- 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
- Amazon (Arlington, VA)
- …a data-driven, highly motivated, eager to identify threat actors, and organized Investigator of Corporate Fraud Prevention. The selected individual will support ... such as invoices and payments as indicators of theft, fraud , waste or abuse. We are looking...clear, concise and persuasive narrative creation that documents complex fraud investigations, new program ideas, and periodic senior… more
- 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 (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
- Amazon (Arlington, VA)
- …a data-driven, highly motivated, eager to identify threat actors, and organized Investigator of Corporate Fraud Prevention. The selected individual will support ... such as invoices and payments as indicators of theft, fraud , waste or abuse. We are looking...visible role, and a successful candidate is a seasoned investigator , comfortable working with data to derive patterns and… more
- 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
- 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
- CareFirst (Baltimore, MD)
- …, and abuse investigations of all levels. **Licenses/Certifications** Certified Insurance Fraud Investigator (CIFI) Preferred Certified Expert Coder-AHIMA or ... 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
- 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
- Commerce Bank (Kansas City, MO)
- …of the compensation range for some roles. This compensation range is for the Senior Corporate Investigator job and contemplates a wide range of factors that ... job is to prevent, detect, and investigate financial crimes, waste and abuse against the Bank and the Bank's...Bank and the Bank's stakeholders. Essential Functions + Ensure fraud alerts are issued to lines of business timely… more
- Office of the Inspector General (Baton Rouge, LA)
- …to enhance program effectiveness and efficiency and to detect and prevent waste , fraud , and mismanagement in DHS programs and operations. Responsibilities ... programs and operations. The position serves as a Criminal Investigator /Program Mnager responsible for the most difficult, sensitive and...the programmatic liaison for the National Center for Disaster Fraud (NCDF). The NCDF is the result of a… more
- Office of the Director of National Intelligence (Reston, VA)
- …and conduct inquiries into possible violations of laws, rules and regulations, mismanagement, fraud , gross waste of funds, and abuse of authority within the ... to identify and make recommendations to ODNI and IC senior leaders regarding actions they should take to address...and detect violations of laws, rules and regulations and fraud and abuse. Guide the development and presentation of… more
- Office of the Director of National Intelligence (Reston, VA)
- …and conduct inquiries into possible violations of laws, rules and regulations, mismanagement, fraud , gross waste of funds, and abuse of authority within the ... to identify and make recommendations to ODNI and IC senior leaders regarding actions they should take to address...and detect violations of laws, rules and regulations and fraud and abuse. Guide the development and presentation of… more
- MyFlorida (Tallahassee, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified ... is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste . The Bureau of...Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; or Certified Compliance and Ethics… more