- CVS Health (Trenton, NJ)
- …be work from home anywhere in the United States. We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations ... you will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level,… more
- CVS Health (Frankfort, KY)
- …care more personal, convenient and affordable. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator (Pharmacy) to join ... you will manage complex investigations into suspected and known acts of Healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conducts high level,… more
- NBT Bank (Lakeville, CT)
- Pay Range: $27.48 - $36.65 The Senior Fraud /AML Investigator will work fraud and money laundering cases as assigned by the BSA Officer and Security ... patterns of customer activity + Must be a skilled investigator with understanding of types of fraud ...health and well-being. + Flexible Spending Accounts : For healthcare and dependent care expenses. + Employer-Paid Disability Coverage… more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity ... areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities...+ Bachelor's degree + At least 2 years of healthcare fraud investigations and auditing experience +… more
- CareFirst (Baltimore, MD)
- …+ Independently or as lead in part of an assigned team develop and conduct healthcare fraud , waste, and abuse investigations of all levels (low to complex). ... of which must be health care specific and includes independently conducting healthcare fraud , waste, and abuse investigations of all levels.… more
- CVS Health (Annapolis, MD)
- …care more personal, convenient and affordable. **Position Summary** As a Regional Senior Investigator you will conduct high level, complex investigations of ... known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, those that are national in scope, complex… more
- Elevance Health (FL)
- ** Investigator Senior ** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office)._ _Alternate ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior ** is responsible for the independent identification,… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Work and Improve People's Lives** Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working ... at Premera means you have the opportunity to drive real change by transforming healthcare . To better serve our customers, we are fostering a culture that emphasizes… more
- Elevance Health (Grand Prairie, TX)
- …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... ** Investigator II** **Location** : This position will work...claims. + Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company… more
- Fallon Health (Worcester, MA)
- …this work is a plus, such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or other coding certifications or similar ... LinkedIn. **Brief summary of purpose:** Under the general direction of the Senior Internal Audit Manager, theAnalyze and interpret patient medical records pertaining… more
- Zelis (Morristown, NJ)
- …recruiters or senior professionals at Zelis. Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and ... As the Principal Response Investigator within the Cyber Defense organization, you will...security, technology risk, and non-technical areas such as legal, fraud , privacy, and reputation risk + Identify process and… more
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