- Independent Health (Buffalo, NY)
- …first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Fraud Investigator develops, implements and administers the IH anti- ... record documentation, and reviewing other documentation, in accordance with Independent Health 's Fraud Prevention Plan. Reviewing output from computerized … more
- State of Maine, Bureau of Human Resources (Bangor, ME)
- Fraud Investigator Bangor , Maine ,...of service, and overtime-exempt employees receive personal leave. + Health Insurance Coverage - The State of ... Code:5040 Grade: 22 Salary:$45,801.60 -$ 61,443.20Position Number: 02000-2291Location: Bangor As a Fraud Investigator you will: * Investigate and prepare cases… 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
- Commerce Bank (Kansas City, MO)
- …$23.80 (Amount based on relevant experience, skills, and competencies.) About This Job The Fraud Investigator is a critical position in the bank that is ... for some roles. This compensation range is for the Fraud Investigator - Consumer Servicing, Bankcard ...be eligible for the following employment benefits: employer sponsored health , dental, and vision insurance , 401(k), life… 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,...state agencies through our fiscal, IT, and HR systems. Insurance Benefits:The State of Michigan offers health ,… 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
- MyFlorida (Fort Lauderdale, FL)
- … Fraud Examiner (CFE) certification through the Association of Certified Fraud Examiners (ACFE); Certified Financial Crimes Investigator (CFCI) through the ... FINANCIAL INVESTIGATOR -CONSUMER PROTECTION - 41000384 Date: Jun 1, 2024...and one Personal Holiday each year. + State Group Insurance coverage options, including health , life, dental,… more
- MyFlorida (Miami, FL)
- …+ Nine paid holidays and one Personal Holiday each year. + State Group Insurance coverage options, including health , life, dental, vision, and other supplemental ... LAW ENFORCEMENT INVESTIGATOR II - 41000982 Date: Jun 17, 2024...Annually Position Summary: This position is in the Medicaid Fraud Unit in Miami, Florida. The Attorney General's Medicaid… 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
- Premera Blue Cross (Mountlake Terrace, WA)
- …(RN), Certified Professional Coder (CPC), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI) preferred. + (2) years of ... government plan auditing experience preferred. + Strong understanding of health insurance reimbursement methodologies, including familiarity with International… more
- CVS Health (Hartford, CT)
- Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in...pursue the prevention, detection, investigation and prosecution of healthcare fraud , waste, and abuse. Also reports suspected fraud… more
- Providence (OR)
- …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
- System One (Baltimore, MD)
- ALTA IT is hiring an Associate Investigator to support a leading health insurance customer. The individual will work with the Special Investigations Unit ... and recuperation of losses. You will research and analyze data using company anti- fraud software, Excel, and other tools to proactively identify new potential cases.… more
- Travelers Insurance Company (Melville, NY)
- …to obtain assistance in conducting investigations. + Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National ... while making decisions to successfully pursue medical and non-medical insurance fraud through establishing significant facts while...license required. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible… more
- State of Colorado (Denver, CO)
- …Defined Contribution Plan, plus optional 401K and 457 plans. + Medical and Dental Health Insurance for employees and optional coverage for their dependents. + ... Criminal Investigator I- DORA: Division of Securities Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4541268)...Life Insurance for employees, and optional coverage for their dependents.… more
- Adams County Government (Westminster, CO)
- Human Services Investigator - 161818 Print (https://www.governmentjobs.com/careers/adams/jobs/newprint/4556613) Apply Human Services Investigator - 161818 Salary ... In This Job Investigate allegations of possible program eligibility abuse and fraud . Provide clear and concise reports documenting findings coupled with the… more
- Guidehouse (San Antonio, TX)
- **Job Family** **:** Investigator **Travel Required** **:** Up to 10% **Clearance Required** **:** None **_Multiple opportunities available for AML Compliance/ ... Investigator Analysts and Senior AML Compliance Investigator ...OFAC Sanctions, Anti-Money Laundering, KYC, CDD, EDD and/or Financial Fraud Investigations. + Understanding of the legal, corporate governance,… more
- CVS Health (Hartford, CT)
- …of Certified Fraud Examiners (CFE) - An accreditation from the National Health Care Anti- Fraud Association (AHFI). - Billing and Coding certifications such ... an Associate's degree with three additional years working in health care fraud , waste, and abuse investigations...eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long… more
- Elevance Health (West Des Moines, IA)
- …of benefit programs management with heavy emphasis in negotiation preferred. + Health insurance , law enforcement experience preferred. + Intermediate knowledge ... ** Investigator II** **Schedule** : 1-2 days per week...candidate must live within 50 miles of our Elevance Health PulsePoint location in West Des Moine, Iowa (in… more
- Elevance Health (St. Louis, MO)
- …procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred. + Health insurance , law enforcement experience preferred. ... live within 50 miles of one of our Elevance Health PulsePoint locations. The ** INVESTIGATOR II** is...investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds… more
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