Senior Healthcare Fraud Investigator - Data-Driven
CVS Health
CVS Health Corporation seeks a Senior Investigator for the Aetna Special Investigations Unit to conduct complex healthcare fraud and abuse investigations nationwide, including high profile matters. You will lead data-driven analyses, collaborate with Medical Directors, and prepare evidentiary materials for clinical and legal review. Responsibilities include proactive data mining, managing case workups, coordinating with law enforcement, and mentoring junior investigators. #J-18808-Ljbffr CVS Health
$85k - $105k
...Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in... ...Responsibilities will Include: Review, sort, and analyze data using computer software programs such as MicrosoftExcel. Review...DataFull timeWork experience placementWork at officeLocal area- ...Senior Vice President of Enrollment About the Company Leading online provider of... ...master of science in nursing master's in healthcare and doctorate in public health... ...enrollment operations. Strong skills in data-driven management, forecasting, CRM and student...DataSenior
$160k - $180k
...reality. Our drive to transform healthcare is informed by our blend of... ...human-centered creativity, and AI-driven insights, fostering a unique... ...Chemistry is looking for a Senior Counsel to join our growing team... ..., intellectual property laws, data and privacy regulations, and applicable...DataSeniorWork experience placementWork at officeLocal areaRemote workFlexible hours2 days per week$110k - $135k
...across the global education, healthcare, travel & B2B industries, with... ...opportunity Flywire is looking for a Senior Digital Marketing Manager to... ...acquisition, search, AI-driven discovery, website performance... ...Use behavioral and performance data to identify friction and improve...DataSeniorFull timeLocal areaShift work- ...you enjoy digging into customer data like a detective? Can you... ...that”? Join us. We’re hiring a Senior Conversion Copywriter to write... ...short and long-form conversion-driven assets. Edit and proofread content... ...well above the market average Healthcare coverage (Vision and Dental)...DataSeniorRemote jobFreelanceWork from home
- ...CLEAResult seeks a Senior Product Manager, Analytics & Insights to own the vision, strategy, and roadmap for client- and program-facing... ...discovery, write PRDs, prioritize the backlog, and partner with Data & AI, Software Engineering, Client Delivery and Success, and program...DataSenior
$71.2k - $166.1k
...mission? To create a human-centric healthcare experience powered by unified global data. It’s a big challenge, but big challenges... ...is seeking a skilled Federal Senior Engineer/Architect (Principal Consultant) to join our mission-driven organization. In this role, you...DataSeniorTemporary workFlexible hours$175k - $210k
...redefining innovation across the industries we touch—from healthcare and photography to semiconductors and data storage. With roots in photosensitive materials and... ...across the Americas. We’re looking for mission-driven talents eager to join us to help create, market, and...DataSeniorContract workRemote workFlexible hours- Humana is seeking a Senior Professional Service Designer to lead service design initiatives across core business lines. You will translate... ...concepts, aligning people, processes, technology, and data to improve patient and member experiences. You will plan discovery...DataSenior
- ...Senior Vice President, Finance About the Company High-growth healthcare organization scaling operations, analytics, and financial infrastructure for continued expansion... ..., adept at translating complex financial data into actionable insights that drive business performance...DataSeniorRemote work
- ...drive accuracy across the organization. You will partner with Finance, Payroll, Billing, and Operations to ensure reliable financial data and effective processes. The role emphasizes independent ownership, process improvements, and timely reconciliations, with...DataSeniorWork at office
- ...Pharmaceutical Sales Specialist for the Specialty Care CVRM team in Oklahoma City, OK. You will translate scientific data into actionable insights, engage healthcare professionals, and drive demand through multi-channel outreach to improve patient outcomes. The role...DataSenior
- ...Senior Vice President, Verticals About the Company Ambitious healthcare intelligence platform Industry Computer Software Type Privately Held, VC-backed... ...Categories Information Technology & Services Big Data Enterprise Software Health Care...DataSenior
- ...Senior Director, Strategy to the Chief People Officer (CPO) About the Company Prominent healthcare services company Industry Hospital & Health Care Type Privately Held... ...and translating workforce and business data into actionable recommendations. The leader...DataSeniorWork at office
- ...like-minded people committed to solving healthcare’s communication challenges. We’re a flat... ...heard. About the role We’re looking for a Senior Account Executive to own the full sales... ...takes initiative Detail-oriented and data-driven, and trusted with sensitive information...DataSeniorContract workWork experience placementRemote workWork from home
- ...Senior Vice President, AI Transformation About the Company Leading marketing & media agency focused on the healthcare sector Industry Marketing and Advertising Type Privately... ...should bring experience delivering AI, data, or technology-enabled initiatives...DataSenior
$132.5k - $338.3k
...leveraging technology, data, AI, and innovation to... ...: We collaborate with healthcare executives, leaders,... ...with technology and data-driven insights, we empower... ...and EHR Modernization Senior Manager, you will lead... ...in furtherance of an investigation, proceeding, hearing,...DataSeniorWork experience placementLive inWork at officeLocal areaWorldwide$65k - $75k
...passion and customer focus to the business.AHSG is a leader in the healthcare workforce solutions industry and is poised for its next phase... ...Operations, and leadership teams to ensure accurate financial data and effective accounting operations.Principal...DataSeniorWork at office$102.48k - $163.97k
...Job Title Senior Quality Systems Engineer Job Description The Senior Quality Systems Engineer... ...improvement. You’re experienced in Data analysis, understanding QMS metrics/key performance... ...everywhere has access to the quality. healthcare that we all deserve. Do the work of your...DataSeniorFull timeWork at officeWork visaRelocation package3 days per week- ...Nigeria, South Africa, and Zambia. The Senior Medical Scientist will provide technical... ...Prepare and/or analyze service delivery data and issue clinical recommendations for continuous... ..., financial monitoring, and data-driven problem solving. Proven ability to build...DataSeniorRemote work
- Senior Biomedical Scientist Microbiology JOB SUMMARY: To practice as a Healthcare Professions Council (HCPC) Registered BMS in accordance... ...the performance of tests and investigations undertaken. Supervise and co... ...Present scientific, technical data and audit data at staff...DataSeniorTraineeshipWork experience placementLocal area
- ...Abilities (KSAs) Must have computer skills and dexterity required for data entry and retrieval of information. Effective verbal and... ...all communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to...DataSeniorWork experience placementLocal areaImmediate start
- ...VI Marketing and Branding in Oklahoma City is seeking a Senior Paid Media Specialist to join the Digital Strategy team. You will lead... ...teams, and hands-on guidance for coordinators, with emphasis on data-driven optimization and budget monitoring. #J-18808-Ljbffr...DataSenior
$132.23k - $176.31k
...the AI‑powered world, connecting people, data, and applications through our expansive fiber... ..., join us today. The Role The Senior Lead Marketing Data Platform Architect is... ...audience activation, measurement, and AI-driven decision-making. The role requires close...DataSeniorFull timeTemporary work$113k - $234.6k
...platform supporting modernized, automated healthcare. This is a net new line of business,... ...with the focus on excellence. As our Senior Applied Scientist, you will play a key role... ..., etc. Proven experience in designing data collection/annotation solutions and systematic...DataSeniorTemporary workFlexible hours- ...provide critical feedback on the investigational plan. Ability to develop... ...patient care. Completes data entry into sponsor-specific... ...development, and support to less senior team members and interns;... ...the incumbent works within a healthcare setting, there may be occupational...DataSeniorWork experience placementLocal areaImmediate startFlexible hoursNight shift
$120k - $140k
...passion and customer focus to the business.AHSG is a leader in the healthcare workforce solutions industry and is poised for its next phase... ...consistency, accuracy, and integrity of financial reporting data across systems and workflowsReporting Automation & Analytics OptimizationDesign...DataSeniorFull timeWork at officeRemote work- ...seeking a Medical Assistant Sr in Oklahoma City to support multiple service lines with minimal supervision. You will record patient data in EMR, assist with immunizations under provider direction, and ensure accurate documentation and quality standards across clinics....DataSenior
- ...greatest number of trials. The Senior Clinical Research... ...education, project management, and data management. The position will... ...critical feedback on the investigational plan. Ability to develop study... ...the incumbent works within a healthcare setting, there may be...DataSeniorWork experience placementWork at officeLocal areaImmediate startFlexible hoursNight shift
- ...practices. You will partner with HR, finance, and business leaders to administer programs, benchmark pay structures, and produce data-driven reports while ensuring regulatory compliance and equitable pay across the organization. #J-18808-Ljbffr Love's Travel Stops & Country...DataSenior
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