- Kelsey-Seybold Clinic (Pearland, TX)
- …audits and investigations conducted **Job Title: Sr. Fraud Investigator (SIU)** **Location: Pearland Administrative Office** **Department:** ** Health Plan ... Care Anti- Fraud Associate (HCAFA), OR Accredited Health Care Fraud Investigator (AHFI),...to case allegation. Preferred: Knowledge of ICD-9/10 HCPS/Revenue codes, insurance terms and policy interpretations. Prefer knowledge of managed… more
- Elevance Health (Columbus, OH)
- **Clinical Fraud Investigator II** **Location: This position will work in a hybrid model (remote and office). The ideal candidate must live within 50 miles of ... our Elevance Health PulsePoint location listed in the requisition.** **Work schedule:...requisition.** **Work schedule: M-F normal business hours** The **Clinical Fraud Investigator II** is responsible for identifying… more
- AmeriHealth Caritas (Dublin, OH)
- …hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, ... **Special Investigator (Healthcare Fraud , Waste & Abuse)-...minimum of 3 to 5 years experience conducting comprehensive health care fraud investigations; interacting with state,… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Claims Fraud Investigator to play your part in that transformation. It's an opportunity to ... 5+ years of experience within TPA/Vendor management ideally in insurance + Understanding of the typical/standard Fraud ...spent at work to offer benefits focused on your health , wellbeing and financial security-as well as your professional… more
- BECU (WA)
- …details regarding BECU Benefits can be found here . **_IMPACT YOU'LL MAKE:_** As a Fraud Investigator at BECU, you'll be at the forefront of safeguarding our ... coverage. Employees have access to disability and AD&D insurance . We also offer health care and...to investigate fraudulent activities, including debit and credit card fraud , Zelle transactions, check fraud , external transfers,… more
- IT Concepts (Woodlawn, MD)
- …driven and innovative individuals to join our team. IT Concepts is seeking a Fraud Analyst/ Investigator who will support several projects at a federal agency. ... as well as input from other sources to identify fraud + Communicates with internal and external sources related...- Competitive Paid Time Off, Medical, Dental and Vision Insurance , Identity Theft Protection, Legal Resources Coverage, 401(k) with… more
- Idaho Division of Human Resources (Boise, ID)
- Medicaid Fraud Control Unit Investigator , OAG, Criminal Law Division Posting Begin Date: 2024/09/09 Posting End Date: 2024/11/08 Category: Law Enforcement Sub ... - $47.51 Benefits: State employee benefits which include low-cost health and dental insurance , paid vacation and...applicant will be assigned to the Attorney General's Medicaid Fraud Control Unit (MFCU). This investigator will… more
- State of Maine, Bureau of Human Resources (Machias, ME)
- Fraud Investigator Machias , Maine ,...of service, and overtime-exempt employees receive personal leave. + Health Insurance Coverage - The State of ... Apply by: Oct. 4, 2024 Apply with Linkedin Apply Department of Health and Human Services (DHHS)Opening Date:September 20, 2024Closing Date: October 4, 2024Job… more
- Umpqua Bank (Tigard, OR)
- Fraud Investigator Corporate Risk Tigard, Oregon Lake Oswego, Oregon **Description** **About Us:** Umpqua Bank is headquartered in the Pacific Northwest with ... contributions, an employee assistance program, life insurance , disability insurance , tuition assistance, mental health resources, identity theft protection,… more
- BMO Financial Group (Chicago, IL)
- …discretionary bonuses, as well as other perks and rewards. BMO also offers health insurance , tuition reimbursement, accident and life insurance , and ... + Banking experience - preferred + Fraud or investigation experience - preferred + Suspicious Activity Report experience - preferred + **Hybrid role** Conducts… more
- Ventura County (Ventura, CA)
- …real estate fraud , consumer and environmental protection cases, workers' compensation fraud , and automobile insurance fraud . The Administrative Division ... District Attorney Investigator I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4165939) Apply District Attorney Investigator I/II… more
- AIG (Atlanta, GA)
- …to ensure that the fraud risk to AIG is minimized. As an Insurance Claims Investigator , you will be responsible for investigating high complexity suspicious ... to manage risk. Join us as a Principal Claims Investigator to play your part in that transformation. It's...insurance claims or suspicious insurance related activities… more
- The County of Los Angeles (Los Angeles, CA)
- …conducting investigations (eg, criminal investigations, administrative-financial crimes, medical or insurance fraud , digital forensic investigations, and private ... INVESTIGATOR II, PD-EMERGENCY APPOINTMENT/HOMELESS INITIATIVE Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4391024) Apply INVESTIGATOR … more
- Providence (CA)
- …experience + 5+ years coding experience at a healthcare provider, facility or health insurance company + 2+ years fraud and abuse audit experience at a ... health plan, health insurance company, healthcare provider, facility or...care fraud investigation, such as Accredited Healthcare Fraud Investigator (AHFI), Certification as an Internal… more
- The County of Los Angeles (Los Angeles, CA)
- …those involving the investigation of various types of fraud (eg, auto insurance , workers' compensation, health care, real estate, and consumer). You may also ... INVESTIGATOR , DA Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2434815) Apply INVESTIGATOR , DA Salary $82,080.00 - $110,616.00 Annually… more
- Office of the Inspector General (Alexandria, VA)
- …Information DHS offers competitive salaries and an attractive benefits package, including: health , dental, vision, life, and long-term care insurance ; retirement ... enhance program effectiveness and efficiency and to detect and prevent waste, fraud , and mismanagement in DHS programs and operations. Responsibilities This position… more
- Elevance Health (Indianapolis, IN)
- …called upon to represent the Company in court proceedings regarding research findings. + Health insurance experience required with understanding of health ... **Senior Investigator ( Investigator Sr)** _Location: This position...live within 50 miles of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud… more
- Elevance Health (Atlanta, GA)
- …of benefit programs management with heavy emphasis in negotiation preferred. + Health insurance , law enforcement experience preferred. Please be advised that ... ** Investigator II - Carelon Payment Integrity** **Location:** This...Payment Integrity** is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,… more
- Elevance Health (FL)
- …of benefit programs management with heavy emphasis in negotiation preferred. + Health insurance , law enforcement experience preferred. + Experience with Excel ... Job Description ** Investigator II** **Supporting the Payment Integrity line of...live within 50 miles of one the posted Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Compliance Investigator 4-A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4664151) Apply Compliance Investigator 4-A Salary $4,177.00 - ... Description + Benefits + Questions Supplemental Information The Louisiana Department of Health is dedicated to fulfilling its mission through direct provision of… more