- AmeriHealth Caritas (Washington, DC)
- ** Special Investigator DMV Counties only** Location: Washington, DC Primary Job Function: Compliance ID**: 29509 **Job Brief** This position will work as a ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Investigator is responsible for conducting comprehensive investigations of reported,… more
- The Hartford (NJ)
- …too. Join our team as we help shape the future. We are seeking a talented Special Investigator to join our Special Investigations Unit (SIU). This position ... position and will require 50%+ travel within the assigned territory. The Special Investigator for this opportunity will be based out of the Central/Southern New… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- INVESTIGATOR / SPECIAL AGENT (1-3) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4372786) Apply INVESTIGATOR / SPECIAL AGENT (1-3) ... Office of Attorney General, Liz Murrill, is seeking applications for an Investigator / Special Agent. As part of a Career Progression Group, vacancies may be… more
- Office of the Inspector General for Tax Administration (Hartford, CT)
- …Tax Admin,Office of Investigations- Deputy Inspector General for Investigations. As a Criminal Investigator ( Special Agent), you will be called upon to spearhead ... Treasury Inspector General for Tax Administration (TIGTA). Responsibilities As a Criminal Investigator ( Special Agent), you will: Plan and coordinate all… more
- Point32Health (Canton, MA)
- …Summary** The Investigator is an essential team member of the Special Investigation Unit (SIU) responsible for leading complex provider investigations related to ... action plans to address the investigative findings and prevent future loss. The Investigator works closely with other members of the SIU to set investigative… more
- Humana (Indianapolis, IN)
- …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 claims processing areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities + Assist in… more
- The Robison Group (Fort Myers, FL)
- …other investigative tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator , you will be ... joining an incredible team of investigators and industry leaders. PRINCIPAL RESPONSIBILITIES: + Complete recorded detailed interviews of those insured, claimants, witnesses, and others as identified. + Complete scene investigations, including photographing. +… more
- Justice, Office of the Inspector General (New York, NY)
- …in the Northeast Region (NER). If you are selected as a Criminal Investigator , your responsibilities would include, but would not be limited to: Analyzing initial ... allegations and recommending required investigative resources and collateral support. Investigating allegations of crime, crime scenes, and misconduct. Planning and conducting surveillance or undercover work. Apprehending and arresting persons violating US… 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 with ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.… more
- Allied Universal (Crossville, TN)
- …most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Special Investigations Unit / Claims Investigator . Special Investigations ... thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):** + Must possess… more
- Internal Revenue Service (Washington, DC)
- …will be considered ineligible for the position. Applicants for all Criminal Investigator ( Special Agent) 1811 positions must meet all GS-1811 Criminal ... Investigator ( Special Agent) Qualification Standards, including Medical... Investigator ( Special Agent) Qualification Standards, including Medical Requirements, please see… more
- Allied Universal (Spokane, WA)
- …Universal(R) is hiring a **_Special Investigation Unit Investigator_** _._ The Investigator 's primary focus is to independently conduct expert investigations, handle ... complex fraud referrals and complete fraud reviews. The assigned cases involve high exposure and complex claim assignments. This person must have investigative skills to independently conduct all aspects of fraud review, anti-fraud compliance audits and other… more
- CVS Health (Springfield, IL)
- …care more personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of known or suspected ... acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, those that are national in scope, complex cases involving multi-lines of business, or cases involving multipleperpetrators or intricate healthcare fraud schemes *… more
- State of Nevada (NV)
- …service; OR an equivalent combination of education and experience as described above. Special Notes AG Criminal Investigator II, AG Criminal Investigator ... AG CRIMINAL INVESTIGATOR 2 APPROXIMATE ANNUAL SALARY - $75,376.80 to...Category II certification as a condition of continuing employment. Special Requirements Persons offered employment in this series must… more
- CVS Health (Hartford, CT)
- …Strong knowledge of Pharmacy and Medical terminology. Advanced skills with Microsoft Excel. Experience in healthcare/pharmacy insurance claims investigation. ... Proficient in data analysis and research. Proficiency in MS Office products, Database search tools. Strong verbal and written communication skills. Strong customer service skills. Ability to interact with different groups of people at different levels. Ability… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
- Amentum (Fort Belvoir, VA)
- …USAF -1N471B Human Intelligence Specialist, 1N490 Intelligence Fusion Analyst, 7S091 - Special Investigator (SI) + TS/SCI Security Clearance + Multiple ... **Senior Intelligence Special Advisor** **QUALIFICATIONS** + Master's Degree or at...should be military experience in Military Intelligence, Strategic Intelligence, Special Operations, Area Intelligence, or Multi INTs within DoD… more
- Amentum (Fort Belvoir, VA)
- …18F = SF INTEL NCO or 180A SF WO with ASOT-III, or USAF 7XOS1 - Special Investigator (SI) or 1N7X1 Human Intelligence Specialist + TS/SCI + Experience supporting ... **REQUIREMENTS** Senior Counterintelligence (CI) / Human Intelligence (HUMINT) (CI/HUMINT) Special Advisor Minimum required qualifications + Master's Degree OR at… more
- Ventura County (Ventura, CA)
- …Duties may include, but are not limited to the following: District Attorney Investigator I + Conducts criminal, civil, and special investigations of average ... basis, up to a maximum of four (4) years. District Attorney Investigator I/II Special Requirements: + Must possess a valid California driver's license. + Must… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …through our Healthsource blog: https://healthsource.premera.com . As a member of Premera's Special Investigations Unit (SIU), the ** Investigator III** will be ... + (3) years of experience in fraud investigation, a special investigation unit, or a related field. **(Required)** +...Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI) preferred. + (2) years of active experience… more