Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Senior Investigator, Healthcare Fraud & Compliance

EmblemHealth

A leading healthcare organization in New York is seeking an experienced Fraud Investigator to conduct complex investigations of reported fraud. The ideal candidate will maintain regulatory agency relationships and provide guidance to the Fraud Investigators. They should have a bachelor's degree in criminal justice or a related field, with 4 to 6+ years of relevant experience. Strong knowledge of medical coding, MS Office proficiency, and exceptional communication skills are required. #J-18808-Ljbffr

Vacancy posted 9 hours ago
Similar jobs that could be interesting for youBased on the Senior Investigator, Healthcare Fraud & Compliance in New York, NY vacancy
  • $70k - $90k

     ...Cotiviti is seeking a Senior Investigator to support the post-pay Fraud Waste & Abuse team. In this role, you will analyze incidents of fraud, manage investigations, and interact with various stakeholders. A Bachelor’s Degree along with 5-8 years of investigative experience... 
    Senior
    Fraud
    Remote work

    Cotiviti

    New York, NY
    3 days ago
  • $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... 
    Senior
    Fraud
    Remote work

    Cotiviti

    New York, NY
    3 days ago
  •  ...Summary of Job 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 peers.... 
    Senior
    Fraud
    Work experience placement
    Remote work

    EmblemHealth

    New York, NY
    4 days ago
  • $70k - $90k

     ...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...  ...Forensic Interviewer (CFI) Certified in Healthcare Compliance (CHC) Job Demands This is a work-at-home... 
    Senior
    Fraud
    Work experience placement
    Work at office
    Work from home

    Cotiviti

    New York, NY
    3 days ago
  •  ...provider based in New York is seeking an experienced ACE Investigator to assist with federal fraud investigations. This role requires extensive knowledge...  ...candidate will support the investigation of fraud in healthcare, contracting, and grants. Competitive benefits are... 
    Senior
    Fraud

    CGS Federal (Contact Government Services)

    New York, NY
    3 days ago
  • 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... 
    Senior
    Fraud
    Full time
    Work at office

    Hispanic Alliance for Career Enhancement

    New York, NY
    3 days ago
  • $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... 
    Senior
    Fraud
    Full time

    Hispanic Alliance for Career Enhancement

    Brooklyn, NY
    2 days ago
  • 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
    Fraud

    EmblemHealth

    New York, NY
    2 days ago
  • 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... 
    Senior
    Fraud
    Full time

    Hispanic Alliance for Career Enhancement

    Brooklyn, NY
    2 days ago
  •  ...Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project...  ...qualifications Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3 Relevant... 
    Fraud
    Full time
    Work experience placement
    Work at office
    Local area

    CGS Federal (Contact Government Services)

    New York, NY
    1 day ago
  •  ...Senior Counsel, Commercial Healthcare About the Company Regulated healthcare organization Industry...  ...will also be responsible for ensuring compliance with healthcare and consumer...  ...specific regulatory issues, such as fraud and abuse considerations, advertising... 
    Senior
    Fraud

    Confidential

    New York, NY
    5 days ago
  • $187k - $253k

     ...are seeking a brilliant and passionate Senior Staff Analyst for Fraud Policy to be a key player in...  ...minimizing fraud losses and maintaining compliance with applicable regulations. Responsibilities Fraud Detection & Investigation Monitor alerts and analyze real-time... 
    Senior
    Fraud
    Remote work

    Intuit Inc.

    New York, NY
    9 hours ago
  • $60.2k - $107.4k

    A leading health care organization is looking for a Senior Investigator Pharmacy to tackle healthcare fraud, waste, and abuse. The role includes investigating complex cases and preparing detailed reports based on findings. Candidates must have a Bachelor's or Associate'... 
    Senior
    Fraud

    UnitedHealthcare

    New York, NY
    1 day ago
  • $60.2k - $107.4k

    Senior Investigator Pharmacy At UnitedHealthcare, we're simplifying the health care experience...  ...identification, investigation and prevention of healthcare fraud, waste and abuse. The investigator...  ..., waste and abuse referrals Ensure compliance with applicable federal/state... 
    Senior
    Fraud
    Full time
    Temporary work
    Work experience placement
    Local area
    Remote work

    UnitedHealthcare

    New York, NY
    1 day ago
  • $161.6k - $202k

     ...is to fix this by building a new mental healthcare system everyone can access. We started by...  ...responsibility demands a security and compliance program that scales with the business. We...  ...yourself against phishing and recruitment fraud, please note that Headway only accepts... 
    Senior
    Fraud
    Work from home
    Flexible hours

    Headway - Design & Development

    New York, NY
    2 days ago
  • $179.2k - $280k

     ...is building a new mental healthcare system that everyone can...  ...healthcare for the better. As Senior Counsel, Labor &...  ...leaves and accommodations, investigations, wage and hour compliance, and other key areas. Build...  ...phishing and recruitment fraud, please note that Headway... 
    Senior
    Fraud
    Work from home
    Flexible hours

    Headway - Design & Development

    New York, NY
    3 days ago
  •  ...billion of private equity healthcare transactions. As we scale our...  ...50 states, we're seeking a Senior Compliance Analyst to ensure our legal...  ...for new Brand Partners Investigate potential compliance violations...  ...opinions and healthcare fraud enforcement trends Skills &... 
    Senior
    Fraud
    Remote work
    Flexible hours

    Medstra

    New York, NY
    3 days ago
  • $128.7k - $153.4k

     ...technology solutions in civic healthcare. Our dedication lies in...  ...integrity efforts to combat fraud, waste, and abuse within Medicare...  ...case tracking, audits, investigations, and workload management. UCM...  ...to prevent fraud and ensure compliance through efficient lead management... 
    Senior
    Fraud
    Temporary work
    For contractors
    Remote work
    Work from home
    Flexible hours

    Bellese

    New York, NY
    3 days ago
  • The Office of the NYS Comptroller Thomas P. DiNapoli is seeking an Investigator to direct and conduct confidential investigations regarding fraud, waste, and abuse. Candidates should possess at least 8 years of experience as a Police or Peace Officer and significant experience... 
    Senior
    Fraud
    Work at office
    Remote work

    Office of the NYS Comptroller Thomas P. DiNapoli

    New York, NY
    4 days ago
  • $59.88k - $95.7k

    Position Title Fraud Investigator Sr Location Troy, MI 48098 Job Summary The Enterprise Fraud Investigator Sr is responsible for conducting...  ...responsibilities as required. Consistently adheres to regulatory and compliance policies and standards linked to the job as listed and... 
    Senior
    Fraud
    Full time
    Work experience placement
    Work at office
    Local area

    Flagstar Bank

    New York, NY
    2 hours ago
  • $84k - $105k

     ...scores, and decision‑making logic from both internal and external fraud‑risk models and applications, and for ensuring an optimal...  ...year. Additional incentives and benefits available. Benefits Healthcare Coverage - competitive medical (PPO/HDHP), dental, and vision plans... 
    Senior
    Fraud
    Work at office
    Visa sponsorship
    Work visa
    Flexible hours

    Early Warning

    New York, NY
    1 day ago
  • $194k - $235k

     ...that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported...  ...Privacy & Data Governance Oversee compliance with HIPAA/HITECH, CCPA/CPRA, and state...  ...and bias laws, AKS, FCA and other fraud and abuse laws Partner closely with Product... 
    Senior
    Fraud
    Full time
    Fixed term contract
    Work at office
    Local area

    Charlie Health

    New York, NY
    6 days ago
  • $79.52k

    A government law enforcement agency in New York seeks a Senior Rackets Investigator for its Worker Protection Unit. The role involves conducting investigations into worker exploitation, collaborating with community groups, and preparing reports. Candidates must have relevant... 
    Senior
    Fraud

    Manhattan District Attorney

    New York, NY
    4 days ago
  • $84k - $105k

     ...decisioning logic from both internally and externally developed fraud risk models and applications with the associated outcomes as it...  ...for a discretionary incentive plan and benefits. Benefits Healthcare Coverage - Competitive medical (PPO/HDHP), dental, and vision plans... 
    Senior
    Fraud
    Hourly pay
    Work at office
    Immediate start
    Visa sponsorship
    Work visa
    Flexible hours

    Early Warning Services LLC

    New York, NY
    3 days ago
  • 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... 
    Senior
    Fraud
    Flexible hours
    Afternoon shift

    HRA/DEPT OF SOCIAL SERVICES

    New York, NY
    1 day ago
  •  ...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... 
    Senior
    Fraud
    Remote work

    RELX

    New York, NY
    3 days ago
  • $74.44k

     ...Queens County District Attorney (QDA) is seeking candidates for Senior Rackets Investigator positions within QDA's Detective Investigator Squad, which...  ..., domestic violence, gangs, public integrity, governmental fraud, revenue crimes, cyber crimes, white collar crimes,... 
    Senior
    Fraud
    Full time
    Work at office

    QDAO - Investigate/Admin

    New York, NY
    4 days ago
  • Responsibilities Conducts investigations into allegations of fraud, waste, or abuse, including preliminary assessments and full end-to-end case work...  ...field. Certified Professional Coder (CPC), Accredited Healthcare Fraud Investigator (AFHI), Certified Insurance Fraud... 
    Senior
    Fraud
    Work at office

    1199seiubenefits

    New York, NY
    3 days ago
  • $86.8k - $117.6k

     ...Victorias Secret Co is looking for a Sr Investigator, Ethics & Compliance to conduct thorough investigations of company policy violations. This remote full-time role requires at least 5-7 years of experience in HR investigations and offers a salary range from $86,800 to... 
    Senior
    Full time
    Remote work

    Victoria's Secret

    New York, NY
    3 days ago
  •  ...this mission, the BXDA seeks an experienced and enthusiastic Senior Rackets Investigator. The Senior Investigator is responsible for conducting a...  ...preferred: homicides, robberies, grand larceny, financial crimes, fraud, and identity theft. As per NY Public Officers Law 2, 3-B,... 
    Senior
    Fraud
    Full time
    Work at office
    Weekend work
    Afternoon shift

    Bronx District Attorney

    New York, NY
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Investigator, Healthcare Fraud & Compliance. Be the first to apply!