- Humana (Columbia, SC)
- …(CFE) awarded by ACFE + Currently designated as an Accredited Health Care Fraud Investigator (AHFI) granted by NHCAA + Investigative/Law Enforcement background + ... caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ... abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and independent determination of the… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Sr. Fraud Investigator SIU (Special Investigations Unit) assists in the implementation and daily operation of the organization's ... applied to all audits and investigations conducted **Job Title: Sr. Fraud Investigator (SIU)** **Location: Pearland Administrative Office** **Department:**… more
- Tennessee Comptroller of the Treasury (Knoxville, TN)
- …of the Treasury is seeking an Investigator to investigate allegations of fraud , waste , and abuse in government and publicly funded entities. Candidates for ... the Comptroller's mission of making government work better by investigating allegations of fraud , waste , and abuse in government and publicly funded entities and… more
- State of Michigan (MI)
- Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland, Wayne Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/3739587) Apply ... Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland,...Counties This Regulation Agent position will conduct investigations of fraud , waste or abuse by recipients, non-Medicaid… more
- Molina Healthcare (Louisville, KY)
- …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste , and abuse. Duties include performing accurate and reliable… more
- Providence (OR)
- …in health care fraud investigation, such as Accredited Healthcare Fraud Investigator (AHFI), Certification as an Internal Auditor (CIA), Healthcare ... education related to coding, medical record documentation requirements, healthcare compliance and fraud , waste and abuse to Health Plan staff, vendors and… more
- Commonwealth Care Alliance (Boston, MA)
- …The FWA Investigator Coder Sr. Associate is an integral part of the Fraud , Waste & Abuse (FWA) Special Investigation Unit (SIU). The position reports ... directly to the Sr. Director, Fraud , Waste & Abuse. This position utilizes...related to review processes and results. Sr Associate, FWA Investigator Coder utilizes claim analysis, document review, coding knowledge… more
- US Agency for International Development (Washington, DC)
- …package. The Office of Inspector General (OIG) is committed to detecting and preventing fraud , waste , and abuse within the U. S. Agency for International ... supervise and direct activities designed to identify, investigate, prosecute, and mitigate fraud , waste , abuse, public corruption, and other criminal and… more
- US Agency for International Development (Washington, DC)
- …you submit your application package. OIG is responsible for preventing and detecting fraud , waste , abuse, and violations of law, and for promoting economy, ... and Millennium Challenge Corporation (MCC). Responsibilities As a GS-13 Criminal Investigator you will: Conduct complex and large-scale criminal, civil, and… more
- CVS Health (Des Moines, IA)
- …to effectively pursue the prevention, detection, investigation and prosecution of healthcare fraud , waste , and abuse. Also reports suspected fraud , ... + 1-3 years of Investigative experience in the area of healthcare fraud , waste and abuse + Strong knowledge of medical terminology/CPT/HCPCS coding. + Advanced… more
- New York State Civil Service (New York, NY)
- …financial investigations, forensic audits, and systemic reviews concerning allegations of fraud , waste , and abuse, utilizing advanced investigative techniques, ... NY HELP No Agency State Inspector General, Office of Title Investigator Auditor Occupational Category Financial, Accounting, Auditing Salary Grade NS Bargaining Unit… more
- US Agency for International Development (Washington, DC)
- Summary OIG is responsible for preventing and detecting fraud , waste , abuse, and violations of law, and for promoting economy, efficiency, and effectiveness of ... appointment. Applicants that have no prior series 1811 criminal investigator experience must meet the maximum age for entry...with 20 years of service as an 1811 criminal investigator . Hiring exceptions may be made for certain eligible… more
- Molina Healthcare (New York, NY)
- …delivery systems + Understanding of datamining and use of data analytics to detect fraud , waste , and abuse + Proven ability to research and interpret regulatory ... position must have the ability to determine correct coding, documentation, potential fraud , abuse, and over utilization by providers and recipients. The position… more
- Centene Corporation (Jefferson City, MO)
- …and measure potential healthcare fraud and abuse. + Conduct investigations of potential waste , abuse, and fraud + Document activity on each case and refer ... in claims + Develop new queries and reports to detect potential waste , abuse, and fraud + Provide case updates on progress of investigations and coordinate with… more
- Navy Exchange Services (NEX) (Newport, RI)
- …detect and detain individuals suspected of shoplifting. Investigates other suspected incidents of fraud waste and abuse as directed. - Prepares case reports ... Title: A/P SAFETY INVESTIGATOR / PART TIME Location: United States-Rhode Island-Newport Job Number: 240000XF Job Summary: Responsible for the protection of Navy… more
- Port Authority of New York and New Jersey (Hoboken, NJ)
- …corruption-free. To accomplish this, the OIG detects, receives, and investigates allegations of fraud , corruption, waste , and abuse with respect to employees, or ... Director of the Police Integrity Division, the Senior Confidential Investigator will participate in conducting highly sensitive, confidential investigations… more
- Government Accountability Office (Washington, DC)
- …agency rules and regulations, with particular emphasis on conduct that involves fraud , waste , abuse, and government corruption. Develops investigative plans and ... Summary This vacancy is for a Supervisory Investigator (Assistant Inspector General for Investigations) in the Government Accountability Office (GAO), Office of… more
- Department of State - Agency Wide (Rosslyn, VA)
- …degree of effectiveness and efficiency. Takes positive actions to identify means of avoiding fraud , waste , and mismanagement. Serves as an authority on the most ... effective methods for planning and conducting intelligence liaison operations. Provides advice and guidance to Directorate and Bureau on operations and methodologies. Requirements Conditions of Employment Qualifications Applicants must meet all the required… more
- Amentum (Fort Belvoir, VA)
- Investigates suspected instances of waste , fraud and abuse; data spills; and, network penetrations of the customer's information systems. Investigates and ... eradicates computer viruses and malicious code. Provide computer incident and violation response support, and cyber security awareness and training Participates in technical meetings and working groups to address issues related to computer security, protection… more