Senior Healthcare Fraud Investigator
Medica
Medica is seeking an experienced SIU Investigator IV to lead complex fraud, waste, and abuse investigations involving members, providers, and employees. The role also covers onsite audits, collaboration with legal and law enforcement, and guiding investigative processes to strengthen compliance. The position requires a Bachelor’s degree or equivalent experience plus 7+ years of investigative work. Office-based in Minnetonka, MN with significant cross-functional interaction and regulatory #J-18808-Ljbffr Medica
- ...Medica is seeking an experienced SIU Investigator IV to lead complex fraud, waste, and abuse investigations involving members, providers, and employees. The role also covers onsite audits, collaboration with legal and law enforcement, and guiding investigative processes...SeniorWork at office
- ...Medica is seeking an SIU Investigator III to join our Minnetonka, MN office. This onsite role conducts complex fraud, waste and abuse investigations, performs onsite audits and provider reviews, and collaborates with Legal, Regulatory, and law enforcement partners to advance...SeniorWork at office
- ...Medica in Minnetonka, MN is seeking an SIU Investigator IV to lead advanced fraud, waste, and abuse investigations involving members, providers, and employees. You will manage complex cases, review evidence from multiple sources, and guide actions that support legal or...Senior
- Medica in Minnetonka, MN is seeking an SIU Investigator III to lead complex investigations into fraud, waste, and abuse involving members, providers, and employees. You will work with legal teams and regulatory agencies, perform on-site audits, analyze evidence, and prepare...SeniorWork at office
- Medica seeks an experienced SIU Investigator III to conduct complex investigations of suspected fraud, waste, and abuse involving members, providers, and staff. The role leads case reviews, onsite audits, and interacts with legal and regulatory partners to advance investigations...Senior
- Medica is seeking an SIU Investigator III in Minnetonka, MN to conduct complex fraud investigations, onsite audits, and collaborate with legal/regulatory partners. The role emphasizes data-driven analysis, thorough documentation, and professional representation in external...SeniorWork at office3 days per week
- Medica, a nonprofit health plan serving Minnesota and surrounding states, seeks an experienced SIU Investigator IV. The role leads complex fraud investigations, conducts onsite audits, and collaborates with legal and regulatory partners to guide investigative strategies...Senior
- Medica is a non-profit health plan serving communities across Minnesota and surrounding states. The SIU Investigator III conducts complex investigations, onsite audits, and collaborates with legal and regulators to advance cases. This role requires at least a Bachelor'...Senior
$88k - $158k
...smoothly, securely, and reliably from the inside out.As a Senior Cybersecurity Analyst on the Cyber Fraud Intelligence team, you will provide daily support... ...the Fraud & Abuse space with fellow analysts, investigators, and engineers to identify & analyze fraud threat activity...SeniorFull timeTemporary workWork experience placementFlexible hours$100k - $150k
...save for a better today and tomorrow.Ascensus is seeking a Senior Fraud Strategy Analyst to join our Fraud Risk Management team. This... ...-7 years of progressive experience in fraud strategy, fraud investigations, financial crimes, or financial services risk managementExperience...SeniorFull timeRemote work- UnitedHealth Group is seeking a Coding Consultant to investigate and resolve healthcare fraud and provider abuse using CPT coding guidance. You will mentor investigators, review claims against medical records, and coordinate with internal and external stakeholders to ensure...Remote job
- We are looking to hire a resourceful fraud investigator to look into cases of suspected fraud and report any findings. In this role, you will collect evidence, research transactions, and write a final report on the investigation. To be a successful fraud investigator,...
- Optum is seeking a Senior Manager, Technical Product Management to define and execute product strategy for enterprise-scale, data-driven platforms in a healthcare payer context. This role sits at the intersection of business, technology, and analytics to translate complex...Senior
- Health Dimensions Group, based in Minneapolis, MN, seeks a Senior Accountant to maintain the general ledger and generate monthly financial... ...with the finance team and external auditors. Experience in healthcare accounting is preferred; CPA designation is a plus. Public...Senior
- ...the organization by identifying suspicious activity, conducting investigations, and ensuring compliance with anti-money laundering... ...excellent opportunity for professionals with experience in AML, fraud, financial services, banking, or compliance who enjoy investigative...
- Health Dimensions Group is seeking a Senior Accountant to join our Finance team and support our growing portfolio of managed senior living... ...'s in accounting and at least five years of accounting experience, preferably in healthcare. #J-18808-Ljbffr Health Dimensions GroupSenior
$134.6k - $230.8k
...At UnitedHealth Group, we're redefining how technology powers healthcare for millions of people. Every day, our engineers design, build,... ...and innovation that healthcare depends on. We're looking for a Senior Kubernetes & Linux Platform Engineer who thrives on solving complex...SeniorMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$88.9k - $155.5k
...fuel exceptional performance through an inclusive environment both now and in the future.Captis is a member-owned, collaborative healthcare organization dedicated to improving clinical effectiveness and economic efficiency. Since 2008, Captis has partnered with more than...SeniorFull timeContract work- PartsSource, a leading technology and software platform for healthcare equipment, is seeking a Director of Sales in Minnetonka, MN. You will lead a high-performing team, own revenue quota, and coach Account Managers and Business Development Executives to grow existing...Senior
$140.3k - $210.5k
...Workday to our customers! The Workday Healthcare Consulting team is an industry focused... ...Professional Services Healthcare Principal /Senior Consultant will be responsible for... ...a privacy right, or cooperating in an investigation in accordance with applicable law. Any...SeniorFull timeWork at officeRemote workHome officeFlexible hours- ...delivered over 100,000 projects to public agencies, small businesses, healthcare, hospitality, and educational facilities. We provide program... ...grid resiliency to over 50 investor-owned utilities.The Senior Program Manager will make operational decisions to meet program...SeniorContract workFor subcontractorLocal area
$138.4k - $207.6k
...and innovation, while helping champion healthcare access and equity for all. You'll lead... ...the CEO, Executive Committee, and other senior leaders. Reporting to the Director of Global... ...and ready for service Conduct investigations related to threats against Medtronic leaders...SeniorWork at officeLocal areaFlexible hours- ...Senior Buyer We believe that great healthcare is an essential safeguard of human dignity. At Laborie, we know the work we do matters it's what fuels our motivation and contributes to our success. If you're ready to make a positive impact in the lives of patients...Senior
$152.8k - $229.2k
...start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate... ...growth, and impact.A Day in the LifeThe Senior Principal Process Engineer for Dip Molding... ...the duration of employment. Recruitment Fraud AlertWe are aware of phishing scams targeting...SeniorFull timeH1bWork at officeLocal areaImmediate startRemote workFlexible hours- ...We believe that great healthcare is an essential safeguard of human dignity. A t Laborie, we know the work we do matters – it’s what fuels... ...We’re Looking For: As a key member of the Clinical team, the Senior Clinical Research Coordinator services as an experienced clinical...SeniorContract workWork at officeFlexible hours
- ...We believe that great healthcare is an essential safeguard of human dignity. At Laborie,... ...Child Health Clinical Affairs team, the Senior Clinical Research Associate will play a... ...SAEs and protocol deviations. Present at Investigator Meetings. Serves as a study liaison...SeniorLocal area
- ...delivers high-quality, evidence-based medical care while collaborating with physicians, clinical staff, and other members of the healthcare team to promote patient health, safety, continuity of care, and positive clinical outcomes in accordance with Johns Hopkins Medicine...Full time
$60.29 - $75.48 per hour
...Title : Senior Program Manager Location : Minnetonka, MN (Hybrid) Job Type : Contract-to-Hire Compensation : $60.29 - $75... ...About the Role Our client, a leading organization in the healthcare insurance and managed care industry, is seeking an experienced...SeniorContract workTemporary work3 days per week- ...operate 24 hours a day, 7 days a week, 365 days a year, supporting healthcare organizations, legal firms, property managers, and service... ...person we trust to run it. Position Overview CCS is seeking a Senior IT Manager to lead our IT infrastructure and systems team. This...SeniorFull timeRemote work
$41 - $65.6 per hour
...Summary The Health System FP&A Analyst Senior partners with local operational leaders to develop the entity’s annual budget, near... ...our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System...SeniorFull timeWork experience placementWork at officeLocal areaFlexible hours
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