Healthcare Fraud SIU Investigator
CVS Health
CVS Health Meritain Health is seeking an SIU Investigator to join the Network Cost Management team. This role focuses on preventing, investigating, and prosecuting healthcare fraud and abuse to recover funds and ensure regulatory compliance. You will conduct case investigations, coordinate with law enforcement, document activity, and deliver educational programs on fraud deterrence. Requires 3+ years in healthcare/claims investigation, strong Excel skills (pivot tables), and experience with #J-18808-Ljbffr CVS Health
$28 - $32 per hour
Description Command Investigations, LLC is seeking an Insurance Field Investigator with a minimum of three years experience to become part... ...dynamic team. This is an opportunity for individuals with prior SIU experience who demonstrate integrity, independence, and a...SuggestedHourly payPart timeWork at officeFlexible hours$46.99k - $122.4k
...administrator of self‑insured commercial health plans. The SIU Investigator will support Meritain Health’s Network Cost Management team... ...effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state...SuggestedHourly payFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hours- ...Wilson Bank & Trust is looking for a Fraud Analyst II to provide operational support in detecting and preventing fraud. This role will involve reviewing daily fraud alerts, researching potential fraudulent items, and documenting findings. The ideal candidate will have...Suggested
- ...Fraud Analyst I# Fraud Analyst IFirst Internet Bank of Indiana Fishers - Fishers, IN 46038## OverviewPosition TypeFull Time## Position... ...in a fraud related role in another industry (e.g., previous investigative experience in financial crimes) required* A high school...SuggestedFull timePart timeFor contractorsWork at office
- ...Employee Benefits Corporation is hiring for a Fraud Prevention Analyst. In this role, you’... ...and operations. You’ll combine investigation, analytics, and risk management to uncover... ...services, benefits administration, healthcare, or another regulated industry Why EBC...SuggestedWork at officeRemote workFlexible hours
- ...works to prevent crime and safety incidents. Responds to and investigates criminal activity and vehicle crashes as needed. Maintains records... ...physical security screening as required. Creates a safe healthcare environment for team members, patients and guests. Performs other...
- ...Health & Hospital Police Department, protecting life and property across healthcare facilities. The role operates under a Sergeant of Police and involves patrol, response, enforcement, and investigative duties to support patient safety and continuity of healthcare...
- ...company where people truly BELIEVE in what they\'re doing! We\'re committed to bringing passion and customer focus to the business. Fraud Analyst - Location: Lebanon, TN If you’re looking for a career where purpose meets opportunity, and where your contributions truly...Temporary workWork at officeLocal areaFlexible hours
- In this role, you'll conduct fact-finding investigations, analyze eligibility, and issue written determinations in compliance with federal and state unemployment insurance laws — all while meeting strict federal performance standards. What You\'ll Do Investigate unemployment...Work at office
- Allied Solutions, LLC is seeking a REPO Plus Claim Investigator responsible for investigating coverage claims and gathering information from insurance carriers. You will handle assignments, make outbound calls, and ensure proper documentation of claims. The ideal candidate...
- The REPO Plus Claim Investigator is responsible for investigating and gathering information from outside insurance carriers (OICs) related to collateral being investigated for coverage by the REPO Plus department. The position will make outbound calls to OIC claim departments...
- ...Biostatistics and Health Data Science. The role involves conducting research at the intersection of artificial intelligence and healthcare, with a focus on multimodal data analysis and causal AI. Candidates should have a Ph.D. and a strong foundation in machine learning...Full time
- Field Consultant Signature is looking to add a Field Consultant for the following counties: Marion, Johnson, Hamilton, Tipton, Madison. Are you looking for a new career that allows you to work independently, is flexible, and challenging every day, then we have a new...For contractorsWork from homeHome officeFlexible hours
- A leading inspection services provider in Indianapolis is seeking an independent contractor as an Insurance Field Inspector. The role includes conducting inspections to evaluate property conditions and producing detailed reports. Ideal candidates should be energetic, possess...For contractorsFlexible hours
$42k - $55k
Build a career where your precision and decisions truly matter. Information Providers Inc. in Indianapolis, IN, is hiring a full-time Insurance Premium Auditor . Apply now and take the next step forward in your career. You can expect to earn $42,000-$55,000 per year , ...Full timeTemporary workMonday to FridayFlexible hours- ...organizations, and companies solve some of the world’s most pressing healthcare challenges. Verista provides innovative solutions and... ...Pharma industry. Client will train the resource on Deviation Investigation. Requirements Deviation investigation remediation experience...Temporary workInternshipWork at office
- ...organizations, and companies solve some of the world’s most pressing healthcare challenges. Verista provides innovative solutions and... ...Pharma industry. Client will train the resource on Deviation Investigation. Requirements Deviation investigation remediation experience...Contract workTemporary workFor contractorsFor subcontractorInternshipWork at office
- First Chicago Insurance Company in Indianapolis, Indiana, is seeking an experienced Casualty Claims Specialist to investigate and settle automobile bodily injury claims. You will manage complex liability claims and perform thorough investigations while ensuring proper documentation...Work at office
- A healthcare company is seeking a Nurse Appeals specialist to investigate and process medical necessity appeals from members and providers. The role involves reviewing grievances, preparing summaries for Quality of Care cases, and ensuring timely resolution of grievances...Remote job
$66.53k
About the Indiana State Department of Toxicology The Indiana State Department of Toxicology provides forensic toxicological services and education about the science of toxicology. ISDT supports the criminal justice system through analyses for alcohol and selected drugs...Full timeWork experience placement- ...Ensures a safe and secure environment for customers, team members, and vendors. Responsible for investigating of internal and external theft, to include ORC (Organized Retail Crime) activity. Seeks best practices and continuous improvement in all asp Store Detective, Detective...
- ...profile below and apply today! Ensures a safe and secure environment for customers, team members, and vendors. Responsible for investigating of internal and external theft, to include ORC (Organized Retail Crime) activity. Seeks best practices and continuous...Weekly payWork experience placement
$23 - $24 per hour
Job Description - Overview Do you have EXPERIENCE IN RETAIL LOSS PREVENTION and want to work for a company that still believes in apprehending and prosecuting criminals? The Loss Prevention Department for Hobby Lobby is currently seeking a full time In-Store ...Full timeLocal areaFlexible hoursWeekend work- ...profile below and apply today! Ensures a safe and secure environment for customers, team members, and vendors. Responsible for investigating of internal and external theft, to include ORC (Organized Retail Crime) activity. Seeks best practices and continuous improvement...Weekly payWork experience placement
$14.55 - $20.4 per hour
...maintains confidentiality Observes, apprehends, and/or deters any acts of dishonesty from outside sources Participates in investigations and surveillance as assigned Ensures apprehensions are consistent with store theft activity Completes and distributes...Hourly payTemporary workLocal areaHome officeFlexible hours- ...impact on national security and the quality of life of all Americans. Duties Developing and conducting polygraph examinations of investigative subjects identified in support of agency field offices. Identifying information and report polygraph conclusions for potentially...Full timePart timeInterim roleWork at officeRemote workTrial periodRelocation package
- Summary THIS IS NOT AN OPEN JOB ANNOUNCEMENT** This is a public notice for Drug Enforcement Administration Criminal Investigator GL-1811-7/9/11 positions open to U.S. Citizens. A job announcement will be posted on USAJobs on April 20th, July 20th, and October 19th, 2...Permanent employmentLocal areaRelocationTrial periodWeekend work
- A retail company in Carmel is seeking candidates for a role that focuses on safety and theft prevention. Responsibilities include visually inspecting the building exterior and parking lot, conducting inspections of sales floors, and reviewing theft activity reports. The...Weekly pay
- As a family company, we serve people and communities. When you work at Meijer, you're provided with career and community opportunities centered around leadership, personal growth and development. Consider joining our family take care of your career and your community! ...Weekly pay
- ...through information sharing, training, research, and technology. Visit . Duties & Responsibilities The position is for a Criminal Investigator (Special Agent) with primary responsibility for prevention, detection, and investigation of substantive and conspiracy‑type...Work at officeLocal area
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