Senior Pharmacy Fraud Investigator
UnitedHealthcare
UnitedHealthcare is seeking a Senior Investigator Pharmacy in Los Angeles to lead investigations into healthcare fraud, waste, and abuse. This role involves assessing misconduct allegations, conducting investigations, and reporting findings to regulators. The ideal candidate will have extensive experience in healthcare-related investigations and the ability to travel up to 50%. Join us to help create a more equitable healthcare system while enjoying a flexible telecommuting environment. #J-18808-Ljbffr UnitedHealthcare
- Elevance Health is looking for a Pharmacy Investigator Senior to independently identify and investigate healthcare fraud cases. The role involves managing complex investigations, collaborating with law enforcement, and conducting thorough claim reviews. Candidates should...SeniorWork at office2 days per week1 day per week
- California Bank of Commerce in Los Angeles seeks a Fraud Investigator dedicated to assessing and identifying risks linked to fraud. This role requires strong analytical skills and collaboration with various teams to conduct thorough investigations. Applicants should possess...Senior
- California Bank of Commerce, N.A. is looking for a Fraud Investigator to identify risks related to fraud affecting the bank and its clientele. This role involves analyzing transactional data and collaborating with various teams to conduct thorough investigations. The ideal...Senior
- Fraud Investigator This role is dedicated to assessing and identifying risks associated with fraud impacting the bank and its customers. The investigator collaborates closely with banking, treasury, and operations teams to conduct comprehensive fraud investigations. This...SeniorWork experience placementWork at officeLocal area
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- ...F&A Federal Credit Union seeks a Sr Fraud Analyst/Fraud Manager responsible for monitoring transactions and investigating fraudulent activities. Key responsibilities include analyzing trends and preparing reports on fraud. The ideal candidate holds a Bachelor’s in accounting...SeniorHourly pay
$8,312 - $10,844 per month
...The California Department of Insurance is seeking a Senior Insurance Examiner (Supervisor) to supervise and direct the work of insurance examiners in Los Angeles County. The role involves planning and conducting examinations of complex insurance firms, ensuring regulatory...SeniorPermanent employmentFull time- ...multiple health plans and AHF grants and contracts. The Claims Investigator-Examiner contributes to AHF's mission by ensuring accurate... ...regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access...
$33 - $40 per hour
...Description Job Description Description: Job Title: Senior Fraud Analyst – Chatsworth Overview: The Senior Fraud... ...conclusions and providing improvement recommendations. Conducts investigations. Maintains discretion and confidentiality. What You...SeniorHourly payWork at office$60.2k - $107.4k
A leading healthcare organization seeks a Senior Investigator Pharmacy to prevent and investigate healthcare fraud and abuse. Responsibilities include assessing misconduct complaints and analyzing trends. Required qualifications include a degree and relevant experience...SeniorRemote job$8.31k - $10.84k
...related medical conditions), and sexual orientation. Position Details Job Code: JC-520501 Position #: (***) ***-****-007 Working Title: Senior Insurance Examiner (Supervisor) Classification: SENIOR INSURANCE EXAMINER (SUPERVISOR) Salary Ranges: A: $8,312.00 – $10,844.00 B:...SeniorPermanent employmentFull timeRemote work- Insight Global is seeking a Clinical Healthcare Fraud Investigator in Los Angeles to support high volume claims for a top healthcare client. This role involves conducting full-cycle investigations leveraging regulatory and clinical expertise, mentoring fellow investigators...Senior
$60.2k - $107.4k
...difference? Join us to start Caring. Connecting. Growing together. Senior Investigator Pharmacy The Senior Investigator Pharmacy is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The Senior Investigator will utilize claims...SeniorMinimum wageFull timeTemporary workWork experience placementLocal areaRemote work$144.4k - $341.8k
...A prominent healthcare institution in Los Angeles is seeking a Clinical Manager to lead clinical pharmacy initiatives. This role involves overseeing program development and fostering a collaborative environment among medical teams. The ideal candidate will possess a PharmD...Senior$33 - $45 per hour
...assistance program Employee assistance program Essential Job Responsibilities The Sr Fraud Analyst/Fraud Manager is responsible for monitoring transactions, detecting, investigating, and mitigating suspicious activity typically focusing on card transactions, check clearings...SeniorHourly payLocal areaFlexible hours- ...AltaMed Health Services Corp is hiring an Epic Willow Analyst III in California. This senior-level position demands specialized support to pharmacy staff and leadership throughout the care continuum. The ideal candidate will manage system functionalities, educate staff...Senior
$170k - $180k
...Omnicell, Inc. is seeking a District Manager for Specialty Pharmacy Operations in California. This role is responsible for overseeing pharmacy operations and ensuring compliance with regulations while driving performance improvement. The ideal candidate will have a Pharm...Senior$61.91k - $118.25k
...delight and entertain fans around the world. How We Lead UMG’s fraud prevention team is leading the industry by example in fighting... ...copyright fraud. This analyst role will be responsible for investigating and documenting ongoing patterns of suspicious behavior related...Summer workWork at officeImmediate startRemote workFlexible hours- ...Overview The Senior Digital Forensic Examiner is responsible for the forensic preservation of digital media devices and cloud-based... ...detail‑oriented client deliverables Excellent analytical and investigative skills Excellent written and oral communication skills Highly...SeniorWork at office
$228k - $279k
Roman Health Pharmacy LLC is seeking a Senior Manager of Systems Engineering in El Segundo, California. The role involves leading a skilled team to develop cutting-edge space vehicles and payload systems while working collaboratively with various engineering teams. Candidates...Senior$78.5k - $163.6k
...The Academy of Managed Care Pharmacy is seeking a Claims Resolution and Reconciliation Supervisor in Los Angeles, California, to oversee daily claims resolution operations. The role entails supervising staff, ensuring compliance with CMS and DMHC regulations, and monitoring...Senior$144.4k - $341.8k
Join the University of California - Los Angeles Health as a Clinical Manager in Pharmacy Services. This leadership position at Ronald Reagan UCLA Medical Center involves overseeing clinical pharmacy programs and ensuring compliance with regulations while fostering the...SeniorFull time$144.4k - $341.8k
340B Health in California is seeking a Lead Pharmacist to oversee specialty pharmacy operations and ensure compliance with regulatory standards. You will manage accreditation requirements, supervise staff, and optimize workflow efficiency in a dynamic healthcare environment...SeniorFull time- ...City National Bank is seeking a Fraud Detection Specialist I in Los Angeles responsible for reviewing alerts and transactions to identify fraudulent activity. The role requires banking operations knowledge and provides the opportunity to play a key role in preventing financial...
- Providence Health & Services seeks a Senior Manager, Clinical Pharmacy - Procurement to lead the pharmacy procurement strategy across all service lines. This role offers remote work and requires strong leadership in medication purchasing and inventory compliance. The ideal...SeniorRemote job
- ...Academy of Managed Care Pharmacy is looking for a Claims Auditor to ensure the accuracy of claims processing in accordance with established regulations. The role involves conducting detailed audits, documenting findings, and analyzing claims to provide insights for management...Senior
- A leading healthcare provider in Los Angeles is seeking a lead pharmacist to oversee specialty pharmacy operations and ensure compliance with regulatory standards. The role involves managing accreditation activities, supervising pharmacy staff, and maintaining efficient...SeniorFull time
- ...Motivated team player that will perform Risk monitoring reviews and investigations with a specific focus on the card transaction channel. Based... ...behaviors and alerts and communicate the findings. Support fraud prevention and monitoring processes of the Risk department. A...Work at officeFlexible hours
$99.62k - $124.53k
...Dormont Manufacturing Co is looking for a dedicated Epic Willow Analyst III based in California. In this senior-level role, you will provide specialized support to pharmacy staff and lead the implementation of pharmacy information systems. With a strong focus on innovation...Senior
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