- Humana (Albany, NY)
- …a 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …this position is responsible for the accurate and thorough clinical investigation of potential fraud , waste and abuse (FWA) for all lines of business. The scope ... + Prepares recommendations on preventive/corrective measures for the deterrent of future fraud . + Supports other SIU investigators and analysts with their cases by… more
- CVS Health (Albany, NY)
- …the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), ... manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
- City of New York (New York, NY)
- …of clean drinking water for New Yorkers. DOI is seeking a Confidential Investigator who will be responsible for investigating fraud , corruption, and ... will be responsible for the investigation of matters involving fraud , waste and abuse related to the...of Management & Budget approval for budgeted headcount. CONFIDENTIAL INVESTIGATOR - 31143 Qualifications 1. A four-year high school… more
- Molina Healthcare (Rochester, NY)
- …delivery systems + Understanding of datamining and use of data analytics to detect fraud , waste , and abuse + Proven ability to research and interpret regulatory ... position must have the ability to determine correct coding, documentation, potential fraud , abuse, and over utilization by providers and recipients. The position… more
- City of New York (New York, NY)
- …Construction (DDC), and Department of Parks and Recreation (DPR), seeks an experienced investigator to serve as an Assistant Inspector General. Squad 10 oversees a ... Inspector General (AIG) who will lead and conduct criminal investigations into fraud and corruption relating to City agencies, employees and contractors. This… more
- City of New York (New York, NY)
- …Inspector General (AIG) who will lead and conduct criminal investigations into fraud and corruption relating to City agencies, employees and contractors. This ... within a unit that specializes in, among other things, embezzlement and fraud involving City contracts with the Economic Development Corporation and Departments of… more
- City of New York (New York, NY)
- …environment, where analytical rigor, data fluency, and critical thinking are vital to uncovering waste , fraud , and abuse. As a Data Analyst, you will manage and ... enhance practices for identifying patterns and trends related to fraud , waste and abuse. - Assist with...of Management & Budget approval for budgeted headcount. CONFIDENTIAL INVESTIGATOR - 31143 Qualifications 1. A four-year high school… more
- City of New York (New York, NY)
- …conducting complex, high-impact criminal and administrative investigations into suspected corruption, fraud , waste , and misconduct that may result in criminal ... and operations of these agencies, Squad 10 seeks a highly skilled financial investigator and experienced leader to serve as a Deputy Inspector General (DIG) focused… more
- City of New York (New York, NY)
- …you will lead and support investigations into complex financial matters to identify fraud , waste , and misconduct, and to prepare written work product reflecting ... - Perform forensic, financial, and programmatic audits and reviews CONFIDENTIAL INVESTIGATOR - 31143 Qualifications 1. A four-year high school diploma or… more