Healthcare Fraud SIU Investigator
Hispanic Alliance for Career Enhancement
CVS Health is seeking an SIU Investigator to conduct investigations aimed at preventing, pursuing and prosecuting healthcare fraud and abuse, recovering funds and ensuring compliance with applicable federal and state regulations. The role requires 1–3 years of investigative experience and proficiency with Word, Excel, and Outlook, plus travel as needed. The ideal candidate will have a Bachelor's degree in Criminal Justice, Healthcare Management, Public Health, or a related field, and a strong #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$25 - $32 per hour
...Job Description Job Description Come grow with us! Lemieux & Associates, a national leader in the investigative industry, is seeking experienced SIU/Claims Investigators in the Albany or surrounding area. This is a part-time position to start with the ability to turn...SuggestedFull timePart time- Insight Service Group (ISG) is seeking a meticulous SIU Investigator to conduct comprehensive investigations into potential fraud and misconduct. The role involves gathering evidence, interviewing witnesses, and preparing detailed reports for court or client review. Ideal...Suggested
$43.89k - $93.57k
...and one community at a time. Position Summary The Special Investigations Unit (SIU) Investigator conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with federal...SuggestedHourly payFull timeTemporary workLocal area- Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete...SuggestedFull timeWork experience placementWork at officeLocal area
- A leading government service provider is seeking a Healthcare Fraud Investigator to provide legal support for a significant government project. This role requires a strong background in healthcare fraud investigations, effective communication skills, and proficiency with...Suggested
- A government services company is seeking a Healthcare Fraud Investigator to support legal initiatives for a major government project in Nashville, TN. The role requires the candidate to analyze data, review financial documents, and liaise with attorneys and client agencies...
$28 - $32 per hour
Description Command Investigations, LLC is seeking an Insurance Field Investigator with a minimum of three years experience to become part... ...team. This is a great opportunity for individuals with prior SIU experience who demonstrate integrity, independence, and a drive...Hourly payFull timePart timeWork at officeRemote workFlexible hours$25 - $32 per hour
Lemieux & Associates, a national leader in the investigative industry, is looking for experienced SIU/Claims Investigators in the Albany area. This part-time position has potential to become full-time. Ideal candidates possess SIU/Claims experience and are dedicated professionals...Hourly payFull timePart time$27 - $32 per hour
...Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance... ...opportunities for claim investigators, SIU investigators, and surveillance investigators... ...insurance policies and the components of fraud to determine if claims warrant reporting...Part timeWork at officeLocal area- About Us:Insight Service Group (ISG) is a national investigative services firm specializing in cost containment and anti-fraud related services. We are dedicated to... ...our operations. Our Special Investigations Unit (SIU) plays a vital role in identifying and mitigating...For subcontractor
- ...About Federal Guardian Federal Guardian is committed to supporting mission-critical federal healthcare programs through dependable medical evaluation services. Our role is to help ensure Veteran disability determination processes are supported by accurate, timely...Contract workFor contractorsWork at officeRemote workFlexible hours
- ...: Employees in this position are also eligible to participate in the Company’s comprehensive benefits programs, which include healthcare, life and disability insurance plans, a 401(k)-retirement savings plan, and time-off programs. Specific details of these benefits...Permanent employmentFlexible hours
- ...experience performing one or more of the following activities in a health care delivery system: determining financial eligibility for healthcare to meet eligibility criteria specified by State and/or federal laws, rules, and regulations; performing quality assurance...Permanent employmentTemporary workWork at officeVisa sponsorshipShift workNight shift
- ...MEE 2 mitigates legal risks for the Department and prevents service delays that could jeopardize a client’s access to essential healthcare. Responsibilities This role focuses on supervisory duties, technical oversight, compliance monitoring, and risk mitigation within...Permanent employmentFull timeWork at officeVisa sponsorshipShift work
- ..., hospitals, Medicaid programs, and/or other public or private health insurance programs: Determining financial eligibility for healthcare to ensure individuals meet eligibility criteria specified in State and/or federal laws, rules, and regulations. Performing quality...Permanent employmentWork at officeVisa sponsorshipShift work
$68.97k
...Office of the New York State Attorney General’s (OAG) Medicaid Fraud Control Unit (MFCU) seeks a forensic accountant/auditor (... ...and legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions...Work experience placementWork at officeLocal areaRemote work2 days per week$37.17 - $56.17 per hour
...state of practice. Valid compact licenses transferred to the state of practice within 60 days of start date. BLS certification for healthcare providers. One year of RN experience, or BSc in Nursing obtained within four years of hire. Preferred Qualifications Bachelor of...Hourly payShift workNight shiftWeekend workAfternoon shift- Dormont Manufacturing Co is looking for a Fraud Investigator in Troy, MI, to conduct thorough investigations into fraud involving customers and transactions. This role requires evaluating fraud schemes, identifying root causes, and coordinating recovery efforts. The ideal...
$48.82k - $77.27k
Position Title Fraud Investigator Location Troy, MI 48098 Job Summary The Enterprise Fraud Investigator is responsible for conducting comprehensive investigations into suspected fraud involving customers, accounts, and transactions across Retail, Private Banking, and...Work experience placementWork at officeLocal area$86.4k - $138.6k
A healthcare organization in Albany seeks a Senior Cyber Incident Responder to lead cyber investigations and ensure proper documentation and response to incidents. The role requires a Bachelor’s degree and at least five years of relevant experience, encompassing malware...Work at officeRemote workFlexible hours- ...General Overview This incumbent works under the supervision of the Fraud Risk Supervisor with daily fraud monitoring, and the handling... ...Fraud Cardholder Disputes, and Non-fraud Merchant Disputes. Investigate fraud disputes by communicating with members and our compliance...
$68.97k
...Attorney General is seeking a forensic accountant/auditor for its Medicaid Fraud Control Unit in Albany. This role involves collaboration with attorneys and analysts to investigate complex healthcare fraud cases, ensuring the integrity of New York's Medicaid program....Remote jobWork at office- High Value Residential Insurance Inspector Albany, United States | Posted on 12/01/2025 City Albany State/Province New York Country United States About Us Since 1993, Signature Companies has been a trusted provider of inspection and appraisal services ...For contractorsWork from homeHome officeFlexible hours
$28 per hour
Position Overview Our group is seeking Insurance Inspectors who can regularly service the Albany County NY area by devoting anywhere from 3 to 5 days per week photographing properties. Inspectors use their photos and observations to complete reports at their home office...Hourly payFull timeContract workPart timeWork at officeHome office3 days per week- Allied Universal is seeking a Special Investigations Unit Investigator in New York. You will independently investigate fraudulent insurance... ...build robust case files. The role requires strong knowledge of fraud laws and investigative techniques, plus the ability to work...
- ...time, and Per diem roles across multiple Albany-area facilities. The role requires detailed investigative reporting, adherence to NYS laws, and documentation of potential fraud or safety concerns. Shifts rotate, with weekend and holiday work proportional to the schedule...Daily paidFull timePart timeRotating shift
- Residential Loss Control Consultant - Independent Contractor We are looking for experienced Personal Lines (Residential) Insurance Consultants to become approved vendors. As an approved vendor, you will be contracted to conduct interior and/or exterior insurance loss control...Weekly payContract workFor contractorsFlexible hours
- Underwriter Services Association seeks Insurance Inspectors to service the Albany County NY area, devoting 3 to 5 days weekly. Inspectors will photograph properties and complete reports from their home office. Great opportunity for those interested in supplementing their...Part timeHome officeFlexible hours
- Underwriter Services Association is looking for independent contractors for insurance field inspections nationwide. Contractors will utilize an online portal to manage tasks and must complete high-quality reports and inspections during standard business hours. The role ...Price workFor contractors
- Duties Description Employee Benefits has the lead role for administering the New York State Health Insurance Program (NYSHIP), one of the largest public employer health insurance programs in the nation covering more than 1.2 million lives. This position will play an important...Permanent employmentFull timeInternshipWork at officeLocal areaRemote workTrial period
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