- The Cigna Group (Sunrise, FL)
- As a Junior Fraud Investigator for Cigna's Special Investigations Unit, you'll support our US Commercial Healthcare Business in conducting and supporting ... in fraud detection, investigation, claim auditing and other areas related to Special Investigations . Primary focus is to mitigate the risk of fraud… more
- The Hartford (Chicago, IL)
- …our team as we help shape the future. We are seeking a talented Special Investigator to join our Special Investigations Unit (SIU). This position will be ... communicate investigative findings orally and in writing. + The Investigator will also be responsible for understanding fraud...will require 50%+ travel within the assigned territory. The Special Investigator for this opportunity will be… more
- CVS Health (Springfield, IL)
- …health care more personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of known or ... *Bachelor's degree or an additional 5 years of working health care fraud , waste and abuse investigations . Pay Range The typical pay range for this role is:… 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 ... Civil Investigator will assist in conducting thorough and systematic investigations relating to potential civil actions within the jurisdiction of the USAO-EDNC… 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,...and Wayne Counties This Regulation Agent position will conduct investigations of fraud , waste or abuse by… more
- Elevance Health (Indianapolis, IN)
- …to payment. Researches new healthcare related questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other ... 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
- Nuclear Regulatory Commission (Rockville, MD)
- …investigations in one or more of the following areas: Misconduct Investigations Engineering Physical Science Contracts Program Fraud Specialized experience is ... will not be paid. Responsibilities Serves as a Criminal Investigator in the Office of the Inspector General with...for this advertisement as mandated by the NRC OIG Investigations Division. All Special Agents (1811s) must… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- INVESTIGATOR / SPECIAL AGENT (1-3) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4500803) Apply INVESTIGATOR / SPECIAL AGENT (1-3) ... Justice, Office of Attorney General, Liz Murrill, is seeking applications for an Investigator / Special Agent. As part of a Career Progression Group, vacancies may… more
- Veterans Affairs, Inspector General (Buffalo, NY)
- … promote integrity, patient safety, efficiency, and accountability within VA. The Criminal Investigator ( Special Agent), located in Buffalo, New York in the ... other matters involving VA's programs and operations. The duties of the Criminal Investigator ( Special Agent), include: Functioning as a law enforcement officer,… more
- Ventura County (Ventura, CA)
- …following: District Attorney Investigator I + Conducts criminal, civil, and special investigations of average difficulty for the District Attorney's Office, ... been recognized as experts in a wide range of investigations from homicide to complex white-collar fraud ...and conduct more difficult and complex criminal, civil and special investigations for the District Attorney's Office,… more
- Allied Universal (Pittsburgh, PA)
- …more for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special ... + One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator… more
- Molina Healthcare (Albuquerque, NM)
- …opinions. + Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations . + Knowledge of Managed Care and the Medicaid and ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is...Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud… more
- The County of Los Angeles (Los Angeles, CA)
- …the level of Investigator I, Public Defender involves conducting investigations (eg, criminal, administrative, forensic, fraud , homicide, private), including ... the State of California Penal Code. *Investigative experience at the level of Investigator I, Public Defender involves conducting investigations (eg, criminal … more
- MyFlorida (Fort Lauderdale, FL)
- …Investigator II performs work that may include performing all aspects of Medicaid fraud investigations . This work includes but is not limited to entering upon ... LAW ENFORCEMENT INVESTIGATOR II - 41001242 Date: May 31, 2024...or five (5) years of work experience conducting healthcare fraud investigations . Note: All newly hired employees… more
- Allied Universal (Beckley, WV)
- …+ One or more of the following professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... Allied Universal(R) Compliance and Investigations , North America's leading expert insurance claim ...and investigation jobs! Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for… more
- Premera Blue Cross (Spokane, WA)
- …through our Healthsource blog: https://healthsource.premera.com . As a member of Premera's Special Investigations Unit (SIU), the ** Investigator III** will ... will initiate, analyze, develop, and successfully complete and resolve fraud investigations of medium to high level... Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI) preferred. + (2) years… more
- MyFlorida (Miami, FL)
- …in state and federal courts. Applicants must have adequate experience conducting fraud and/or financial investigations and/or examinations and presenting complex ... SENIOR FINANCIAL INVESTIGATOR - 43004876 Date: Jun 12, 2024 Location:...EMPLOYMENT OPPORTUNITY DIVISION: OFFICE OF FINANCIAL REGULATION BUREAU: FINANCIAL INVESTIGATIONS CITY: MIAMI Candidates in the following counties may… more
- MyFlorida (Temple Terrace, FL)
- …such as criminal conspiracies, environmental crimes, homicides, marine theft, title fraud , natural resource violations and cultural artifact investigations , etc. ... LAW ENFORCEMENT INVESTIGATOR II - 37020878 Date: Jun 12, 2024...The incumbent conducts criminal, intelligence, and other types of investigations that threaten the environment or the public health… more
- MyFlorida (West Palm Beach, FL)
- …such as criminal conspiracies, environmental crimes, homicides, marine theft, title fraud , natural resource violations and cultural artifact investigations , etc. ... LAW ENFORCEMENT INVESTIGATOR II - 37020885 Date: Jun 3, 2024...The incumbent conducts criminal, intelligence, and other types of investigations that threaten the environment or the public health… more
- US Agency for International Development (Washington, DC)
- …The Office of Inspector General (OIG) is committed to detecting and preventing fraud , waste, and abuse within the U. S. Agency for International Development (USAID). ... Foundation (IAF), and the Millennium Challenge Corporation (MCC). Responsibilities As the Special Agent in Charge for the Operations Support Division (OSD), you… more