• Fraud Waste and Abuse (FWA) Audit Manager

    Fallon Health (Worcester, MA)
    …this work is a plus, such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or other coding certifications or similar ... more
    Fallon Health (02/07/25)
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  • Inspector Specialist

    MyFlorida (Miami, FL)
    …related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified Financial Crimes ... more
    MyFlorida (03/13/25)
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  • Fraud Investigator

    Independent Health (Buffalo, NY)
    …benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Fraud Investigator will develop, implement and administer the IH anti- ... more
    Independent Health (03/04/25)
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  • External Fraud Investigator

    US Bank (Brookfield, WI)
    …skills and discover what you excel at-all from Day One. **Job Description** External Fraud Investigators may concentrate on one specific or many different fraud ... more
    US Bank (03/08/25)
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  • Investigator -SIU

    Molina Healthcare (Miami, FL)
    …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... more
    Molina Healthcare (03/08/25)
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  • Investigator , SIU RN

    Molina Healthcare (Columbus, OH)
    **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... more
    Molina Healthcare (01/21/25)
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  • Senior Investigator (Hybrid)

    CareFirst (Baltimore, MD)
    …+ Independently or as lead in part of an assigned team develop and conduct healthcare fraud , waste, and abuse investigations of all levels (low to complex). ... more
    CareFirst (03/04/25)
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  • Investigator , Coding SIU-CPC/Cpma-Georgia

    Molina Healthcare (Augusta, GA)
    …Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses ... more
    Molina Healthcare (02/19/25)
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  • CU EthicsLine Coordinator & Fiscal Misconduct…

    State of Colorado (Denver, CO)
    …EthicsLine Coordinator & Fiscal Misconduct Investigator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4867072)  CU EthicsLine Coordinator & ... more
    State of Colorado (03/13/25)
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  • Investigator , Special Investigations Unit…

    CVS Health (Columbus, OH)
    … conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply ... more
    CVS Health (03/05/25)
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  • Nurse Investigator

    State of Georgia (Fulton County, GA)
    …Georgia Medicaid Program. Participates as a member of an interdisciplinary team in Healthcare fraud investigations, and provides support to members of other ... more
    State of Georgia (12/20/24)
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  • CU EthicsLine Coordinator & Fiscal Misconduct…

    University of Colorado (Denver, CO)
    **CU EthicsLine Coordinator & Fiscal Misconduct Investigator ** **University of Colorado Denver** CU EthicsLine Coordinator & Fiscal Misconduct Investigator -36408 ... more
    University of Colorado (03/13/25)
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  • Investigator /Special Agent (1-3)

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …approach to uncover abuse and neglect of residents and complex financial fraud committed by healthcare providers, including hospitals, nursing homes, pharmacies, ... more
    Louisiana Department of State Civil Service (02/19/25)
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  • Investigator II

    Elevance Health (Charleston, WV)
    …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... more
    Elevance Health (02/25/25)
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  • Investigator Senior

    Elevance Health (Hanover, MD)
    …independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client ... more
    Elevance Health (03/06/25)
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  • Investigator , Ethics and Business…

    Sanofi Group (Cambridge, MA)
    …+ Proven experience with investigations focused on issues such as healthcare compliance, bribery, corruption, fraud and/or white-collar investigations. + ... more
    Sanofi Group (02/21/25)
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  • Fraud Operations Analyst - MX Team

    DoorDash (Tempe, AZ)
    …operator, the Fraud Insights Operations Analyst serves as the primary investigator within the team. They possess proficiency in various processes and extensive ... more
    DoorDash (02/01/25)
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  • Analyst, Special Investigative Unit

    CVS Health (Hartford, CT)
    …investigations to effectively pursue the prevention, detection, investigation and prosecution of healthcare fraud , waste, and abuse. Also reports suspected ... more
    CVS Health (03/13/25)
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  • Director, Quantitative Pharmacology,…

    Otsuka America Pharmaceutical Inc. (Rockville, MD)
    Otsuka Pharmaceutical Company is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka ... more
    Otsuka America Pharmaceutical Inc. (02/04/25)
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  • Clinical Research Coord Lead/Senior

    University of Michigan (Ann Arbor, MI)
    …role, you will be supporting a multidisciplinary team of researchers and healthcare professionals dedicated to advancing research and improving care for patients ... more
    University of Michigan (03/11/25)
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