- Humana (Oklahoma City, OK)
- …on business needs. **Required Qualifications** + **Must reside in Oklahoma** + Healthcare fraud , waste, and abuse investigations experience + Knowledge of ... first** Humana Healthy Horizons in Oklahoma is seeking a Fraud and Waste Professional 2 who conducts investigations of...to make an impact** **WORK STYLE:** Primarily work at home/ remote with 5-10% travel. Employees are welcome to work… more
- Molina Healthcare (New York, NY)
- …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
- CVS Health (Columbus, OH)
- …+ Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply ... and practices. + Conducts investigations of known or suspected acts of healthcare fraud and abuse + Communicates with federal, state, and local law enforcement… more
- Magellan Health Services (Boise, ID)
- …of HIPAA. Healthcare experience. General Job Information Title SIU Program Integrity Investigator - Remote (In Idaho) Grade 23 Work Experience - Required ... as complying with state and federal regulatory compliance and fraud reporting requirements. + Conducts reviews of behavioral health...Healthcare Work Experience - Preferred Education - Required A… more
- Elevance Health (Columbus, OH)
- …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... you for payment as part of consideration for employment. ** Investigator II** + Job Family: FRD > Investigation +...1) **Location:** This position will work a hybrid model ( remote and office). The ideal candidate will live within… more
- Elevance Health (West Des Moines, IA)
- …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... you for payment as part of consideration for employment. ** Investigator II - Medicaid (Iowa)** + Job Family: FRD...1) **Location:** This position will work a hybrid model ( remote and office). The candidate must live within 50… more
- Elevance Health (Columbus, OH)
- …independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client ... for payment as part of consideration for employment. **Senior Investigator ** + Job Family: FRD > Investigation + Type:...1) **Location:** This position will work a hybrid model ( remote and office). The ideal candidate must live within… more
- Elevance Health (Columbus, OH)
- …independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client ... for payment as part of consideration for employment. **Senior Investigator ** + Job Family: FRD > Investigation + Type:...1) **Location:** This position will work a hybrid model ( remote and office). The ideal candidate must live within… more
- Elevance Health (Columbus, OH)
- …independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client ... you for payment as part of consideration for employment. ** Investigator Senior** + Job Family: FRD > Investigation +... Senior** _This position will work a hybrid model ( remote and office), 1-2 times per week. The Ideal… more
- Elevance Health (Columbus, OH)
- …evaluate and recommend focused investigative activities involving market trends indicating Fraud , Waste and Abuse within the healthcare industry. **How ... for payment as part of consideration for employment. **Lead Investigator ** + Job Family: FRD > Investigation + Type:...1) **Location:** This position will work a hybrid model ( remote and office). The ideal candidate must live within… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Investigator Assistant** + Job Family: FRD > Investigation + Type: Full time + Date ... Norfolk + Virginia, Richmond + Ohio, Mason + Wisconsin, Waukesha **Description** ** Investigator Assistant** _Location: This position will work a hybrid model (… more
- General Dynamics Information Technology (MD)
- …**Experience:** 2 + years of related experience **Job Description:** **Marketplace Investigator ** **The Affordable Care Act (ACA) requires every state to establish ... administrative actions to CMS; and recommend referrals to law enforcement if potential fraud and abuse is identified.** **HOW YOU WILL MAKE AN IMPACT** **:**… more
- MD Anderson Cancer Center (Houston, TX)
- …of alleged fraud , waste, and abuse activities as an auditor or fraud investigator . With preferred degree, five years of experience required. May substitute ... compliance investigations. JOB SPECIFIC COMPETENCIES General Compliance Activities The Investigator , Research Compliance, will be responsible for consistently managing… more
- MD Anderson Cancer Center (Houston, TX)
- … healthcare administration and/or general business as an analyst, auditor or fraud investigator to include two years of relevant experience in Biomedical ... not eligible for overtime pay + Fund Type: Hard + Work Location: Hybrid Onsite/ Remote + Pivotal Position: Yes + Referral Bonus Available?: No + Relocation Assistance… more