- Humana (Indianapolis, IN)
- …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...areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities… more
- State of Massachusetts (Boston, MA)
- …or are redirected to the appropriate agency if it falls outside our jurisdiction. * Senior Investigator : Position Overview* The Senior Investigator ... is an independent agency charged with preventing and detecting fraud , waste and abuse in the use...reports, and administrative document requests and summonses. Additionally, the Senior Investigator will provide administrative, grand jury… more
- CVS Health (Charleston, 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
- 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
- Centene Corporation (Frankfort, KY)
- …systems to assure integrity and compliance in billing and claims payment + Investigate possible waste , abuse and fraud leads and document activity on each lead ... to the appropriate party + Develop internal reports to identify potential waste , abuse and fraud + Perform data mining and analysis to detect aberrancies and… 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)
- …entities that receive City funds. DOI's Squad 1 conducts investigations into corruption, fraud , waste , and other criminal conduct, occurring at or involving the ... Probation, and Board of Correction. Squad 1 seeks a Senior Investigative Attorney/Assistant Inspector General who will be primarily...in managing or assisting in larger complex investigations into fraud , waste , or other criminal activity. The… 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
- New York State Civil Service (Albany, NY)
- …fraud and abuse against NYSIF and to prevent and mitigate ongoing fraud .Reporting to Senior Investigative Officers, including the Chief of Investigations, the ... Investigative Officer 1 (SIF) will conduct investigations of workers compensation fraud , waste and abuse by claimants throughout the state. Investigative… more