- SMBC (Sacramento, CA)
- …Estate Loans, Cash Management Services, International Services **JOB SUMMARY:** The Sr. Fraud Analyst will be responsible for managing daily tasks associated ... similar in accordance with applicable regulatory requirements preferred. + Certified Fraud Examiner (CFE) or Certified Financial Crimes Investigator preferred.… more
- CDPHP (Albany, NY)
- …and invites you to be a part of that experience. The Special Investigative Analyst will be responsible for researching, investigating, and resolving instances ... and action to resolve and prevent any occurrences. The Analyst will present findings to health care providers and...Coder (COC) Certification is preferred. + Accredited Health Care Fraud Investigator (AHFI(R)) accreditation to be obtained… more
- MyFlorida (Tallahassee, FL)
- HEALTH INSURANCE FRAUD ANALYST - 72004151 Date: Apr 26, 2024 Location: TALLAHASSEE, FL, US, 32301 TALLAHASSEE, FL, US, 32304 TALLAHASSEE, FL, US, 32317 ... . Requisition No: 826110 Agency: Management Services Working Title: HEALTH INSURANCE FRAUD ANALYST - 72004151 Pay Plan: Career Service Position Number:… more
- Chenega Corporation (Washington, DC)
- **Summary** **C2 ALASKA, LLC** Washington, DC The ** Fraud Analyst II Journeyman Office of Investigative and Market Analytics** shall assist in obtaining ... cases for the Security Exchange Commission (SEC) Office of Investigative and Market Analytics. **Responsibilities** + Supports multiple dataset...+ Minimum four (4) years recent experience as a Fraud Analyst or Financial Investigator .… more
- The Cigna Group (St. Louis, MO)
- **POSITION SUMMARY** The Fraud Investigator role is responsible for the development, investigation, and presentation of complex fraud and/or abuse cases. ... in an in-depth referral to impacted clients. **ESSENTIAL FUNCTIONS** + Perform fraud , waste, and abuse virtual investigations of members identified with potential… more
- Amentum (Centennial, CO)
- An auditor who will review, analyze and assess allegations, agency investigative referrals, and documents obtained by request or subpoena. As part of a team, the ... interviews; and play a significant role in developing a case, summarizing the investigative results, and working toward a resolution of the matter. Under the… more
- Commonwealth Care Alliance (Boston, MA)
- …experience Experience Required: + At least three (3) years of related investigative , claims, compliance or analyst experience in healthcare, data reporting ... **Why This Role is Important to Us:** The Associate Investigator works with a growing team conducting and managing...with a growing team conducting and managing Health Care Fraud , Waste and Abuse investigation and prevention activities under… more
- Capital One (Wilmington, DE)
- …Qualifications:** + Bachelor's degree + 1+ years of experience in Anti-Money Laundering (AML), Fraud , Investigations, or as an Analyst + 6+ months of financial ... Research + Association of Certified Anti-Money Laundering Specialists (ACAMS), Certified Fraud Examiner (CFE), Certified Financial Crimes Investigator (CFCI), or… more
- MyFlorida (Tallahassee, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified ... educational and experience backgrounds. This Medical Health Care Program Analyst position will support the fraud and...Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; Certified Professional Compliance Officer, or… more
- CVS Health (Hartford, CT)
- …travel to testify in court proceedings or training if necessaryRequired Qualifications Investigative experience in the area of healthcare fraud , waste and ... pursue the prevention, detection, investigation and prosecution of healthcare fraud , waste, and abuse. Also reports suspected fraud... fraud , waste, and abuse. Also reports suspected fraud , waste, and abuse to state and federal agencies… more
- Marriott (Bethesda, MD)
- … Investigative Support Specialist to the Department of Investigations. The Investigative Analyst is involved in collecting, evaluating, analyzing reports and ... **Additional Information** Investigative Support Specialist to the Department of Investigations...reports in support of investigations for cases involving theft, fraud , threats, workplace violence, human trafficking, narcotics, and malfeasance.… more