- Humana (Oklahoma City, OK)
- …help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This ... to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will serve as Humana's Program Integrity Officer, and… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of ... fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where the analysis of… more
- Blue KC (Kansas City, MO)
- …(SIU), the Fraud Investigator conducts reviews to identify potential fraud , waste , and abuse (FWA) and claim overpayments. Assigned cases and projects ... clinical standards, etc. In conjunction with the Manager and/or Senior Investigator , evaluate FWA risks and prioritize...resources for potential FWA schemes. + Conduct investigations of fraud , waste and abuse in accordance with… more
- CVS Health (Bismarck, ND)
- …anywhere in the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations ... manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
- CVS Health (Morgantown, WV)
- …each and every day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of ... degree or equivalent experience (3-5 years of working health care fraud , waste and abuse investigations). **Anticipated Weekly Hours** 40 **Time Type** Full… more
- Providence (Oakland, CA)
- …software/tools. **Preferred Qualifications:** + Current certification as an Accredited Healthcare Fraud Investigator (AHFI) upon hire. + Certification as an ... **Description** ** Investigator External Audit Special Investigations Unit \*Remote The...to coding, medical record documentation requirements, healthcare compliance and fraud , waste and abuse to Health Plan… 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 ... that receive City funds. DOI is seeking a highly skilled and motivated Senior Investigative Auditor to join Squad 10, which oversees City agencies including the… more
- Aramco Services Company (Houston, TX)
- …Audit on special assignments beyond the normal scope of the audit function. The Senior Lead Investigator handles hotline reports or calls and manages cases of ... include assistance to external auditors or special auditors. The Senior Lead Investigator handles hotline reports or...Conducts objective, thorough, and timely investigations into allegations of fraud , waste or abuse committed by employees… more