- 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 (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of ... fraudulent and abusive practices. The Senior Fraud and Waste Professional...ACFE + Currently designated as an Accredited Health Care Fraud Investigator (AHFI) granted by NHCAA +… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Sr. Fraud Investigator SIU (Special Investigations Unit) assists in the implementation and daily operation of the organization's ... to perform interviews and obtain medical records/ and other relevant documentation. The Senior Investigator will also act as subject matter expert in researching… 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
- City of New York (New York, NY)
- …Housing Authority Inspector General (NYCHA IG). BFI is recruiting for three (3) Fraud Investigator II to function as a Senior Investigator , who will: - ... Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE OR...Conduct complex investigations into allegations of fraud , waste , and/or abuse of social services… more
- 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
- CVS Health (Woonsocket, RI)
- …is seeking a Sr. Manager to lead our new ASO investigations team. The Healthcare Fraud Senior Manager is responsible for overseeing and managing fraud ... Relevant certifications (eg, Certified Fraud Examiner (CFE), accredited healthcare fraud investigator (AHFI) **Education:** + Bachelor's degree preferred in… more
- 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
- USAA (San Antonio, TX)
- …understanding of procedures related to SIU investigations. + Knowledge and experience in fraud waste and abuse investigations of Medicare Supplement Claims. + ... Claims Security strategic and operational plans/policies in conjunction with senior management. Identifies emerging fraud trends and... Fraud Examiner (CFE) or Accredited Health Care Fraud Investigator (AHFI) designation is a plus.… more
- Washington Metropolitan Area Transit Authority (Washington, DC)
- …Advanced degree in criminal justice, law, accounting, or similar field. Certified Fraud Examiner (CFE) or Certified Inspector General Investigator (CIGI). Legal ... investigative matters. + Represents SAC at meetings of senior WMATA officials and other WMATA management staff and...perform diverse and complex investigations and assessments of WMATA's fraud , waste and abuse hotline and whistleblower… more