Fraud Investigator, Senior
CVS Health
CVS Health is seeking a Fraud Investigator in Des Moines, Iowa. The role involves complex analysis of Pharmacy and Prescriber activities to prevent fraud, waste, and abuse. Candidates should have 3-5 years of investigation experience in the healthcare field.
Applicants must possess a Bachelor's degree in Criminal Justice or equivalent experience, along with strong knowledge of pharmacy terminology and data analysis skills. A comprehensive benefits package is offered.
#J-18808-Ljbffr CVS Health
$46.99k - $112.2k
...Conducts high level, complex analysis of Pharmacy and Prescriber behavior to effectively pursue the prevention, investigation and prosecution of Fraud Waste and Abuse. Collaboration with Pharmacy Benefit Manager, providing meaningful evidence of Fraud, Waste and Abuse to...SeniorFraudHourly payFull timeTemporary workWork at officeLocal area$25 - $30 per hour
...determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of... ...efforts to deter and combat insurance fraud. The surveillance investigator position... ...will be followed up by on-the-job and specialized training as needed. Benefits: VRC...FraudBi-weekly payHourly payWork at office- Frasco is looking for a part-time Surveillance Investigator in Des Moines, Iowa. This role involves fraud investigation, surveillance, and documentation of activities. Candidates will receive fully paid training and must possess strong communication skills and a valid...FraudHourly payPart timeFlexible hoursNight shift
- The State of Iowa - Executive Branch is seeking an Investigator 2 for the Public Defender’s Office. This role involves assisting public defenders in investigating criminal cases, conducting interviews, and preparing reports. Applicants should have a relevant degree and...SuggestedWork at office
- ...is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis... ...workers' compensation, suspected fraud, liability and aimed at mitigating expenses... ...investigations, including Surveillance and Special Investigations Unit (SIU) assignments, within...FraudFlexible hours
- ...Drug Enforcement Administration Criminal Investigator GL-1811-7/9/11 positions open to U.S.... ...For more information or questions about Special Agent positions, please visit Talk to a... ...investigative reports and deliver briefings for senior personnel and other federal, state, and...Permanent employmentLocal areaRelocationTrial periodWeekend work
- Senior Liability Claims Specialist, Supervisor Creative Risk Solutions... ...Adjudicate claims as needed, investigate, negotiate settlements, and... .... Encourage subrogation and fraud identification, participate... ...risk management solutions. We specialize in delivering customized...SeniorFraudFull timeWork at office
$92.5k - $120k
...an opportunity has been created for a Senior Associate to join our nationally distributed... ...and controls automation Forensic/investigative/internal review assistance (not to... ...Demonstrated experience with forensic reviews (fraud/waste/abuse) What you can expect from us: Our...SeniorFraudWork experience placementWork at officeLocal areaRemote work$20 - $25 per hour
...Professional Des Moines, IA, US Salary Range: $20.00 To $25.00 Annually Advantage Surveillance is the Nation’s only insurance defense investigation firm that invests in the operational capabilities necessary to produce consistent, high-quality results—ultimately helping our...Daily paidNight shiftWeekend work- The Robison Group is seeking enthusiastic candidates for an investigative position focused on workers’ compensation and liability claims in Des Moines, Iowa. Key responsibilities include conducting investigations, performing video surveillance, and assisting fellow investigators...Remote work
$25 - $30 per hour
Overview Ready to put your surveillance skills to work for a national leader? Join Lemieux & Associates , a trusted leader in investigative services, and make an impact with your surveillance expertise. Our leadership team brings over 25 years of field experience and is...Hourly payPart timeFlexible hours- A federal law enforcement agency is seeking Criminal Investigators in Des Moines, Iowa. Responsibilities include conducting complex investigations on drug-related crimes and preparing detailed reports. Applicants must be U.S. citizens with strong analytical and communication...
- ...communities we serve. With over 75 years of experience, Bolton & Menk specializes in providing community infrastructure solutions across the... ...Be Doing: Serve as SOI-qualified Archaeological Principal Investigator for cultural resources projects Coordinate cultural...Live inWork at officeLocal areaFlexible hours
- ...seeking a SIU Support Specialist in Urbandale, Iowa. The role involves conducting background investigations, analyzing public records, and monitoring internal data for potential fraud indicators. Qualified candidates should have experience in insurance and analytical...Fraud
$55k - $68k
## Senior Crop Insurance Claims AuditorApplyremote type: Remotelocations: USA - KS - Working From Home: Remote, Iowa: Remote, Nebraska... ...of crop claims, including moderate to advanced complexity.* Investigate and resolve complex claims issues with limited supervision...SeniorFull timeWork at officeRemote workWork from homeWorldwideFlexible hours- ...support safety operations across telecommunications projects. This hybrid role offers an opportunity to mentor teams and lead safety investigations while working from home and traveling to various sites. Candidates should have experience in hazard assessments and a...Work from home
- ...R. Berkley Corporation is seeking an experienced SIU Manager to lead anti-fraud initiatives across commercial and personal insurance lines. This role involves supervising a team of investigators, overseeing fraud investigations, and ensuring compliance with regulatory...Fraud
$90k - $110k
Senior Auditor page is loaded## Senior Auditorlocations: Des Moinestime type: Full timeposted on: Posted 10 Days Agojob... ...improve controls and/or methods of operation.* Assist in fraud and whistleblower investigations, when needed.* Other duties and projects may be assigned...SeniorFraudLocal area$25 - $32 per hour
...Description Ready to put your surveillance skills to work for a national leader? Join Lemieux & Associates , a trusted leader in investigative services, and make an impact with your surveillance expertise. Our leadership team brings over 25 years of field experience and...Part timeFlexible hours$25 - $30 per hour
...Job Description Job Description Description: Command Investigations, LLC is looking for Surveillance Investigators to become part of a dynamic team. This is a great opportunity for individuals with prior investigative experience who demonstrate integrity, independence...Hourly pay16 hoursFull timeWork at officeRemote workFlexible hoursShift workNight shiftWeekend work- Sompo is looking for a Senior Crop Insurance Claims Auditor to join the AgriSompo National Operations team. This remote position involves auditing and processing crop insurance claims, providing exceptional customer service to agents and producers. Candidates should have...SeniorRemote job
$25 - $30 per hour
A leading investigative service provider in Des Moines, IA, is looking for part-time Surveillance Field Investigators. The role involves conducting mobile and stationary surveillance, capturing high-definition video, and preparing detailed reports. Candidates must have...Hourly payPart timeFlexible hours$100k - $125k
...complex or technically difficult professional liability claims by investigating and gathering information to determine the exposure on the... ...cost for our clients. Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management...SeniorFraudWork at officeLocal areaRemote workFlexible hours- The Home Depot in West Des Moines seeks an Asset Protection Specialist to safeguard company assets against theft and fraud. This role involves monitoring security systems and preparing detailed reports while interacting with law enforcement whenever necessary. The ideal...Fraud
- ...provide building inspection and forensic investigation services. As a member of this team, you... ...communities and industries. As a Senior Mechanical Engineer on our Facilities... ...Hybrid Additional Information Olsson specializes in engineering and design, client...SeniorFull timeFlexible hours
$73.15k - $99.75k
What You'll Do We’re looking for a Senior Insurance Compliance Analyst to join our Commercial... .... Perform other job‑related duties and special projects as required. Who You Are... ...reviewing and evaluating job applications, fraud prevention, and candidate matching and comparisons...SeniorFraudHourly payPermanent employmentTemporary workWork experience placementH1bWork at officeFlexible hours- Job Description Job Description Hupy and Abraham, a personal injury law firm headquartered in Milwaukee, WI, is looking for a professional and motivated Client Relations Representative for our West Des Moines , IA office. A career at Hupy and Abraham, S.C. is...Temporary workWork at officeFlexible hours
$143k - $243k
...-driven career? Come build the future of pharmacy with us. Senior Principal Actuary - REMOTE Job Description The Senior Principal... ...ad hoc complex pharmacy data mining and analyses to help investigate and answer challenging questions regarding actuarial data and...SeniorWork experience placementLocal areaRemote workVisa sponsorshipWork visa$10k
...level if you possess one (1) year of specialized experience, equivalent to at least the... ...Proficient in the use of firearms, preparing investigative reports, serving court orders (e.g.,... .... Leading investigations of fraud, contraband, criminal activity, threats...FraudFull timeLocal areaImmediate startRelocationNight shift$23.16 per hour
...utilizing the appropriate application and/or template. Identifies potential discrepancies in claim submissions and involves the Special Investigation Unit as necessary. Identifies issues which can be used to educate/train internal staff, streamline, and improve processes...SeniorWork at office
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