- Geisinger (Danville, PA)
- …experience. Position Details Preferred Certification(s) -Certified Fraud Examiner -Accredited HealthCare Fraud Investigator Education High School Diploma ... Bachelors degree, nursing and / or health care investigation experience, Certified Fraud Examiner, National Health Care Anti- Fraud Association accreditation. Job… more
- Humana (Baton Rouge, LA)
- …hours/day, 5 days/week. **Required Qualifications** + **Must reside in Louisiana** + Healthcare fraud , waste, and abuse investigations experience + Knowledge of ... us put health first** Humana Healthy Horizons in Louisiana is seeking a Fraud and Waste Professional 2 who conducts investigations of allegations of fraudulent and… more
- 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
- 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
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- …par with crimes such as homicide, involve an extensive supply chain fraud network, large scale drug diversion, prostitution rings requiring surveillance, and/or ... or working at a VA property. Responsibilities The Criminal Investigator reports to the Chief of Police. Major duties...medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If… more
- Elevance Health (Columbus, GA)
- …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... ** Investigator II** **Location** : This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one of our… 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 ... ** Investigator Senior** **Supports the Payment Integrity line of...business** _Location: This position will work a hybrid model ( remote and office). The ideal candidate will 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 ... Job Description **Senior Investigator ** **Schedule:** 1-2 days per week in the...1) **Location:** This position will work a hybrid model ( remote and office). The ideal candidate must live within… more
- Humana (Columbus, OH)
- …leadership experience + CFE (Certified Fraud Examiner) or AHFI (Accredited Healthcare Fraud Investigator ) **Additional Information** + Benefits starting ... community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent...**Use your skills to make an impact** **WORK STYLE:** Remote /work at home with up to 15% travel possible… 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
- Bausch Health (Philadelphia, PA)
- …the practice of their colleagues + Identify unsolicited requests for investigator -initiated research + In response to appropriate requests, disseminate to ... physicians, nurses and other healthcare professionals state-of-the-art on-label research and medical concepts related to the treatment and management of diseases of… 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