Senior Healthcare Fraud Investigator with National Impact
CVS Health Corporation
CVS Health Corporation in Kentucky seeks a Senior Investigator to conduct high‑level investigations of known or suspected healthcare fraud and abuse. You will handle national, complex cases, prepare cases for clinical and legal review, and coordinate with providers and law enforcement as needed. This full‑time role offers a comprehensive benefits package and opportunities to impact fraud prevention across Medicaid lines. #J-18808-Ljbffr CVS Health Corporation
- ...Under the guidance of the Fraud Operations Manager, the Senior Fraud Analyst serves in a... ...to prevent, detect, and investigate fraudulent activities. This... ...for assisting with daily fraud alerts, fraud... ...orientation, gender identity, national origin, veteran, or disability...SeniorRemote job
- ...workforce and positively impact the communities we... ...build a successful career with opportunities to learn... ...detection of possible fraud. Key responsibilities... ...Intelligence Investigation Management Issue Management... ...Week 40 #J-18808-Ljbffr National Black MBA AssociationSeniorWork at officeWork from homeMonday to FridayFlexible hoursShift workWeekend workDay shift
$130k - $160k
Make An Impact - Senior Director, Network & Member Solutions Forest Hills, Queens, NY, USA Job... ..., this role demands a proactive builder with a strong "selling" communication style,... ...sex, sexual orientation, gender identity, national origin, veteran or disability status or...SeniorLocal areaRemote workShift work$100.8k - $168k
McKesson is an impact-driven, Fortune 10 company that... ...virtually every aspect of healthcare. We are known for... ...you will work closely with compliance leadership to... ...priorities. Reporting to the Senior Director of SOX... ...orientation, gender identity, national origin, protected...Senior- ...Pathologist (SLP) to join our rehab team. You will assess, treat, and support residents with communication and swallowing challenges, while creating personalized care plans that make a real impact. Join Journey’s collaborative environment where local leadership and a dedicated...SeniorWork at officeLocal areaWork from homeHome office
$62.1k - $105.3k
...Job Description National General is a... ...responsible for investigating and analyzing complex... ...for potential fraud. This role... ...direction to less senior employees and... ...experience is required, with a strong... ...a meaningful impact. Effective July... ...HealthCompare, AHCP, NHIC, Healthcare Solutions Team,...Work at officeWork from homeVisa sponsorshipWork visa- UnitedHealth Group is seeking a Coding Consultant to investigate and resolve healthcare fraud and provider abuse using CPT coding guidance. You will mentor... ..., review claims against medical records, and coordinate with internal and external stakeholders to ensure compliant,...Remote job
$190k - $230k
...corporate generalist with health law experience... ...business, compliance, healthcare and regulatory (Federal... ...Gender Identity/Religion/National Origin/Disability/Vets... ...laws and regulations impacting health care providers,... ...with HIPAA, fraud and abuse and STARK lawsExperience...SeniorFull timeContract workPart timeFlexible hours$230k - $260k
...Senior Clinician, MD/DO National Telehealth Opportunity - Remote | Q Care Plus Lead... ...combines clinical excellence with operational leadership,... ...and innovation of virtual healthcare delivery across the United... ...chance to make a meaningful impact on healthcare access and outcomes...SeniorTemporary workLocal areaRemote work$140k - $170k
...help them make better healthcare decisions. These are often... ...serious decisions with far reaching consequences... ...department, the Senior Manager, Executive Communications... ...practice to deliver impactful messages and... ...Gender Identity/Religion/National Origin/Disability/Vets...SeniorFull timePart timeWork experience placementWork at officeFlexible hours3 days per week$69.4k - $142.6k
...opportunity for you!Work You’ll DoAs a Tax Senior in our National Tax Quality Assurance & Risk Management... ...support the Tax Practice and interact with local office Tax Quality Risk Managers... ...Deloitte’s purpose is to make an impact that matters for our people, clients, and...SeniorWork at officeLocal areaVisa sponsorshipFlexible hours- ...knowledge of patient needs and the healthcare environment to assist patients... ...or valid temporary permit with the Texas Board of Nursing or... ...policies, laws and guidelines that impact or govern nursing practice,... .... Parkland Health, one of the nation’s largest public hospital...SeniorTemporary workMonday to FridayDay shift
- ...invites applications for a senior tenure-track faculty... ...to lead a high-impact research program in Mental... ...established scientist with a consistent track record... ...and present at national/international policy and... ...equivalent) as Principal Investigator, and current funding...SeniorFull timeTraineeshipWork at officeFlexible hours
$81.65k - $112.7k
...and shapes the future of healthcare. Thinking differently... ...analysis. Additionally, the senior analyst will play a... ...include: Coordinate with sales management and sales... ...insight generation in impact of revenue trends on the... ..., religion, sex, age, national origin, sexual orientation...SeniorFull timeTemporary work$162k - $190k
...company. We partner with 60+ health systems... ...care economics in healthcare. 300 million... ...are looking for a Senior Product Manager who... ...release over release, investigating issues and... ...strong passion for impact. In particular, the... ...color, sex, age, national origin, religion,...SeniorContract workLocal areaRemote workWork from homeFlexible hours$95 - $115 per hour
...Senior Workday HRIS AnalystSkip to main content#Senior... ...the status quo with novel thinking and collaborative... ...biotech, academic and healthcare institutions globally.... ..., and other payroll-impacting sources.**Reporting,... ..., gender identity, national origin, disability or...SeniorWorldwide- ...application process. Senior Actuarial Analyst... ...and tech-enabled healthcare delivery system... ...have long struggled with navigating the traditional... ...into financial impact, develop... ...Medicaid populations. Investigate and resolve complex... ...religion, age, sex, national origin, disability...SeniorFull timeContract workLocal areaRemote work
$5,250 per month
...and hardware services, with a security focus at the... ...manufacturing, transportation, and healthcare industries. Secur-Serv... ...employee can make an impact. We have a generous... .... POSITION SUMMARY The Senior Financial Analyst... ...orientation, gender identity, national origin, disability...SeniorFull timeTemporary workWork at officeRemote workWork from home$130k - $160.6k
...Credit. The Sr. Examiner will work with examination teams to assess... ...emerging risks and their impact on portfolio credit quality.... ...Exercises judgment and influences senior business managers and peers. Drives... ...communities we serve. #J-18808-Ljbffr National Black MBA AssociationSeniorShift workDay shift$109k - $150k
...and shapes the future of healthcare. Thinking differently... ...responsibility for all national cadaver labs, visiting... ...extensive cross-collaboration with internal and external... ...the delivery of high-impact events. Nominates and... ...successfully interface with senior level colleagues A...SeniorTemporary workLocal areaFlexible hours- ...beverage, personal care, healthcare, household chemicals,... ...specialty industrial markets. With a multi-plant... ...party logistics. Negotiate national/regional supplier... ...experience. 5+ years in a senior leadership role in supply... ...visibility and influence. High‑impact leadership role during...SeniorLong term contract
- ...our mission doesn’t stop with cancer. We're pushing the... ...leading a revolution in healthcare driven by innovation, compassion... ..., Caris is where your impact begins. Position Summary The Senior Facilities Technician is... ...race, religion, color, national origin, gender, gender identity...SeniorFor contractorsWork at officeFlexible hoursAfternoon shift
$50k - $86.4k
...National General is a part of The Allstate Corporation... ...Responsible for investigating and confirming the... ...and work closely with the appraisal... ...claims involving fraud or subrogation, partners... ...a meaningful impact. Effective July 1,... ...AHCP NHIC Healthcare Solutions Team North...SeniorContract workWork at officeWork from homeVisa sponsorshipWork visa$80k - $115k
...medicine and advancing the healthcare industry? Recent... ...it possible for AI to impact clinical care in a meaningful... ...for an experienced Senior Data Analyst to help us... ...clinical evidence studies with the mission of... ...race, religion, color, national origin, gender, sexual...SeniorWork experience placementRemote workShift work$78.4k - $107.8k
...our caring community The Senior Accountant performs... ...records. Maintain compliance with accounting policies,... ...your skills to make an impact Master's Degree in... ...personal wellness and smart healthcare decisions for you and... ...orientation, gender identity, national origin, age, marital...SeniorFull timeTemporary workApprenticeshipWork at officeMonday to Friday1 day per week$83.37k
...team committed to creating a positive impact in the lives of fellow Texans. At HHSC,... ...Functional Title: LTCR Nursing Facilities Senior Investigator Job Title: Investigator VI Agency:... ...can establish a career that is filled with purpose, this is the job for you! Nursing...SeniorFull timeTemporary workPart timeWork at officeRemote workFlexible hoursShift workNight shiftWeekend work$20 - $36 per hour
.... We are looking for a Senior Clinical Administrative... ...Comprehensive Medication Reviews with the Clinical Pharmacist... ...2+ years of Medical / Healthcare experience in a... ...to mitigating our impact on the environment and... ...without regard to race, national origin, religion, age,...SeniorHourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaRemote workMonday to FridayFlexible hours3 days per week$138.69k - $173.36k
...PADA) unit is seeking a Senior Psychometrician to join... ...collaborate with a variety of internal staff... ...theoretical research that can impact practice. This role... ...involvement in our local and national communities. Learn... ...Excellent Benefits include: Healthcare, Dental, Prescription,...SeniorSummer internshipLocal areaRemote work$140k - $180k
...Our drive to transform healthcare is informed by our blend... ...and our people are impact-obsessed. As a global agency... ...Chemistry is seeking a Senior Director, Client... ...Director partners closely with the Client Experience,... .../expression, ethnic or national origin, age, physical or...SeniorRemote jobWork experience placementWork at officeLocal area2 days per week$85k - $97k
...driven, hands on Senior Human Resource Generalist... ...to develop healthcare infrastructure solutions... ...to partner with organizations that... ...to create lasting impact worldwide, this position... ...concerns and investigations, performance and talent... ...religion, gender, national origin, ancestry,...SeniorWork at officeLocal areaWorldwide
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