- CVS Health (Morgantown, WV)
- … 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 ... involving multi-lines of business, or cases involving multiple perpetrators or intricate healthcare fraud schemes. + Investigates to prevent payment of… more
- Point32Health (Canton, MA)
- …health and well-being organization dedicated to delivering high-quality, affordable healthcare . Serving nearly 2 million members, Point32Health builds on the ... behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of… more
- Baystate Health (Springfield, MA)
- …and workplace violence investigations. **Certification:** Preferred: International Association for Healthcare Security and Safety (CHPA), Certified Investigator ... tradition of continuous learning and improvement. We educate and train hundreds of healthcare workers every year and advance knowledge about new approaches to care.… more
- Elevance Health (Indianapolis, IN)
- …independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client ... recover, eliminate and prevent unnecessary medical-expense spending. **Title:** Sr Investigator **Locations:** Indianapolis, IN, Columbus, OH, Nashville, TN **Hybrid:**… more
- MVP Health Care (Rochester, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Clinical Investigator ** to join #TeamMVP. This is the opportunity for you if you have ... investigation experience involving economic or insurance related matters. + A clinical investigator must have in addition to the above requirements: A duly licensed… more
- Micron Technology, Inc. (Manassas, VA)
- …a globally minded professional to fill the Staff Employee Relations Advisor and Investigator role. The Staff Employee Relations Advisor and Investigator are ... enabling team members to select the plans that best meet their family healthcare needs and budget. Micron also provides benefit programs that help protect your… more
- Experian (Costa Mesa, CA)
- …around the world. We help to redefine lending practices, uncover and prevent fraud , simplify healthcare , create marketing solutions, and gain deeper insights ... We operate across a range of markets, from financial services to healthcare , automotive, agribusiness, insurance, and many more industry segments. We invest in… more
- Centene Corporation (Columbus, OH)
- …of Ohio are highly preferred.** **Position Purpose:** Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, ... executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. + Conduct investigations of potential waste,… more
- Zelis (Boston, MA)
- … Fraud in prevention, detection, reporting, and monetary recovery related to financial fraud and healthcare fraud , waste, and abuse. What You'll Do ... it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare...Certified Fraud Examiner (CFE), Accredited Health Care Fraud Investigator (AHFI), Health Care Anti- Fraud… more
- GE HealthCare (Boston, MA)
- …business segment and technology teams on legal issues related to GE HealthCare sponsored and investigator -initiated research and collaboration proposals and ... provides legal leadership and strategic legal advice related to GE HealthCare research, product development and collaboration activities. Acting as a strategic… more