- Molina Healthcare (Omaha, NE)
- …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner ... detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse. Duties include performing accurate… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …(RN), Certified Professional Coder (CPC), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI) preferred. + (2) years of ... and regulatory agencies. + May attend webinars and conferences like BCBSA, National Health Care Anti- Fraud Association (NHCAA), and Association of Certified … more
- Geisinger (Danville, PA)
- …Salary would commensurate with experience. Position Details Preferred Certification(s) -Certified Fraud Examiner -Accredited HealthCare Fraud Investigator ... Preferred backgrounds are: Bachelors degree, nursing and / or health care investigation experience, Certified Fraud Examiner,.../ or health care investigation experience, Certified Fraud Examiner, National Health Care Anti- Fraud… more
- CareFirst (Baltimore, MD)
- …**Preferred Qualifications:** Credentials as Certified Fraud Examiner (CFE), Accredited Health Fraud Investigator (AHFI), RN/LPN, or Certified ... and manage new case leads for potential assignment leads. Track incoming fraud allegations from all sources for statistical purposes and enter cases accurately… more
- CDPHP (Albany, NY)
- …of employment. + Certified Outpatient Coder (COC) Certification is preferred. + Accredited Health Care Fraud Investigator (AHFI(R)) accreditation to be ... in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to… more
- Capital One (Richmond, VA)
- …3 (12073), United States of America, Richmond, Virginia Anti-Money Laundering (AML) Fraud Investigator II The qualified candidate will support various Anti-Money ... Laundering (AML) Fraud processes for our various lines of business, which...Structures occasional tasks independently + Typically reports to: Sr. Investigator **Basic Qualifications:** + High school diploma, GED, or… more
- New York State Civil Service (New York, NY)
- …HELP No Agency State Inspector General, Office of Title Workers' Compensation Fraud Investigator Occupational Category Enforcement or Protective Services Salary ... Notes on Applying Please email resume and cover letter, with Job ID #24-0234 "Workers Compensation Fraud Investigator " in the subject line, to: ###@ig.ny.gov more
- State of Georgia (Fulton County, GA)
- Investigator - Medicaid Fraud Division Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/37043/other-jobs-matching/location-only) Hot ... through this announcement will serve in the Investigations section of our Medicaid Fraud Division. Duties & Responsibilities: Investigators conduct health care … more
- MUFG (Tempe, AZ)
- …details. Reporting to the Senior Fraud Prevention Manager (Vice President) of Fraud Operations. The Investigator will complete fraud investigations to ... experience and general level of supervision required by the Senior Fraud Prevention Manager. **Major Responsibilities:** + Analyze account transactions to determine… more
- SGI Global, LLC (Raleigh, NC)
- SGI Global is seeking a Civil Investigator (Healthcare Fraud and Opioid Matters) to support Affirmative Civil Enforcement ("ACE") Program for the United States ... Office for the Eastern District of North Carolina. The investigator will be assigned cases and matters that vary...actions within the jurisdiction of the USAO-EDNC involving opioid-related health care fraud violations. + Working with… more
- Elevance Health (Miami, FL)
- …The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. **Hybrid Workplace Strategy:** 1-2 days in office per week The ... **Clinical Fraid Investigator II** is responsible for identifying issues and/or entities...and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**… more
- State of Michigan (MI)
- Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland, Wayne Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/3739587) Apply ... Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland,...Full Time Remote Employment Flexible/Hybrid Job Number 4301-22-OIG-039-FILL Department Health and Human Services - Central Office Opening Date… more
- Gilead Sciences, Inc. (Foster City, CA)
- …across the globe. We continue to fight against the world's biggest health challenges, and our mission requires collaboration, determination and a relentless drive ... their economic status. **About the Role** The global pharmaceutical crime and healthcare fraud market is currently estimated at $400 billion annually. It is too… more
- Humana (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** Humana Healthy Horizons in Louisiana is seeking a Fraud and Waste Professional 2 who ... investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** Humana Healthy Horizons in Oklahoma is seeking a Fraud and Waste Professional 2 who ... investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- US Bank (Columbus, OH)
- …That's why our benefits are designed to help you and your family boost your health , protect your financial security and give you peace of mind. Our benefits include ... the following (some may vary based on role, location or hours): + Healthcare (medical, dental, vision) + Basic term and optional term life insurance + Short-term and long-term disability + Pregnancy disability and parental leave + 401(k) and employer-funded… more
- US Bank (Fargo, ND)
- …That's why our benefits are designed to help you and your family boost your health , protect your financial security and give you peace of mind. Our benefits include ... the following (some may vary based on role, location or hours): + Healthcare (medical, dental, vision) + Basic term and optional term life insurance + Short-term and long-term disability + Pregnancy disability and parental leave + 401(k) and employer-funded… more
- State of Colorado (Denver, CO)
- Criminal Investigator II (Special Prosecutions) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4441274) Apply Criminal Investigator II ... is currently offering a sign-on bonus for new criminal investigator hires of $2,000. Sign-On bonuses will be paid...election crimes, human trafficking, identity theft, and state tax fraud . You will get to work with the Statewide… more
- Ventura County (Ventura, CA)
- District Attorney Investigator I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4165939) Apply District Attorney Investigator I/II ... for prosecution. The Bureau is staffed with a chief investigator , a deputy chief investigator , 3 commanders,...wide range of investigations from homicide to complex white-collar fraud schemes. The Bureau of Investigation has three divisions:… more
- MyFlorida (Miami, FL)
- FINANCIAL INVESTIGATOR -CRIMINAL ENFORCE - 43004823 Date: Apr 25, 2024 Location: MIAMI, FL, US, 33101 The State Personnel System is an E-Verify employer. For more ... No: 825559 Agency: Office of Financial Regulation Working Title: FINANCIAL INVESTIGATOR -CRIMINAL ENFORCE - 43004823 Pay Plan: Career Service Position Number:… more