- CVS Health (Hartford, CT)
- …all with heart, each and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special ... you will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level,… more
- Elevance Health (Norfolk, VA)
- **Clinical Fraud Investigator Senior ** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... a dynamic and adaptable workplace. Alternate locations may be considered. The **Clinical Fraud Investigator Senior ** is responsible for identifying issues… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Senior Investigator is to assist in the reduction and recuperation of ... in part of an assigned team develop and conduct healthcare fraud , waste, and abuse investigations of...result in an overall achievement of unit goals. + Senior Investigator will develop documentation that supports… more
- CVS Health (Carson City, NV)
- …And we do it all with heart, each and every day. The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention, investigation ... and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state regulations mandating fraud plans and practices. **What you… more
- SGI Global, LLC (Mobile, AL)
- …(or equivalent experience). + Background in law enforcement, forensic accounting, healthcare fraud , civil litigation, or legal investigations. + Experience ... clearance | Full Time SGI Global is seeking a Senior Civil Investigator to support the Affirmative...plays a vital role in investigating and developing civil fraud cases and other enforcement actions that protect taxpayer… more
- Elevance Health (Metairie, LA)
- ** Investigator Senior - Carelon Payment Integrity SIU** **Location:** Must be located in **Louisiana** . This role requires associates to be in-office 1 - 2 days ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior ** will be responsible for the independent… more
- Experian (Allen, TX)
- …around the world. We help to redefine lending practices, uncover and prevent fraud , simplify healthcare , create marketing solutions, and gain deeper insights ... across a range of markets, from financial services to healthcare , automotive, agribusiness, insurance, and many more industry segments....more at experianplc.com. Overview We are looking for a Senior Cyber Forensic Investigator to join our… more
- Elevance Health (Atlanta, GA)
- …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... ** Investigator II - Payment Integrity SIU** **Location:** This...claims + Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company… more
- Sanofi Group (Cambridge, MA)
- …prior experience with investigations or audits focused on issues such as healthcare compliance, bribery, corruption, fraud and/or white-collar investigations. + ... **Job Title:** Investigator , Ethics and Business Integrity, North America **Location:**...assisting with compliance-related matters. We are an innovative global healthcare company with one purpose: to chase the miracles… more