Senior Pharmacy FWA Investigator (Remote/Hybrid)
Centene Corporation
- Remote job
Centene Corporation is seeking a seasoned investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, and other entities. You will analyze diverse data sources, develop investigative strategies, and manage cases through resolution in alignment with laws and policies. You will prepare detailed reports for leadership and regulators, serving as a knowledge resource on investigative techniques and regulatory considerations. #J-18808-Ljbffr Centene Corporation
$70.1k - $126.2k
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...Corporation in New York seeks a highly skilled individual to lead and manage complex internal investigations. This role requires exceptional judgment and the ability to guide senior management while ensuring compliance with federal and state regulations. The ideal...Remote jobSenior- Centene Corp. is seeking a Senior Pharmacy SIU Investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, pharmacies, and vendors. You will use analytics, records review, and interviews to uncover misconduct and support...Remote jobSenior
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Strive Pharmacy in Tampa is hiring for a Senior IT Systems Administrator focused on identity and access management. The role supports hybrid work with on-site and remote days, handling SSO, MFA, and provisioning across SaaS apps. You will own onboarding/offboarding workflows...Remote workSenior- Centene Corporation is seeking a senior investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, pharmacies, vendors, and other entities. You will analyze claims data, medical records, and financial information to identify...Remote jobSenior
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Senior Investigator Pharmacy At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers... ...years of experience in healthcare, fraud, waste and abuse (FWA) 2+ years of experience in state or federal regulatory FWA...Remote workSeniorFull timeTemporary workWork experience placementLocal area$60.2k - $107.4k
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...improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here... ..., IL or Raleigh NC, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.Primary Responsibilities...Remote workSeniorMinimum wageFull timeWork experience placementLocal area- Centene Corporation in Georgia is seeking an experienced investigator to independently lead complex fraud, waste, and abuse investigations across providers, members, pharmacies, and vendors. You will analyze claims data, medical records, and financial information to identify...Remote job
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...improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here... ...you reside near Minnesota, you'll enjoy the flexibility of a hybrid-remote position as you take on some tough challenges. Primary...Remote workSeniorHourly payMinimum wageFull timeContract workWork experience placementLocal area$76k - $180.6k
...ideal candidate will have 3+ years of experience in forensic investigations and a Bachelor’s degree in a relevant field. This role requires... ...concepts to non-science professionals. The position offers a hybrid work schedule, requiring in-lab presence three days a week. Competitive...Senior3 days per week- ...outcomes by connecting people with the care, pharmacy benefits, data and resources they need... ...customers and the business. The Senior Fraud Data Analyst serves as the analytics... ...insights to support fraud monitoring, investigations, risk decisioning, and loss mitigation...Remote jobSenior
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