against perpetrators of healthcare fraud to recover corporate and... client funds paid on fraudulent claims. Key responsibilities include: - Reviewing claims for appropriate coding, data mining, entity review, law enforcement referral, and utilizing proprietary data and claim systems to review facility,...
entities involved in healthcare fraud, with the goal of... recovering corporate and client funds that have been paid out on fraudulent claims. The primary duties include, but are not limited to, the following: - Conducting reviews of claims to ensure appropriate...
The following jobs are no longer active but were real openings previously posted by employers. These listings provide valuable insight into employer hiring trends and frequently lead to job offers. In many cases, employers are still hiring or open to strong candidates even if no new job is posted. Applying to these listings often makes you the only applicant, increasing your chances of being hired.
VP, Special Investigation Unit - Claims The candidate will be responsible for driving the identification and detection of fraud through the use of... technology and analysis as well as facilitate an effective exchange of information/intelligence that will support anti-fraud initiatives at the company. Will lead all aspects of the special investigation unit including setting strategic vision, strategy, establishing best practices, and execution and follows through for commercial... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Investigator I, II, or Senior The candidate will be responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover... corporate and client funds paid on fraudulent claims. Will claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Investigator I, II, or Senior The candidate will be responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover... corporate and client funds paid on fraudulent claims. Will claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Summary: - Job Title: Lead Investigator - Job Family: FRD > Investigation - Type: Full-time - Date Posted: Apr 11, 2024 - Anticipated End Date: Apr 26, 2024 - Reference: JR111622 Description: - Responsible for leading and guiding the Special Investigations Unit team in detecting fraudulent, abusive, or wasteful activities/practices in the healthcare industry. - Uses investigative methodologies to evaluate and recommend focused activities in identifying fraud, w... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Join our team at **Members Only** H2: Become a Leader in Healthcare Investigations at **Members Only** and Lead the Fight Against Fraud, Waste, and Abuse in... Healthcare - Job Title: Lead Investigator - Job Family: FRD > Investigation - Type: Full time - Date Posted: Apr 11, 2024 - Anticipated End Date: Apr 26, 2024 - R... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Requests for reasonable accommodations will be addressed on a case-by-case basis. Senior Investigator - Virginia Medicaid: $77,028 to $132,048 salary range H1: Senior Investigator - Virginia Medicaid read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
SEO-Friendly Job Title: Senior Investigator - Virginia Medicaid H1: Join Our Team as a Senior Investigator - Virginia Medicaid H2: Investigate Healthcare Fraud and Make an Impact... with **Members Only** - Full-time position with hybrid work model (remote and office) - Responsible for identifying and investigating complex healthcare fraud cases - Must have... knowledge of Virginia Medicaid - Opportun... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Senior Investigator - Healthcare Fraud Detection and Recovery ... H1: Join Our Team as a Senior Investigator and Help Us Fight Healthcare Fraud! H2: Make a Difference... in the Healthcare Industry with Your Investigative Skills About the Position: Job Title: Senior Investigator Job Type: Full-Time, Hybrid Schedule Experience: Minimum of 5 years in Healthcare Insurance and Investigation Location:... Hybrid (Remote and Office), within 50 miles of read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
SEO Friendly Job Title: Senior Investigator H1: Join Our Team as a Senior Investigator at **Members Only** Bullet Points: - Full-time Senior Investigator position at **Members Only** PulsePoint locations - Responsible for identifying, investigating, and develop... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Job Title: Senior Investigator Department: Fraud Investigation Salary Range: $73,360... to $132,048 Experience: Minimum of 5 years in healthcare insurance and insurance investigation ... Responsibilities: - Independently identify and investigate complex cases of healthcare fraud - Develop initiatives to... prevent and recover corporate and client funds from fraudulent claims - Review claims for appropriate coding and use of proprietary data systems - Interface with senior man... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here