- SMBC (Sacramento, CA)
- …banking where smarter banking translates to a richer life. **Role Description** The Fraud Investigator plays a critical role in the bank's Financial Intelligence ... focusing on identifying, analyzing, and mitigating fraudulent activities escalated from the Fraud Operations and first-line fraud teams. The individual will… more
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will ... oversee the monitoring and enforcement of the fraud , waste, and abuse (FWA) compliance program to prevent...areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities… more
- Molina Healthcare (Nampa, ID)
- …: + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all current ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
- CVS Health (OK)
- …investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state ... regulations mandating fraud plans and practices. - Conducts investigations of known...policies and procedures. **Education** - Bachelor's degree and/or an Associate 's degree or equivalent experience with two additional years… more