Senior Investigator, Behavioral Health FWA & ABA
Capacity Path
CVS Health is seeking a Behavioral Health Senior Investigator to lead complex ABA-related investigations and ensure compliance with regulatory and payer requirements. You will review clinical documentation, contribute to fraud prevention, and collaborate with SIU and Compliance teams across multiple stakeholders. The role requires a BCBA certification and 2–3 years of ABA experience, with travel as needed to support investigations and audits. #J-18808-Ljbffr Capacity Path
$46.99k - $112.2k
We're building a world of health around every individual - shaping... .... Position Summary The Behavioral Health Senior Investigator is responsible for... ...Applied Behaviour Analysis (ABA) services and behavioural health... ...potential fraud, waste, and abuse (FWA). This position utilises...SeniorHourly payFull timeTemporary workLocal area- Hartford HealthCare is seeking a qualified professional for a behavioral health role located in Manchester, Connecticut. The applicant must possess a Master’s degree in the Behavioral Health field and be licensed in the state of Connecticut as LCSW, LMFT, LPC, or LADC....Senior
- ...efforts by assessing risk, conducting investigations, and informing mitigation actions to protect... ...and vulnerabilities by analyzing behavioral indicators, patterns in data, and known... ...management skills with internal clients (e.g., senior management, peers and colleagues);...SeniorWork at office
- Community Mental Health Affiliates, Inc. (CMHA) is hiring a Senior Program Officer to lead strategy, management and evaluation of CMHA programs. The SPO provides clinical and administrative leadership for residential, community support, and outpatient services to ensure...Senior
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...analyze evidence related to claims and prepare detailed reports. The ideal candidate will have 3+ years of experience in forensic investigations and a Bachelor’s degree in a relevant field. This role requires excellent communication skills to convey complex concepts to...Senior3 days per week$124.6k - $255.9k
...Are you passionate about shaping the future of health? Deloitte’s Center for Health Solutions (DCHS) is seeking a Senior Research Leader to drive innovative thought... ...expectations, provide feedback, and model leadership behaviors aligned with Deloitte’s purpose and values.Own...Senior$62.7k
...incumbent is responsible for conducting investigations of organizational or functional... ...relevant, progressive experience in the health insurance industry and/or healthcare fraud... ...to the ethical and legal standards and behavioral expectations as set forth in the code of...Contract workFor contractorsWork at officeLocal area- Develop, coordinate, and administer Environmental, Health, and Safety programs Oversee security at the East Providence, RI and Norwich... ...leadership and employee engagement Lead safety initiatives, behavioral safety programs, and continuous improvement efforts Conduct Gemba...SeniorFor contractorsLocal area
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...Senior Investigator & Compliance Specialist Under the direction of the Director of Equal Employment Opportunity, the Senior Investigator... ...policies Multiple retirement plan options Comprehensive health insurance choices Supplemental benefits for retirement...SeniorFull timeLive inWork at officeVisa sponsorshipWork visaAfternoon shift$80.5k - $166.1k
...Job Description Oracle Health Government Services is seeking a skilled Senior Consultant to join our VA Critical Support Team within a mission-driven organization... ..., Radiology, Pharmacy, Perioperative Services, Behavioral Health, Community Living Centers (CLC), Oncology,...SeniorTemporary workFlexible hours- CVS Health seeks a senior product leader to own the strategy and delivery for Aetna Health Chat and Secure Message Center, while incubating emerging self‑service channels like AI‑assisted text messaging. You will shape channel capabilities within the Aetna Health product...Senior
- ...Provider Industry Expertise • At least 2 years of experience in Health Care Domain preferably in Channel, Claims, Medicare and Govt Programs... ...or resume.SummaryType: Full-timeFunction: Information TechnologyExperience level: Mid-Senior LevelIndustry: Staffing And RecruitingSeniorPermanent employmentFull timeH1b
$126.3k - $210.5k
Senior Advisor, Medicaid & Marketplace StrategyWe are looking for a strategic, client-focused... .... In this role, you will help health plan clients navigate change, strengthen... ...medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company...SeniorFull timeLocal areaWork from home$128k - $252.5k
...complex challenges across the healthcare ecosystem. As an Actuarial Senior Consultant, you will apply actuarial, strategic, and analytical... ...to work on high-impact engagements spanning the entire health care landscape and product types, focused on pricing, underwriting...SeniorWork at officeLocal areaVisa sponsorship$71.2k - $166.1k
...Job Description We’re on a journey to advance how health happens with technologies that support clinicians, inspire innovation, empower... ...Oracle Health Government Services is seeking a skilled Federal Senior Engineer/Architect (Principal Consultant) to join our mission-...SeniorTemporary workFlexible hours$65k - $88.6k
...caring community The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud... ...for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it...Full timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$105.6k - $135.7k
...Department Overview: As a member of the Employee Relations Investigations & Policy team, you will strive to be a role model for the Company... ...individual performance. Benefits: GM offers a variety of health and wellbeing benefit programs. Benefit options include...Hourly payFull timeLocal areaRemote workWork from homeRelocation packageFlexible hours- A leading investigative firm is seeking Surveillance Investigators to deter insurance fraud in Connecticut. This field-based position requires... ...skills. VRC offers competitive pay, benefits including health insurance, paid vacation, and a 401K plan. Join our dedicated...
$68.2k - $102.3k
...absence management, life, supplemental health, medical stop-loss insurance, and healthcare... ...states plus AK. The opportunity: The Senior Manager, Stop Loss and Health Claims... ...Claims Operations : Direct the evaluation, investigation, negotiation, and settlement of complex...SeniorWork at officeLocal areaFlexible hours$67.9k - $182.55k
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize...SeniorHourly payFull timeTemporary workWork experience placementLocal area$71.1k - $106.7k
...absence management, life, supplemental health, medical stop-loss insurance, and healthcare... ...a highly organized and detail-oriented Senior Consultant, Supplemental Health Claims .... .... Collaborate with the claims team to investigate and resolve any complex or disputed claims...SeniorWork at officeLocal areaRelocationFlexible hours- The City of Hartford is seeking an Interviewer for the Health and Human Services Department, Region 3 HIV Prevention Program. The role involves interviewing applicants for various forms of assistance to assess eligibility, in community settings or offices, and making referrals...Senior
- InBloom Autism Services in New Britain, CT is seeking a Senior Registered Behavior Technician (Sr. RBT) to implement advanced ABA strategies, supervise junior RBTs, and collaborate with BCBAs/BCaBAs to advance client progress. You will lead data accuracy, contribute to...Senior
- ...Health Services Data Analyst Senior Location: This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity... ...to supporting Connecticut HUSKY Health Medicaid behavioral health services, quality measurement and performance...SeniorFull timeTemporary workLive inWork at officeLocal area2 days per week1 day per week
$106.52k - $133.15k
...direction of the Director of Equal Employment Opportunity, the Senior Investigator & Compliance Specialist provide senior-level oversight of... ...policies Multiple retirement plan options Comprehensive health insurance choices Supplemental benefits for retirement...SeniorFull timeLive inWork at officeVisa sponsorshipWork visaAfternoon shift$175k - $190k
...AXA XL is an Equal Opportunity Employer. Senior Future of Work Manager London, New York,... ...modeling inclusive, authentic leadership behaviors that foster trust, belonging, and resilience... ..., workforce agility, and cultural health within the Tech & AI teams. Use data to iterate...SeniorWork at officeFlexible hoursShift work$100.7k - $181.3k
...spanning content delivery, cloud computing, and security. As a Senior User Experience Researcher, you will be responsible for:... ...ensures it just works. Benefits at Akamai: We support your health, well-being, finances, and life beyond work. See our benefits. (...SeniorWork experience placementWork at office- POSITION SUMMARY The Senior Counselor provides direct services/case management/coordination... ...with client population with mental health and/or co-occurring substance use disorders... ..., crisis theory and other behavioral health concerns, and primary intervention...SeniorWork at officeTrial periodRelocation packageFlexible hours
$198.7k - $391.6k
...Summary Position Summary Throughout the health ecosystem, you’ll find courageous and... ...ll do The Health Care Marketing Strategy Senior Manager is a client-facing consulting... ...culture and modeling Deloitte leadership behaviors A successful candidate would possess these...SeniorLocal areaFlexible hours- ...Target Openings1What Is the Opportunity?The Senior Director, Strategic Initiatives &... ...experiences that address both the technical and behavioral dimensions of working in an AI-enabled... ...work experienceWhat Is in It for You?Health Insurance: Employees and their eligible...SeniorFull timeLocal areaShift work
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