- ASM Research, An Accenture Federal Services Company (Columbus, OH)
- As a Tier 1 Fraud Investigator , you will be joining our Converge Operations Team to be on the front lines protecting the retirement accounts of federal employees ... our clients and our firm. Further, as the Technical Investigator , you will be responsible for addressing all ...Investigator , you will be responsible for addressing all fraud related technical matters, including data analytics and communicating… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive ... practices. The Fraud and Waste Professional 2 work assignments are varied...appropriate courses of action. **Where You Come In** The Fraud and Waste Professional 2 coordinates investigation with internal… more
- Humana (Columbus, OH)
- …experience + CFE (Certified Fraud Examiner) or AHFI (Accredited Healthcare Fraud Investigator ) **Additional Information** + Benefits starting day 1 of ... of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The… more
- US Bank (Columbus, OH)
- …**Additional Skills** Investigators may concentrate on one specific or many different fraud typologies such as external fraud , elder and vulnerable adult ... financial exploitation, technology related fraud , organized fraud rings and anti-money laundering...fraudulent activity, and filing Suspicious Activity Reports (SARs). An investigator may review consumer and commercial DDAs, loans, lines… more
- CVS Health (Columbus, OH)
- …more personal, convenient and affordable. **Position Summary** + As a Senior Investigator you will conduct high level, complex investigations of known or suspected ... acts of healthcare fraud and abuse. + Routinely handles cases that are...business, or cases involving multiple perpetrators or intricate healthcare fraud schemes. + Investigates to prevent payment of fraudulent… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse. Duties include performing accurate and reliable medical review… more
- Huntington National Bank (Columbus, OH)
- Description Job Description Summary Internal Investigator will investigate suspected internal fraud /financial crimes and all reported occurrences of internal ... with internal and external partners to identify and communicate organized crime or fraud trends. Represent the bank in criminal or conciliation court matters as… more
- Lumen (Columbus, OH)
- …our business conduct. Our team is seeking a full-time Lead Corporate Investigator to conduct internal investigations into concerns raised internally and externally ... team through a variety of channels, including the Lumen Integrity Line. The investigator will report directly to the Manager of Corporate Investigations, will work… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... of experience working in a FWA / SIU or Fraud investigations role for New Jersey/New York location +...CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional designations preferred To all… more