- Elevance Health (Costa Mesa, CA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- ADP (San Dimas, CA)
- ADP is hiring a **Senior Fraud , Client Svc & Prod Supt Consultant** - Wisely Card Product in our Employee Financial Solutions organization. The Senior Fraud ... Card product. This role is responsible for in-depth analysis of complex fraud cases, advanced data analysis and reporting, and providing consultative support to… more
- Allied Universal (Fresno, CA)
- …+ One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with red… more
- CVS Health (Sacramento, CA)
- …the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), ... will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
- Humana (Sacramento, CA)
- …part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of ... reported, alleged or suspected fraud involving Florida's Medicaid Program. The Fraud and Waste Professional 2 coordinates investigation with law enforcement… more
- Aerotek (Oakland, CA)
- …the AMR Division. The primary function of this position will be conducting fraud and theft investigations. The Security Investigator will also have ... Security Professional (PSP), Certified Protection Professional (CPP), Professional Certified Investigator (PCI), Certified Fraud Examiner (CFE) or equivalent… more
- County of El Dorado (Placerville, CA)
- …THE IDEAL CANDIDATE The ideal candidate will be a highly motivated and detail-oriented investigator with a strong background in welfare fraud or financial crime ... Investigator (District Attorney) Print (https://www.governmentjobs.com/careers/edcgov/jobs/newprint/5068964) Apply Investigator (District Attorney) Salary… more
- Robert Half Legal (San Francisco, CA)
- Description We are on the lookout for an experienced Investigator - Securities, for our team located in San Francisco, California. This role will be focusing ... primarily on fraud investigation within the securities industry. You will be...effectively conduct investigations * Work closely with our current investigator to ensure comprehensive coverage * Apply your expertise… more
- EFI Global (Los Angeles, CA)
- …decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global ... Click here to learn more about EFI Global. Seeking a certified fire investigator in the greater Los Angeles area. Must hold IAAI-CFI certification. **PRIMARY… more
- Aerotek (Oakland, CA)
- **Job Title: Security Investigator ** **Job Description** The Security Investigator is a key role that supports the Security & Asset Protection Program within the ... functional and geographic units. The primary focus will be on conducting fraud and theft investigations, with additional responsibilities including threat and site… more
- Command Investigations (Redding, CA)
- …for investigative excellence. What you'll get: + A dedicated position as a surveillance investigator on a part-time to a full-time basis. + A steppingstone into the ... + Minimum of 1 year experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Be able to hold...surveillance + Be able to hold a valid Private Investigator license/PERC card - where applicable. + Possession of… more
- Experian (Costa Mesa, CA)
- …the world. We help to redefine lending practices, uncover and prevent fraud , simplify healthcare, create marketing solutions, and gain deeper insights into the ... Ireland. Learn more at experianplc.com. We are looking for a Senior Cyber Forensic Investigator to join our Cyber Fusion Centre. Our Cyber Fusion Center (CFC) uses… more
- Centene Corporation (Sacramento, CA)
- …workplace flexibility. **Position Purpose:** Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing ... or audits that identify, evaluate and measure potential healthcare fraud and abuse. + Conduct investigations of potential waste,...abuse. + Conduct investigations of potential waste, abuse, and fraud + Document activity on each case and refer… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …generation of medical evidence, (eg, observational studies, registries, and investigator -initiated studies (IISs) / investigator -initiated trials (IITs)) + Manage ... contacting Accommodation Request (EEAccommodations@otsuka-us.com) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …clinical development plans. + Review and approval of clinical study protocols, investigator brochures, study reports, etc. + Support budget and timeline activities ... contacting Accommodation Request (EEAccommodations@otsuka-us.com) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …Advocacy Groups) before during and after congresses + Organize and facilitate investigator meetings and advisory boards in conjunction with congress + Coordinate ... contacting Accommodation Request (EEAccommodations@otsuka-us.com) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
- Bausch + Lomb (Sacramento, CA)
- …protocol development, case report form (CRF) development, IRB submissions, investigator agreements, informed consent form (ICF) development, site selection and ... learn more please read Bausch + Lomb's Job Offer Fraud Statement (https://performancemanager.successfactors.eu/doc/custom/BauschLomb/Bausch\_job\_posting\_statement.docx) . Our Benefit Programs:Employee Benefits: Bausch… more
- Intuit (Mountain View, CA)
- …will report to the Director, Ethics & Investigations. What you'll do: As an investigator , you will work as part of a dynamic team responsible for investigating ... from the Association of Workplace Investigators, Association of Certified Fraud Examiners, or other relevant organizations * Strong interpersonal skills… more