SIU Clinical Healthcare Fraud Investigator III

RESPONSIBILITIES: Kforce has a client that is seeking a SIU Investigator in Los Angeles, CA. This is a remote position (must live within driving distance from office). The duration is 3 months (CTH). Once you convert to FTE - once a month, onsite is required. Overview: The Special Investigation Unit Investigator performs in-depth evaluation of potential fraud and abuse cases and develops complex investigations that involve high dollar amounts, sensitive issues, or that otherwise meet criteria

RESPONSIBILITIES: Kforce has a client in the Healthcare industry in Los Angeles who is looking for a SIU Investigator. Responsibilities: * Reviews allegations and complex issues related to potential healthcare fraud, waste, and abuse involving providers, pharmacies, employers, and members * Analyzes claims data, provider information, and other available records to identify unusual billing patterns, trends, and potential areas of concern * Conducts research and gathers relevant information from a

Job Description Summary Help advance more precise, personalized care This role sits within GE HealthCare's MIM Software business, where we build vendor-neutral imaging software designed to simplify complex clinical workflows and support better decision-making in patient care. Leading healthcare organizations around the world use MIM to help deliver more precise, personalized care to patients. If you're excited about combining clinical insight, technology, and cross-functional collaboration to i

Job Family: Technology Consulting Travel Required: Up to 50% Clearance Required: Ability to Obtain Public Trust What You Will Do The AI/Data Senior Consultant leads discrete workstreams and delivers advanced AI and data solutions. This role combines technical depth, client engagement, and mentorship of junior team members while driving real-world AI adoption. Key Responsibilities Design and implement scalable AI and data solutions from requirements to deploymentDevelop, test, and tune fraud