Healthcare Fraud Investigator

Role OverviewIn this field-based position as a Specialized Fraud Investigations Lead, you will play a pivotal part in safeguarding USAA and its members against potential fraudulent activities by conducting intricate fraud investigations with substantial financial implications.This role is situated in Texas for the major case unit. We welcome candidates who...

USAA is seeking a skilled and experienced Complex Fraud Investigation Specialist to join our team. This role will involve investigating complex fraud cases with significant financial impact, working closely with legal counsel, government agencies, and outside consultants.The ideal candidate will have at least 4 years of experience in P&C SIU/Fraud...

About the RoleUSAA is seeking a skilled Insurance Fraud Investigator to join our team. In this role, you will play a critical part in protecting USAA and its members from potential fraudulent claims.You will investigate questionable and suspect claims activity in compliance with state insurance fraud-related laws and regulations, as well as company policies...

**Company Overview:**Top Secret Clearance Jobs is a leading provider of top-secret clearance jobs, dedicated to helping those with the most exclusive security clearance find their next career opportunity.**Job Summary:**We are seeking an experienced Senior Medicaid Fraud Investigator to join our team. As a Senior Medicaid Fraud Investigator, you will be...

Protect and Serve with USAAWe are seeking a highly skilled Senior Fraud Investigator to join our team in Texas. As a dedicated member of our Special Investigations Unit, you will play a critical role in protecting USAA and our members from potential fraudulent claims.This is a field-based position that requires the ability to work independently and as part...

About USAAAt USAA, our mission revolves around providing financial security to millions of U.S. military members and their families.We are seeking a dedicated Special Investigation Unit (SIU) investigator to safeguard USAA and its members from potential fraudulent claims. You will investigate suspicious activity, applying your knowledge of fraud schemes and...

Opportunity SummaryWe are seeking a skilled Fraud Customer Service Representative to join our team. As a key member of our customer service department, you will be responsible for providing exceptional service to clients by resolving multi-product fraud-related issues in a fast-paced environment.About the RoleThe successful candidate will have excellent...

We are seeking a highly skilled AML Investigator and Risk Mitigator to join our team at Guidehouse. This role offers a comprehensive total rewards package, including competitive compensation, flexible benefits, and opportunities for professional development.About the RoleThe successful candidate will have a Bachelor's degree and minimum 2+ years of prior...

About UsCAPPS, Inc. is a dynamic state agency dedicated to serving the citizens of Texas.

We are seeking a dedicated and customer-focused Fraud Customer Service Representative to join our team at Conduent State & Local Solutions, Inc. in San Antonio, TX.As a valued member of our team, you will be responsible for resolving multi-product fraud-related client requests by answering calls, chats, or emails in an inbound contact center. This fast-paced...

Role OverviewGenesis HealthCare seeks a skilled Registered Nurse to serve as an Infection Preventionist in our nursing center. As a seasoned professional, you will play a crucial role in controlling infection programs, employee training, and delivering exceptional patient care.Key ResponsibilitiesDevelop and implement effective infection control measures to...

Discover a purposeful career with Ethos Risk Services as an Experienced Surveillance Professional.About UsWe are one of the largest and most respected fraud investigations businesses in the US. Our team is dedicated to uncovering the facts, keeping insurance costs from rising, and serving our clients in a fully remote position.What We OfferAs an Experienced...

Job SummaryWe are seeking a skilled Healthcare Inspector to join our team at the Texas Department of Aging & Disability Services. As a Healthcare Inspector, you will be responsible for conducting on-site inspections and investigations in long-term care facilities across Texas.About the RoleThis is an exciting opportunity to work with a collaborative team of...

Job Summary:We are seeking a highly skilled Strategic Actuarial Leader to drive growth and manage actuarial expertise at University Health. This role involves developing and supporting company strategy, managing actuarial teams, and ensuring actuarial soundness across our lines of business.About the Role:The successful candidate will be responsible...

About the RoleWe are seeking an experienced Anti-Money Laundering (AML) risk analyst to join our team at Guidehouse. As an AML Quality Control Analyst Level II, you will play a critical role in ensuring the effectiveness of our transaction monitoring and anti-money laundering programs.ResponsibilitiesAML Alert/Case Reviews: Perform thorough reviews of AML...

We are seeking a skilled Medical Telemetry Nurse to join our team at Healthcare Staffing Plus. In this role, you will be responsible for providing high-quality patient care in a fast-paced medical setting.About the RoleThis is a contract position with a competitive hourly rate of $64. As a Medical Telemetry Nurse, you will work closely with patients and...

BioLife Plasma Services is a dynamic and fast-paced environment where you will have the opportunity to make a meaningful impact in the lives of others.Job SummaryWe are seeking a highly skilled and compassionate Plasma Center Medical Support Specialist (Nurse) to join our team. As a key member of our staff, you will be responsible for ensuring the highest...

Job SummaryWe are seeking a highly skilled EVV Long Term Services Coordinator to join our team at University Health System. In this role, you will play a crucial part in ensuring compliance with State-mandated regulations for CFHP and providers of Long Term Services and Supports (LTSS) to the STAR Kids population.Key Responsibilities:Extract, review, and...

Registered Nurse Quality Coordinator RN OpportunityWe are seeking a dedicated Registered Nurse Quality Coordinator RN to join our team at Methodist Hospital in San Antonio.**About the Role:**This is a rewarding opportunity for an experienced registered nurse to utilize their clinical expertise to improve patient care and outcomes. The successful candidate...

Clinical Research Nurse I RoleWe are seeking a Clinical Research Nurse I to join our team at ICON Plc, a world-leading healthcare intelligence and clinical research organization.About the JobThis is a PRN(as needed) position that requires a strong clinical background and excellent communication skills. The successful candidate will be responsible for...