• Senior Fraud and Waste

    Humana (Indianapolis, IN)
    …part 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...areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities… more
    Humana (11/22/24)
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  • Senior Healthcare Fraud

    CVS Health (Tallahassee, FL)
    …more personal, convenient and affordable. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special ... manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
    CVS Health (11/21/24)
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  • Senior Healthcare Fraud

    CVS Health (Hartford, CT)
    …make health care more personal, convenient and affordable. **Position Summary** As a Senior Investigator you will conduct high level, complex investigations of ... Bachelor's degree or equivalent experience (3-5 years of working health care fraud , waste and abuse investigations). **Pay Range** The typical pay range for this… more
    CVS Health (11/19/24)
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  • Senior Fraud , Waste ,…

    Sharp HealthCare (San Diego, CA)
    …other requirements for the position, and employer business practices. **What You Will Do** The Senior Fraud , Waste and Abuse Specialist at Sharp Health Plan ... Requirements** + Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI) Certification - Preferred **Essential Functions** +… more
    Sharp HealthCare (10/02/24)
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  • Senior Investigator (Hybrid)

    CareFirst (Columbia, MD)
    …**Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) and + Certified Expert Coder-AHIMA ... and resolution of all levels (low to complex), of fraud , waste , and abuse schemes, resulting in...fraud software analysis, and appropriately sourced reference materials. Investigator ensures timely maintenance and organization of case file… more
    CareFirst (10/28/24)
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  • Senior Investigator

    City of New York (New York, NY)
    …federal and state data sources. BFI is recruiting for three (3) Fraud Investigator II to function as Senior Investigators, who will: - Conduct complex ... Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE OR...investigations into allegations of fraud , waste , and/or abuse of social services… more
    City of New York (10/30/24)
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  • Fraud Waste and Abuse (FWA) Audit…

    Fallon Health (Worcester, MA)
    …is a plus, such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or other coding certifications or similar in the ... summary of purpose:** Under the general direction of the Senior Internal Audit Manager, theAnalyze and interpret patient medical...Director of Internal Audit in their leadership of the Fraud , Waste and Abuse (FWA) program. The… more
    Fallon Health (11/09/24)
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  • Senior Investigator , Special…

    CVS Health (Columbus, OH)
    …make health care more personal, convenient and affordable. **Position Summary:** As a Senior Investigator you will conduct high level, complex investigations of ... - Bachelor's degree or an additional 5 years of working health care fraud , waste and abuse investigations. **Pay Range** The typical pay range for this role… more
    CVS Health (11/10/24)
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  • Office of the MTA Inspector General: Construction…

    MTA (New York, NY)
    …Location: New York City, New York Hours: Full-Time Compensation : Construction Auditor/ Investigator $81, 157 - $101, 446 Senior Construction Auditor/ ... Construction oversight staff investigat e allegations of wrongdoing or fraud and conduct proactive reviews to identify and uncover...trade and five year s of relevant experience. + Senior Construction Auditor/ Investigator : A Bachelor's degree… more
    MTA (10/18/24)
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  • Construction Auditor/ Investigator Series

    New York State Civil Service (New York, NY)
    …OR a license in a trade and five years of relevant experience. Senior Construction Auditor/ Investigator : A Bachelor's degree (in fields such as construction ... HELP No Agency MTA Inspector General, Office of Title Construction Auditor/ Investigator Series Occupational Category Other Professional Careers Salary Grade NS… more
    New York State Civil Service (10/16/24)
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  • Investigator

    Department of the Navy/Assistant for Administration (Arlington, VA)
    Summary You will serve as a Senior Official Investigator for the Inspector General of the Marine Corps (IGMC). Responsibilities You will maintain a system for ... and procedures to conduct evaluations and investigations; Conducting investigations of fraud , waste , abuse, and mismanagement, misconduct, and ethics violations;… more
    Department of the Navy/Assistant for Administration (11/20/24)
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