Senior Investigator, Fraud & Abuse — Special Investigations
CVS Health
CVS Health in Pierre, South Dakota, is seeking a Fraud Investigator to conduct high-level analyses related to Pharmacy behavior to prevent fraud. The role requires strong investigative skills, knowledge of Pharmacy and Medical terminology, and proficiency in Microsoft Excel. Applicants should have 3-5 years of relevant experience, and a Bachelor's degree in Criminal Justice is preferred. The position offers a competitive salary range and a comprehensive benefits package. #J-18808-Ljbffr CVS Health
$46.99k - $112.2k
...Conducts high level, complex analysis of Pharmacy and Prescriber behavior to effectively pursue the prevention, investigation and prosecution of Fraud Waste and Abuse. Collaboration with Pharmacy Benefit Manager, providing meaningful evidence of Fraud, Waste and Abuse to...SeniorFraudHourly payFull timeTemporary workWork at officeLocal area- ...Office of the Attorney General seeks a highly motivated Investigator to join the Medicaid Fraud, Abuse, and Neglect Services (MFANS) Division. In this role,... ...years of criminal or fraud investigative experience. Special consideration for applicants with backgrounds in...FraudFull timeWork at officeVisa sponsorshipWork visa
$23.56 per hour
...South Dakota, and offers an hourly wage starting at $23.56 depending on qualifications. Job Summary The Office of Recoveries & Fraud Investigations (ORFI) identifies situations where social services benefit programs were obtained inappropriately and seeks recovery when...FraudHourly payFull timeTemporary workWork experience placementWork at office$23.56 per hour
...comprehensive services in connection with our partners that foster independent and healthy families. The Office of Recoveries & Fraud Investigations (ORFI) identifies situations where social services benefit programs were obtained inappropriately and identifies and seeks...FraudHourly payFull timeTemporary workWork experience placementWork at officeVisa sponsorshipWork visa$100k - $125k
...complex or technically difficult professional liability claims by investigating and gathering information to determine the exposure on the... ...cost for our clients. Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management...SeniorFraudWork at officeLocal areaRemote workFlexible hours- ...Senior Marketing Manager Anywhere Type: Contract Category: Marketing Industry: Financial Services Workplace Type: Remote... ...have any indication of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group: Eliassen Group is...SeniorFraudHourly payContract workFor contractorsLocal areaRemote work
- ...Senior Full Stack Software Developer Anywhere Type: Contract Category: Development Industry: Healthcare Workplace Type... ...have any indication of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group: Eliassen Group is...SeniorFraudHourly payContract workLocal areaRemote work
$25 - $29 per hour
...motivated Analyst to be assigned to the South Dakota Medicaid Fraud, Abuse, and Neglect Services Unit. This position is responsible for... ...candidate will be required to complete a background investigation. A background investigation will not necessarily bar employment...FraudHourly payWork at officeVisa sponsorshipWork visa$200k - $250k
Senior Practice Director, Mainframe Application ManagementRemote - United StatesJR013745 At Ensono, our Purpose is to be a relentless ally... ...environments (predictive analytics, intelligent automation, fraud detection) Certifications in IBM Z AI capabilities, machine learning...SeniorFraudFull timeTemporary workLocal areaRemote workWork from homeFlexible hours- ...production support analysis, issue resolution, and root cause investigations. Support phased migration strategies designed to minimize operational... ...have any indication of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group: Eliassen Group...FraudHourly payContract workLocal areaRemote work
- ...around us. Job Description As a Senior Mechanical Engineer, you will work directly... ...the client and their project work ~ Investigation and troubleshooting of problems to find... ...Additional Information Olsson specializes in engineering and design, client advisory...SeniorFull timeRemote workFlexible hours
- ...A leading global travel management company seeks a Travel Consultant specialized in U.S. Military and Government travel services. In this role, you'll provide outstanding service to defense and government travelers, managing complex travel arrangements and ensuring compliance...SeniorFlexible hours
$23.16 per hour
...utilizing the appropriate application and/or template. Identifies potential discrepancies in claim submissions and involves the Special Investigation Unit as necessary. Identifies issues which can be used to educate/train internal staff, streamline, and improve processes...SeniorFor contractorsWork at officeLocal area- Senior Electrical Engineer - Data Center (Remote) Arizona - Remote; Arkansas - Remote... ...the client and their project work Investigation and troubleshooting of problems to find... ...nationally recognized, employee-owned firm specializing in planning and design, engineering,...SeniorRemote jobFull timeInternshipFlexible hours
- ...outcomes, operational efficiency, and risk management. Serve as the technical authority for complex modeling initiatives including fraud detection, claims severity prediction, litigation risk modeling, and recovery optimization. Develop predictive and prescriptive models...Fraud
- ...FULLY REMOTE! Position Objective: As a Senior Human Resource Specialist, apply a broad... ...accurate conversion of general pay and special pay schedules to the law enforcement pay... ...including Electronic Questionnaires for Investigations Processing (e-QIP) initiations and...SeniorPermanent employmentTemporary workFor contractorsWork at officeLocal areaRemote work
$22.19 per hour
...comprehensive services in partnership with organizations that foster independent and healthy families. The Office of Recoveries & Fraud Investigations identifies situations where social services benefit programs were obtained inappropriately and seeks recovery when the state...FraudHourly payFull timeWork at officeVisa sponsorshipWork visa$130k - $160k
...culture of collaboration and accountability. Empower team to lead investigations into deviations, CAPA (Corrective and Preventive Actions), and... ...of employees, including hourly production employees through senior management. Must possess excellent written and oral...SeniorHourly payWork experience placementFlexible hours$94.1k - $155.3k
..., skill set, level of education, certifications, client requirements, contract-specific affordability, government clearance and investigation level, and years of experience. The compensation displayed for this role is a general guideline based on these factors and is unique...SeniorContract workWork at office$89k - $120.15k
...Job Description Summary A Vertica Senior Technical Support Engineer at Rocket Software delivers advanced Tier 3 Vertica support. They... ...individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please...Senior$11.85 per hour
...promotions: Inform customers about current store events, promotions, and special activities to enhance their shopping experience and drive sales.... .../newPosition Type:HourlyPosition Starting At:$11.85BE AWARE OF FRAUD! Please be aware of potentially fraudulent job postings or...FraudPart timeLocal areaImmediate startFlexible hoursNight shiftWeekend workAfternoon shift$150.03k - $224.25k
...trials program, including registrational, post-marketing and Investigator-Sponsored Trials (ISTs), health economic outcomes research, other... ...Accommodation Request (****@*****.***) . Fraud Disclaimer Statement Regarding Job Recruiting Fraud Scams: At...FraudTemporary workWork at officeLocal areaFlexible hours$90.23k
...change the world. Job Description CDM Smith is seeking a Senior Financial Analyst to join our Corporate FP&A Team! This role... ...will be contingent upon successful completion of a background investigation including criminal history. Criminal history will not automatically...SeniorH1b$169.22k - $253k
...validation, comparability, control strategy implementation, and investigations. The ideal candidate brings deep expertise in biologics... ...****@*****.***) . Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and protection of your...FraudContract workTemporary workLocal areaFlexible hours$100.7k - $181.3k
...infrastructure management. Your research will shape global products spanning content delivery, cloud computing, and security. As a Senior User Experience Researcher, you will be responsible for: Leading end-to-end research across the product lifecycle from early discovery...SeniorWork experience placementWork at office$186.49k - $278.88k
...pharmacology sections for regulatory filings including annual reports, investigator’s brochure, IND/NDA applications and pediatrics development... ...@otsuka-us.com) . Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and protection of your...FraudContract workTemporary workLocal areaFlexible hours$164.53k - $245.99k
.... This position reports directly to the Senior Director, CNS Medical Communications Lead... ...assigned CNS assets Coordinate with investigators, medical writers, and the Senior Director... .... Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and...FraudTemporary workLocal areaFlexible hours$145k
...Maximus is seeking a Senior Back-End Developer to join our team! The Senior Back-End Developer provides subject matter proficiency... ...for providing analytical skills to support process improvement, specialized studies, and definition of requirements. Typical duties...SeniorContract workRemote work$62.4k - $93.6k
...theirs, too. Join our team as we help shape the future. The Workers' Compensation Senior Claim Representative is accountable for planning, recommending, and executing the investigation of workers' compensation claims. Our dynamic team of claim professionals provide...SeniorTemporary workRemote workMonday to Friday3 days per week- ...and verbal communication skills, with proven ability to brief senior leadership and translate technical risk into business terms. Demonstrated... ...or ability to obtain and maintain required background investigation; U.S. citizenship required. Preferred Qualifications...SeniorContract workWork experience placementWork at officeShift work
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