- CVS Health (Hartford, CT)
- …situation. **Education:** + Bachelor's degree or equivalent experience (3-5 years of working health care fraud , waste and abuse investigations). **Pay ... personal, convenient and affordable. **Position Summary** As a Senior Investigator you will conduct high level, complex investigations of... Examiners (CFE), or an accreditation from the National Health Care Anti- Fraud Association (AHFI)… more
- CVS Health (Tallahassee, FL)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....**Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations… more
- Humana (Indianapolis, IN)
- …of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will ... oversee the monitoring and enforcement of the fraud , waste, and abuse (FWA) compliance program to prevent...millions of people we serve to achieve their best health - delivering the care and service… more
- Zions Bancorporation (Midvale, UT)
- …are endless. You bring the talent; we bring the opportunity. We are currently seeking a Fraud Investigator to join our team. This position will be full time work ... including the case management system. + Keeps current on fraud and BSA/AML investigative operations and the application of...Health Savings (HSA), Flexible Spending (FSA) and dependent care accounts + Paid Training, Paid Time Off (PTO)… more
- Ally (Raleigh, NC)
- …your opportunities be, too? **The Opportunity** The primary role of the Senior Bank Fraud Investigator to investigate and deter fraud against Ally Bank. ... all important to them. Our focus is on the health and safety of our teammates as well as...problem solver. You will work independently on various bank fraud projects and present findings and solutions to loss… more
- Ventura County (Ventura, CA)
- District Attorney Investigator I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4165939) Apply District Attorney Investigator I/II ... for prosecution. The Bureau is staffed with a chief investigator , a deputy chief investigator , 3 commanders,...wide range of investigations from homicide to complex white-collar fraud schemes. The Bureau of Investigation has three divisions:… more
- CareFirst (Baltimore, MD)
- …or law enforcement, at least 3 of which must be health care specific and includes independently conducting healthcare fraud , waste, and abuse investigations ... of all levels. **Licenses/Certifications** Certified Insurance Fraud Investigator (CIFI) Preferred Certified Expert Coder-AHIMA or AAPC Preferred **Knowledge,… more
- Sacramento County (Sacramento, CA)
- Supervising Criminal Investigator *Promotional Only* Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4738274) Apply Supervising Criminal ... Investigator *Promotional Only* Salary $138,037.68 - $167,791.68 Annually Location...Requirement: Investigators in the District Attorney's Office and Welfare Fraud Investigation Division are designated peace officers by the… more
- CVS Health (Columbus, OH)
- … fraud and abuse **Required Qualifications** + **3 years three years working on health care fraud , waste, and abuse investigatory and audits required.** + ... affordable. **Position Summary** Kentucky Resident is preferred The SIU Investigator conducts investigations to effectively pursue the prevention, investigation...1-3 years experience working on health care fraud , waste, and… more
- CVS Health (Columbus, OH)
- …research information **Education:** - Bachelor's degree or an additional 5 years of working health care fraud , waste and abuse investigations. **Pay Range** ... personal, convenient and affordable. **Position Summary:** As a Senior Investigator you will conduct high level, complex investigations of... Examiners (CFE), or an accreditation from the National Health Care Anti- Fraud Association (AHFI)… more
- MyFlorida (Lake Wales, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 43001585 Date: Nov 13, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 841223 Agency: Financial Services Working Title: LAW ENFORCEMENT INVESTIGATOR II - 43001585 Pay Plan: Career Service Position Number: 43001585… more
- State of Georgia (Fulton County, GA)
- …of our Medicaid Fraud Division. Duties & Responsibilities: Investigators conduct health care fraud investigations. Assists criminal justice personnel, ... Office of the Attorney General Department of Law Medicaid Fraud - Criminal Investigator Salary: High 40's...limited to, Analysts, Auditors, and Prosecutors in conducting on-site health care fraud and patient… more
- AIG (Atlanta, GA)
- …the way we help customers to manage risk. Join us as a Principal Claims Investigator to play your part in that transformation. It's an opportunity to grow your ... How you will create an impact The Principal Claims Investigator is responsible for all aspects of the investigation...will leverage knowledge and expertise to ensure that the fraud risk to AIG is minimized. As an Insurance… more
- Highmark Health (Dover, DE)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations...+ 1 year in Financial Analysis in an acute care hospital or health insurance setting +… more
- The County of Los Angeles (Los Angeles, CA)
- …investigation of various types of fraud (eg, auto insurance, workers' compensation, health care , real estate, and consumer). You may also work directly with ... INVESTIGATOR , DA Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2434815) Apply INVESTIGATOR , DA Salary $82,080.00 - $110,616.00 Annually… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …is a state law enforcement agency, and it's mission is to investigate and prosecute health care providers who have defrauded the Medicaid program. The MFCU also ... INVESTIGATOR /SPECIAL AGENT (1-3) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4733817) Apply ...prosecutes allegations of abuse, and neglect of residents in health care facilities. The MFCU utilizes a… more
- Veterans Affairs, Inspector General (Chicago, IL)
- …investigations focus on a wide range of matters including health care , procurement, benefits, education, construction, and other fraud ; cybercrime and ... integrity, patient safety, efficiency, and accountability within VA. The Supervisory Criminal Investigator (Resident Agent In Charge), located in Chicago, IL in the… more
- EFI Global (Clovis, NM)
- …If this does not apply to you please use the 'Apply' option.** IF YOU CARE , THERE'S A PLACE FOR YOU HERE EFI Global is a full-service engineering, fire ... investigation, environmental, health and safety, and specialty consulting services firm serving...grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony,… more
- EFI Global (Anchorage, AK)
- …If this does not apply to you please use the 'Apply' option.** IF YOU CARE , THERE'S A PLACE FOR YOU HERE EFI Global is a full-service engineering, fire ... investigation, environmental, health and safety, and specialty consulting services firm serving...grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony,… more
- EFI Global (Denver, CO)
- …If this does not apply to you please use the 'Apply' option.** IF YOU CARE , THERE'S A PLACE FOR YOU HERE EFI Global is a full-service engineering, fire ... investigation, environmental, health and safety, and specialty consulting services firm serving...grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony,… more
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