Fraud, Waste & Abuse Investigator (Hybrid)
Mass General Brigham Incorporated
Mass General Brigham Health Plan Holding Company, Inc. is seeking an SIU Fraud Investigator for a hybrid role in Somerville, MA. The position is full-time with on-site presence about once per month. The role focuses on creating, refining, and performing analytic reporting to identify potential fraud, waste, or abuse in claim submissions, including researching providers and members and documenting findings in reports. #J-18808-Ljbffr Mass General Brigham Incorporated
- ...analytic reporting aimed at identifying potential fraudulent, wasteful, or abusive claim submissions. The role includes preliminary research of... ...analytical activities in clear memoranda and reports. A hybrid, full-time role based in Assembly Row, Somerville. #J-18808...FraudFull time
$79.56k - $115.72k
...identifying potential fraudulent, wasteful, or abusive claim submissions. In addition to... ...Responsible for conducting confidential investigations of suspected fraud, waste & abuse (FWA) involving... ...Conditions This is a hybrid role that requires an on-site presence...FraudFull timeContract workWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift work- ...identifying potential fraudulent, wasteful, or abusive claim submissions. In addition to... ...Responsible for conducting confidential investigations of suspected fraud, waste & abuse (FWA) involving... ...)Working ConditionsThis is a hybrid role that requires an on-site presence...FraudFull timeContract workWork at officeLocal areaMonday to FridayFlexible hours
$46.99k - $112.2k
...Dental Fraud Investigator We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...the prevention, investigation and prosecution of Fraud, Waste and Abuse. Collaboration with Dental Network, providing...FraudHourly payFull timeTemporary workLocal area- ...Affirmative Civil Enforcement (ACE) Investigator Employment Type: Full-Time, Experienced... ...skills in investigative techniques and fraud detection to provide assistance for a large... ...and grants, as well as other fraud and abuse of federal public funds and programs....FraudFull timeWork at officeLocal areaRemote workFlexible hours
- ...Job Description Job Description Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support... ...for litigation. - Analyze data for evidence of fraud, waste and abuse. - Review and evaluate referrals to determine the need...FraudFull timeWork experience placementWork at officeLocal area
$25 - $29 per hour
...Part-Time SIU/Claims Investigator For the past 28 years, Advantage Investigations has been the Nation's only insurance defense investigation... ..., we're able to save our clients time and money on insurance fraud cases. Advantage Investigations is seeking a Part-Time SIU/...FraudBi-weekly payHourly payPart timeWork at officeRemote workFlexible hours$52k - $90.5k
...Division: Risk Management Department: BSA/Fraud Reports to: Fraud Investigations Manager Status: Exempt Grade: 9E Pay Range: $52,000-$90,498 Actual compensation within the pay range will be determined based on factors including, but not limited...FraudWork at office- ...opportunities for experienced, self-determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat insurance fraud. The surveillance investigator position is a field based, hourly, and non-...FraudBi-weekly payHourly payWork at office
- ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making for...FraudLocal areaNight shiftWeekend work
$20 - $26 per hour
Description Job Title: Surveillance Investigator Job Location : Boston, MA Job Type : Full-Time, Billable Hours, Non-exempt Eager to... ...career in a growing industry? Get paid to learn the ropes of fraud investigation and real-world surveillance. Frasco offers fully...FraudHourly payWeekly payFull timeWork at officeFlexible hoursNight shift- Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront of, we provide accurate data and actionable insights that translate into better decision-making for our clients...FraudFull timeLocal areaNight shiftWeekend work
- ...accountability, and support efforts to identify fraud, waste, and abuse (FWA). The successful candidate will... ...of FWA, and support audits and investigations. The Senior Healthcare Data Analyst... ...5:00 PM EST. This position follows a hybrid work model that combines in-office...FraudWork at officeRemote workMonday to Friday
- ...50,000 patients worldwide. The Clinical Trial Manager (CTM) - Investigator Initiated Studies is responsible for the oversight and management... ...to be free referrals.Heartflow has become aware of a fraud where unknown entities are posing as Heartflow recruiters in an...FraudContract workWork experience placementWork at officeLocal areaWorldwideRelocationShift work
$85k - $115k
...Location: Westborough, MA. Hybrid schedule Job Summary: The Senior... ..., consulting services, investigations and various projects. The Senior... ...of Ethics ("Standards"), fraud examination best practices,... ...allegations of financial fraud, waste and abuse among other allegations...FraudWork at officeNight shiftWeekend work- ...regulations and regulators. Our flexible/ hybrid work schedule includes 3 in-person... ...pharmacy practice questions with investigations or regulatory inspections. Develops and... ...such as annual Combat Methamphetamine, Fraud, Waste, and Abuse (FWA) and HIPAA training. Reviews and...FraudFull timeWork at officeRemote workFlexible hours
$118.3k - $219.8k
...of components and patterns, eliminating waste, duplication and unnecessary customization... ...-augmented generation (RAG) pipelines Hybrid ML + rules-based systems for structured content... ...; businesses and governments prevent fraud; consumers access financial services and...FraudFull timeTemporary workLocal areaImmediate startRemote workWork from homeWorldwideFlexible hours$32 - $35 per hour
...frontline of protecting our members from fraud and financial crime, directly preventing... ...to members during critical moments-investigating suspected fraud, educating members on identity... ...benefits package and employee perks. Hybrid Policy Eligibility ~ Minimum days in...FraudWork at office$107.45k - $199.55k
...Senior Data Scientist - GenAI to join the Long Term Care (LTC) Fraud, Waste & Abuse (FWA) Advanced Analytics team. In this role, you will lead... ...Salary Location Boston, Massachusetts Working Arrangement Hybrid Salary range is expected to be between $107,450.00 USD - $19...FraudTemporary workLocal areaFlexible hours- ...appropriations and fundraised dollars for the prevention of child abuse and neglect. Children's Trust is overseen by a board of... ...and lead training sessions on procurement ethics, preventing fraud, waste, and abuse, and regulation updates (when applicable). This includes...FraudContract workWork at office
- ...their counsel in independently responding to allegations of fraud, waste, abuse, misconduct, and non-compliance. We are noted for deploying... ...accounting and forensic services as well as cybercrime investigation services. Role Overview This position is responsible...FraudFull timeFor contractorsWork from home3 days per week
$75k - $90k
...independent state agency charged with preventing and detecting fraud, waste, and abuse in the use of public funds and public property. The OIG has... ...0 - $90,000 OTHER POSITION INFORMATION: Full time/Exempt HYBRID WORK SCHEDULE The Office of the Inspector General offers a...FraudFull timeWork at officeLocal areaImmediate startRemote workWork visa$141k - $241k
...exchange of health information, payment rules, preventing fraud, waste, and abuse, and ensuring accurate quality program reporting. Monitor... ...’s business and our industry. Independently investigate and act on compliance issues to successful resolution, including...FraudFull timeTemporary workWork at office$77.5k - $176k
...selected will be subject to a security investigation and may need to meet eligibility requirements... ...and protect against identity fraud. You are expected to be on camera during... ...person at a Booz Allen or customer facility.Hybrid: If this position is listed as hybrid, you...FraudFull timeContract workPart timeWork at officeLocal areaRemote work- ...banking platforms, ensuring strict adherence to internal controls and fraud-prevention protocols. Liquidity Management: Monitor and... ...into clear insights for executive leadership. #LI-Hybrid Humanity is a cornerstone of Form Energy's culture, and we...FraudFull timeTemporary workRelocation package
- ...inventory. Practices loss prevention procedures and alerts security and management of potential problems that may involve fraud, waste, and abuse. Performs other duties as assigned. Our Focus We are seeking associates who have a passion for delivering an extraordinary...FraudWorldwideFlexible hoursShift work
- ...problem solving and customer service skills.This is a full-time hybrid role based in Cambridge, MA. Key responsibilities include: Accounts... ...accurate banking details with strong internal controls and fraud prevention awareness. Process domestic and international payments...FraudFull time
- ...Title The incumbent's responsibilities include directing the Freedom of Information Act and Privacy Act Program, the Attorney Discipline Program, the Fraud and Abuse Prevention Program, the Employee/Labor Relations Unit, the Ethics Program, and the Immigration Unit....Fraud
$128k
...based on those insights. Our products help detect harm, prevent fraud, and build safer, more trusted online and real-world voice environments... ...taking it Weekly team lunches with dietary accommodations Hybrid work: core in-office days with flexible remote options...FraudWork at officeRemote workFlexible hours$85k - $88.4k
...ADA compliance, EEO obligations, and equitable practices. A primary focus of the role is conducting thorough and impartial investigations into ADA and EEO complaints, including investigatory interviews, analysis, and the preparation of detailed written findings and...Full timeContract workWork at officeLocal areaFlexible hoursAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Fraud, Waste & Abuse Investigator (Hybrid). Be the first to apply!



