- Premera Blue Cross (Mountlake Terrace, WA)
- …(RN), Certified Professional Coder (CPC), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI) preferred. + (2) years of ... and regulatory agencies. + May attend webinars and conferences like BCBSA, National Health Care Anti- Fraud Association (NHCAA), and Association of Certified … more
- State of Montana (Helena, MT)
- …by a Voluntary Employee Beneficiary Association (VEBA) *JOB DUTIES:* As a Fraud Investigator , you will: * Planning, coordinating, and conducting investigations ... accommodation with the application process, please contact the HR office. **Title:** * Fraud Investigator * **Location:** *Helena* **Requisition ID:** *24141037* more
- State of Georgia (Fulton County, GA)
- Investigator - Medicaid Fraud Division Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/37043/other-jobs-matching/location-only) Hot ... through this announcement will serve in the Investigations section of our Medicaid Fraud Division. Duties & Responsibilities: Investigators conduct health care … more
- Point32Health (Canton, MA)
- …computer science, or criminal justice. + 1-3 years related experience in health insurance and/or fraud investigations. + Certified Professional Coder ("CPC"); ... **Who We Are** Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our… more
- SGI Global, LLC (Raleigh, NC)
- SGI Global is seeking a Civil Investigator (Healthcare Fraud and Opioid Matters) to support Affirmative Civil Enforcement ("ACE") Program for the United States ... Office for the Eastern District of North Carolina. The investigator will be assigned cases and matters that vary...actions within the jurisdiction of the USAO-EDNC involving opioid-related health care fraud violations. + Working with… more
- State of Michigan (MI)
- Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland, Wayne Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/3739587) Apply ... Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland,...Full Time Remote Employment Flexible/Hybrid Job Number 4301-22-OIG-039-FILL Department Health and Human Services - Central Office Opening Date… more
- Gilead Sciences, Inc. (Miami, FL)
- …across the globe. We continue to fight against the world's biggest health challenges, and our mission requires collaboration, determination and a relentless drive ... their economic status. **About the Role** The global pharmaceutical crime and healthcare fraud market is currently estimated at $400 billion annually. It is too… more
- State of Massachusetts (Framingham, MA)
- …of Transitional Assistance (DTA) is seeking qualified applicants for the position of* Fraud Investigator *. The selected candidate will be responsible for ... **Compliance and Certification* **Organization:** **Department of Transitional Assistance* **Title:** * Fraud Investigator - Fitchburg/Framingham* **Location:** *Massachusetts-Framingham-300 Howard Street*… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** Humana Healthy Horizons in Oklahoma is seeking a Fraud and Waste Professional 2 who ... investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Ventura County (Ventura, CA)
- District Attorney Investigator I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4165939) Apply District Attorney Investigator I/II ... for prosecution. The Bureau is staffed with a chief investigator , a deputy chief investigator , 3 commanders,...wide range of investigations from homicide to complex white-collar fraud schemes. The Bureau of Investigation has three divisions:… more
- MyFlorida (Miami, FL)
- FINANCIAL INVESTIGATOR -CRIMINAL ENFORCE - 43004823 Date: Mar 27, 2024 Location: MIAMI, FL, US, 33101 The State Personnel System is an E-Verify employer. For more ... No: 825559 Agency: Office of Financial Regulation Working Title: FINANCIAL INVESTIGATOR -CRIMINAL ENFORCE - 43004823 Pay Plan: Career Service Position Number:… more
- MyFlorida (Miami, FL)
- … Fraud Examiner (CFE) certification through the Association of Certified Fraud Examiners (ACFE); Certified Financial Crimes Investigator (CFCI) through the ... FINANCIAL INVESTIGATOR -CONSUMER PROTECTION - 41000562 Date: Mar 28, 2024...Consumer Protection Division's mission is to protect consumers from fraud and other financial exploitation, to prevent and stop… more
- MyFlorida (Fort Lauderdale, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 41001242 Date: Apr 16, 2024 Location: FORT LAUDERDALE, FL, US, 33301 The State Personnel System is an E-Verify employer. For more ... Office of the Attorney General Working Title: LAW ENFORCEMENT INVESTIGATOR II - 41001242 Pay Plan: Career Service Position...Annually Position Summary: This position is in the Medicaid Fraud Unit. The Attorney General's Medicaid Fraud … more
- CVS Health (Springfield, IL)
- … Fraud Examiners (CFE), or an accreditation from the National Health Care Anti- Fraud Association (AHFI)*Knowledge of Aetna's policies and ... personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of...*Bachelor's degree or an additional 5 years of working health care fraud , waste and abuse investigations.… more
- Highmark Health (Columbus, OH)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... related field **EXPERIENCE** **Required** + 5 years in the Health insurance industry and/or Healthcare fraud investigations...in the Health insurance industry and/or Healthcare fraud investigations + 1 year of leading projects of… more
- MyFlorida (Tallahassee, FL)
- …(EG), R, and/or Excel. Preferred Qualifications: Industry certifications, eg, Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified ... HEALTH INSURANCE FRAUD ANALYST - 72004151...Financial Crimes Investigator ; Certified Insurance Fraud Investigator , Certified Compliance and Ethics Professional.… more
- The County of Los Angeles (Los Angeles, CA)
- INVESTIGATOR II, PD-EMERGENCY APPOINTMENT/HOMELESS INITIATIVE Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4391024) Apply INVESTIGATOR ... in the mission of addressing issues like housing, mental health , and substance use. If you are looking for...Public Defender is seeking qualified candidates to fill emergency Investigator II, Public Defender vacancies related to the homelessness… more
- Elevance Health (Columbus, OH)
- …The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The ** Investigator II** position is responsible for the ... some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of...you for payment as part of consideration for employment. ** Investigator II** + Job Family: FRD > Investigation +… more
- Elevance Health (Manchester, NH)
- …opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for ... you for payment as part of consideration for employment. ** Investigator II** + Job Family: FRD > Investigation +...live within 50 miles of one of our Elevance Health PulsePoint locations._ **Carelon Payment Integrity** is a proud… more
- Elevance Health (Iselin, NJ)
- …opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for ... for payment as part of consideration for employment. **Senior Investigator ** + Job Family: FRD > Investigation + Type:...live within 50 miles of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud… more