- Gilead Sciences, Inc. (Foster City, CA)
- …live or their economic status. **About the Role** The global pharmaceutical crime and healthcare fraud market is currently estimated at $400 billion annually. It ... lead and accelerate the development of the group's pharmaceutical crime and healthcare fraud program. The role will include both people leadership and individual… more
- Highmark Health (Columbus, OH)
- …+ Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge ... **EXPERIENCE** **Required** + 5 years in the Health insurance industry and/or Healthcare fraud investigations + 1 year of leading projects of varying size and… more
- Elevance Health (Iselin, NJ)
- …+ New Hampshire, Manchester + Georgia, Atlanta + New Jersey, Morristown **Description** ** Senior Investigator ( Investigator Sr )** _Location: This ... you for payment as part of consideration for employment. ** Senior Investigator ** + Job Family: FRD >...investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate… more
- CVS Health (Springfield, IL)
- …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
- Elevance Health (Columbus, OH)
- …send you a check, or ask you for payment as part of consideration for employment. ** Investigator Senior ** + Job Family: FRD > Investigation + Type: Full time + ... Norfolk + California, Costa Mesa + District of Columbia, Washington **Description** ** Investigator Senior ** **Supports the Payment Integrity line of business**… more
- Elevance Health (Columbus, OH)
- …send you a check, or ask you for payment as part of consideration for employment. ** Senior Investigator ** + Job Family: FRD > Investigation + Type: Full time + ... Charleston + Maine, South Portland + New Jersey, Morristown **Description** Job Description ** Senior Investigator ** **Schedule:** 1-2 days per week in the office… more
- CVS Health (Tallahassee, FL)
- …Components: - Conducts high level, complex investigations of known or suspected acts of healthcare fraud and abuse. - Routinely handles cases that are sensitive ... multi-disciplinary provider groups, or cases involving multiple perpetrators or intricate healthcare fraud schemes. - Investigates to prevent payment of… more
- CVS Health (Columbus, OH)
- …+ Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply ... and practices. + Conducts investigations of known or suspected acts of healthcare fraud and abuse + Communicates with federal, state, and local law enforcement… more
- Elevance Health (Norfolk, VA)
- …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... you a check, or ask you for payment as part of consideration for employment. ** Investigator II** + Job Family: FRD > Investigation + Type: Full time + Date… more
- DoorDash (San Francisco, CA)
- …(Canada, Mexico, Australia, and New Zealand). About the Role The Senior Workplace Investigations Business Partner ( Sr . Workplace Investigations BP) ... the consistent application of policies and procedures across the organization. The Sr . Workplace Investigations BP reports to the Senior Manager, Workplace… more
- MD Anderson Cancer Center (Houston, TX)
- …of alleged fraud , waste, and abuse activities as an auditor or fraud investigator . With preferred degree, five years of experience required. May substitute ... compliance investigations. JOB SPECIFIC COMPETENCIES General Compliance Activities The Investigator , Research Compliance, will be responsible for consistently managing… more