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6,487,403 jobs across our US network. How we count
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Fraud Investigator - Medicare
Peraton
We are looking to add a Fraud Investigator to our SGS team of talented professionals.
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Fraud Investigator - Medicare
Peraton
We are looking to add a Fraud Investigator to our SGS team of talented professionals.
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Provider Fraud Investigator 3 (I3/DAIO)
State of Washington
Protect Apple Health from fraud and help make sure public dollars go to the care people need. The Special Investigations Unit (SIU) in HCA’s Division of Audit, Integrity, and Oversight…
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SIU Investigator III (Must live in Arkansas)
CareSource Management Services LLC
Support regulatory fraud, waste, and abuse reports to federal and state Medicare/Medicaid agencies
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Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health
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…
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Senior Investigator, Special Investigations Unit (Aetna SIU)
Aetna Resources, LLC
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…
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Claims Specialist II, Workers Compensation
Nationwide Mutual Insurance Co.
Do you have a strong desire to provide prompt, courteous and fair service to customers? Are you a skilled investigator, negotiator and communicator? If you thrive in an environment where…
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Provider Network Evaluator I-Targeted Monitoring (Full-time Remote, North Carolina Based)
Alliance
Recognize when fraud, waste and abuse are present and a referral to the Special Investigations unit is necessary
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Manager, Business Compliance Requests for Information (RFI)
Aetna Medicaid Administrators
Accredited Health Care Fraud Investigator (AHFI) credential.
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Sr. Investigator (Full-time, Remote)
Integrity Management Services, Inc.
We are seeking a Senior Investigator to join our team. In this role, the Senior Investigator will conduct investigations that support healthcare program integrity initiatives by identifying…
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Medicaid Auditor/Investigator
Peraton
…detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and…
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Medicaid Auditor/Investigator
Peraton
…detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and…
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Senior Compliance Analyst - Institutional Compliance
MD Anderson Cancer Center
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Senior Legal Counsel
ONWARD Medical
Lead market access legal support, including payor contracting with Medicare, Medicaid, and commercial health plans, coverage and reimbursement agreements, prior authorization, and network…
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Investigator (Full-time, Remote)
Integrity Management Services, Inc.
In this role, the Investigator will perform high level complex Medicare and Medicaid investigations and develop cases for future action, including referral to law enforcement, education,…
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Fraud Investigative Coordinator (SCA)
Peraton
We are looking to add a Fraud Investigator Coordinator to our SGS team of talented professionals.
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Fraud Investigator
Peraton
We are looking to add a Fraud Investigator to our SGS team of talented professionals.
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Assistant General Counsel, Americas
Telix Pharmaceuticals (AMER)
…Medical-Legal-Regulatory (MLR) review committee participation, healthcare fraud and abuse compliance (Anti-Kickback Statute safe-harbor analysis, False Claims Act risk), patient support…
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Healthcare Coding Expert (certified professional coder)
GD Information Technology, Inc.
GDIT's Federal Health Division is hiring a Healthcare Coding Expert to support the Centers for Medicare and Medicaid (CMS), you will be trusted to identify trends in the data and create…
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Healthcare Fraud Investigator
Council Capital
…integrity platform pairs analytics with expert review to surface fraud, waste, and abuse across Medicare, Medicaid, Commercial, and FEP lines of business, returning significant value to the…
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