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United States
Posted On Aug 25, 26
Full-time 1 views Experience : Min 8 yrs required
Practice Area:
Health Care - Compliance, Transactions, HIPAA Health Care - General
Job Tags:
abuse Collective Bargaining criminal Disability Benefits equity fraud Insurance Medicaid
Practice Area:
Health Care - Compliance, Transactions, HIPAA Health Care - General
Job Tags:
abuse Collective Bargaining criminal Disability Benefits equity fraud Insurance Medicaid

Title: Investigator Lead Job Responsibilities: The Investigator Lead is tasked with providing leadership and guidance to the Special Investigations Unit (SIU) team. This involves investigating, collecting, researching, and analyzing billing data to detect fraudulent, abusive, or wasteful activities and practices. The role...

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The following jobs are no longer active but were real openings previously posted by employers.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.

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Fraud and Waste Investigator, Special... Investigations Unit The candidate coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. May conduct on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department, segment, and organizational strategy and operating objectives, including their linkages... 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Note: This job is no longer active.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

Fraud and Waste Investigator, Commercial... The candidate conducts healthcare fraud investigations of moderate complexity.... Traditional investigative methodologies will apply to include evidence collection, site surveys, data analysis, and interviews of individuals related to the case. Assembles evidence and documentation to support successful adjudication, where appropriate. May conduct on-site audits of provider records ensuring appropriateness of billing practices. Prepares c... 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 Fraud and Waste Investigator The... candidate coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for proj... 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 Clinical Fraud and Waste Professional The... candidate assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direc... 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

Fraud and Waste Investigator The... candidate will conduct investigations of allegations of fraudulent and abusive practices. Will coordinate investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department, segment, and organizational strateg... 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 Fraud and Waste Investigator The... candidate conducts investigations of allegations of fraudulent and abusive practices. Work assignment will involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider recor... 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

Fraud and Waste Investigator, Commercial... The candidate conducts healthcare fraud investigations of moderate complexity.... Traditional investigative methodologies will apply to include evidence collection, site surveys, data analysis, and interviews of individuals related to the case. Assembles evidence and documentation to support successful adjudication, where appropriate. May conduct on-site audits of provider records ensuring appropriateness of billing practices. Prepares c... 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

Fraud and Waste Lead (Legal... Liaison) The candidate will oversee internal and external FWA (Fraud, Waste and Abuse) investigative... requests and coordinating timely responses. Will have responsibility and authority in identifying opportunities to improve business processes related to investigative and law enforcement activities with both internal and external business partners. Coordinate investigation with law enforcement authorities. Assemble evidence and documentation to sup... 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

Fraud and Waste Investigator The... candidate conducts investigations of allegations of fraudulent and abusive practices. Conducts fraud, waste & abuse investigations... of clinicians. Assembles evidence and documentation to support successful adjudication. Analyzes data and historical information in EMR platforms. Conduct interviews of members and clinicians as appropriate. Prepares complex investigative reports. Facilitate presentations to senior leaders as well as regulatory ag... 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

Fraud and Waste Lead (Legal... Liaison) The candidate will oversee internal and external FWA (Fraud, Waste and Abuse) investigative... requests and coordinating timely responses. Will have responsibility and authority in identifying opportunities to improve business processes related to investigative and law enforcement activities with both internal and external business partners. Coordinate investigation with law enforcement authorities. Assemble evidence and documentation to sup... 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

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