• Clinical Fraud Investigator II

    Elevance Health (Houston, TX)
    **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... accommodation is granted as required by law. The **Clinical Fraud Investigator II** is responsible for identifying...Nurse strongly preferred + Law Enforcement dealing with Healthcare Fraud Please be advised that Elevance Health … more
    Elevance Health (08/30/25)
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  • Investigator

    Highmark Health (Austin, TX)
    …**EXPERIENCE** **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations ... in Financial Analysis in an acute care hospital or health insurance setting + 1 year in...(CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have… more
    Highmark Health (08/15/25)
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  • Investigator Senior

    Elevance Health (Grand Prairie, TX)
    … in order to recover corporate and client funds paid on fraudulent claims. Health insurance experience required with understanding of health insurance ... ** Investigator Senior** **Supports the Payment Integrity line of...Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,… more
    Elevance Health (08/13/25)
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  • Surveillance Investigator -Experienced

    Command Investigations (Dallas, TX)
    … insurance , PTO, 401(k) + Performance incentives + Biweekly pay Benefits: + 401(k) + Dental insurance + Health insurance + Vision insurance + Life ... excellence. What you'll get: + A dedicated position as a surveillance investigator . + A steppingstone into the realms of investigations, security, and law… more
    Command Investigations (08/07/25)
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  • AML Investigator Analyst

    Guidehouse (San Antonio, TX)
    **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The responsibilities of the Analyst ... financial crime, including money laundering, terrorism financing activities and fraud , as it appears in transactional data. + Solid...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
    Guidehouse (08/18/25)
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  • Investigator /Sr Investigator…

    American Airlines (Dallas, TX)
    …Operations Division. + ​Responsible for conducting investigations into incidents of fraud , loss, theft, employee misconduct, and violations of American Airlines' ... mitigate loss + Assists with the development and implementation of fraud detection/preventions systems + Coordinates investigative activities with other business… more
    American Airlines (09/01/25)
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  • Fraud Investigations Analyst

    Guidehouse (Richardson, TX)
    **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** + _This requisition has been posted for ... employment with our rapidly growing firm. Guidehouse is seeking experienced Fraud Investigations Analyst's to conduct, identify, and investigate potential fraud… more
    Guidehouse (07/18/25)
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  • Director, Clinical Operations

    Bausch + Lomb (Austin, TX)
    …travel. **We offer competitive salary & excellent benefits including:** + Medical, Dental, Eye Health , Disability and Life Insurance begins on your hire date + ... + Lomb (NYSE/TSX: BLCO) is a leading global eye health company dedicated to protecting and enhancing the gift...and changes in scope, schedule, and resources. + Organize investigator and expert meetings relevant to the indication and… more
    Bausch + Lomb (06/07/25)
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  • Financial Crimes Compliance Analyst

    Guidehouse (Richardson, TX)
    **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** + Perform reviews and investigations of ... Customer Due Diligence (CDD), Enhanced Due Diligence (EDD), Ongoing Monitoring, fraud and other financial crime investigations to mitigate risks associated with… more
    Guidehouse (07/25/25)
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  • Associate Director, Quantitative Pharmacology,…

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... meet unmet medical needs and nutraceutical products for the maintenance of everyday health . This position can be based in Princeton, New Jersey, or Rockville,… more
    Otsuka America Pharmaceutical Inc. (08/16/25)
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