. Conduct OSINT monitoring and investigations across mainstream, alternative, and deep web platforms to... ...Plan with match, Flexible Spending Accounts for pre‑tax Healthcare, Dependent Care, and Commuter Benefits, Accident and Critical...Full timeTemporary workWork at officeLocal areaFlexible hoursShift workRotating shiftAfternoon shift$41.28 - $57.26 per hour
...voluntary (pre-tax) contribution up to 1 percent. Retiree Healthcare: New retirees who have been enrolled in one of the city's medical... ...assigned shift. Performs activities associated with investigations and crime prevention; writes detailed police reports;...Hourly payFull timeTemporary workWork at officeTrial periodFlexible hoursShift workRotating shift$89.17k - $112.94k
...About the Role Gusto is seeking a Fraud Investigations Analyst to join our Fraud Investigations team. In this role, you will conduct end-to-end fraud investigations involving account takeover, business email compromise, identity theft, payment fraud, and other emerging...Work at officeLocal area2 days per week3 days per week$37.17 - $56.17 per hour
...their Bachelor of Science in Nursing (BSN) within four (4) years of their hire date. Basic Life Support Certification (BLS) for healthcare providers. Preferred Qualifications Bachelor's degree in nursing (BSN). Education must be obtained from an accredited institution...Hourly payShift workNight shiftWeekend workAfternoon shift- ...want to join an organization that invests in you as a Law Enforcement Officer PRN? At HCA HealthONE Swedish, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years. Job Summary and...Hourly payContract workTemporary workReliefFlexible hours
- ...A leading healthcare provider in Arvada is seeking a part-time Mobile Collector to gather medical histories and perform blood collections at various locations. This role offers flexibility in scheduling, allowing you to manage your availability. Candidates must be skilled...Part time
$61.9k - $141k
...verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during interviews and assessments. We reserve the right to take your picture to verify your...Full timeContract workPart timeWork at officeLocal areaRemote workWeekend work$21 - $24 per hour
A healthcare service provider is seeking a part-time Mobile Phlebotomist in Deer Trail, Colorado. The role offers flexibility, allowing you to manage your own schedule. Key responsibilities include performing blood draws and collecting vital signs at various locations....Hourly payPart timeFlexible hours$89.17k - $112.94k
Gusto, Inc. is seeking a Fraud Investigations Analyst in Denver to join their Fraud Investigations team, conducting end-to-end fraud investigations. The role involves analyzing account activities and synthesizing investigative findings into clear narratives. The ideal...- Gusto is looking for a Fraud Investigations Analyst in Denver to conduct end-to-end fraud investigations involving account takeover, identity theft, and payment fraud. The role involves leveraging AI and investigative expertise to document findings and assess risks while...
- Jobtailor is seeking an experienced claims professional to investigate, evaluate, and settle complex commercial property claims for both first and third parties. The role requires deep knowledge of policy terms and the ability to establish reserves and resolve claims swiftly...
- Arapahoe County Government is looking for a Welfare Benefits Fraud Investigator. This role involves investigating allegations of welfare fraud within the Human Services Department. Candidates must be organized and skilled in problem-solving, with strong writing abilities...Work experience placementFlexible hours
- Qlarant is seeking a Claims Auditor to conduct impartial audits and investigate customer claims ensuring accurate assessments of validity. The... ...experience, with a preference for those holding a Certified Fraud Examiner certification. The auditor will communicate findings...
- UCHealth, a leading nonprofit healthcare system in Colorado, is seeking a compassionate and dedicated Registered Nurse to join our team as a Forensic Nurse Examiner / Sexual Assault Nurse Examiner (FNE/SANE). In this critical role, the RN FNE/SANE will provide specialized...
- A healthcare provider in Denver is seeking a Registered Nurse (RN) to provide compassionate, trauma-informed care. Responsibilities include assessing, planning, and evaluating patient care, ensuring adherence to legal standards, and collaborating with healthcare teams....Hourly payFull time
- ...survey teams to ensure patient safety and regulatory compliance. The position requires extensive experience in HFEMSD-regulated healthcare, strong analytical and communication skills, and the ability to manage multiple priorities in a demanding #J-18808-Ljbffr Colorado...
$26.58 - $39.88 per hour
Title: Welfare Benefits Fraud Investigator-Hybrid Work Model Job Number: 675 Salary: $26.58-$39.88 Department/Office: Human Services Division: County Attorney - Human Services Location: 14980 E. Alameda Dr., Aurora, CO, 80012 Job Type: Hourly Full-Time Posting Date: 06...Hourly payFull timeWork experience placementWork at officeLocal areaTrial period- ...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
$33.5 - $38.5 per hour
Are you a detail-oriented and independent professional ready to take on a challenging and rewarding role? Come Join ReSource Pro! Your role Premium Insurance Field Auditor (1099/Contractor) to play a vital role in ensuring accurate insurance policy premiums. In this role...Hourly payFor contractorsWork experience placementLocal areaRemote work$60 - $75 per hour
H & S Loss Control Inspections is seeking Qualified Field Inspectors for Insurance Loss Control in Colorado. This role requires inspecting properties for potential hazards, scheduling, and completing reports online. A competitive flat fee per case, ranging from $60 to $...For contractorsFlexible hours- Job Summary Location: Methodist Fremont Health Address: 450 E 23rd St. - Fremont, NE Work Schedule: On Call - Casual Gathering a group of nurses to start a Forensic program in Fremont. Accountable for the delivery of quality care to patients and families according to...Temporary workCasual workReliefWork at officeLocal areaImmediate startShift work
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