- CVS Health (Charleston, WV)
- …make health care more personal, convenient and affordable. **Position Summary** As a 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
- 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
- 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
- Elevance Health (Woburn, MA)
- **Nurse/CPC - Clinical Fraud Investigator Senior - SIU Fraud & Abuse** **Location:** Alternate locations may be considered. This position will work in a ... one of our Elevance Health PulsePoint locations. The **Clinical Fraud Investigator Senior ** is responsible...and medical records prior to payment. + Researches new healthcare -related questions as necessary to aid in investigations. +… 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 (Providence, RI)
- …conducts complex investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to ... and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters. - Demonstrates high level of knowledge and… more
- Elevance Health (Tampa, FL)
- ** Investigator Senior ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of one of our ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior ** will be responsible for the independent… more
- Elevance Health (Nashville, TN)
- ** 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 (Charleston, WV)
- …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... ** Investigator II** **Supporting the Payment Integrity line of...claims. + Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company… more