- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This ... Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you...outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time… more
- Humana (Dayton, OH)
- …a 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
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and ... abusive practices. The Senior Fraud and Waste Professional work assignments involve...outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time… more
- State of Michigan (Oakland, MI)
- Regulation Agent 9-P11 ( Fraud Investigator ) - MDHHS OIG (Oakland County) Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5145616) Apply ... Regulation Agent 9-P11 ( Fraud Investigator ) - MDHHS OIG (Oakland County) Salary $2,056.00 - $3,155.20 Biweekly Location Oakland, MI Job Type Permanent Full Time… more
- MyFlorida (Miami, FL)
- …of Financial Services. This advertisement is for theBureau of Public Assistance Fraud . This advertisement is for aFinancial Crime Investigator Iposition which ... FINANCIAL CRIME INVESTIGATOR I (PENDING RECLASS) - 43061944 Date: Nov... Fraud is to aggressively identify and eliminate fraud , waste , and abuse to safeguard the… more
- MyFlorida (Fort Lauderdale, FL)
- …of Financial Services. This advertisement is for the Bureau of Public Assistance Fraud . This advertisement is for aFinancial Crime Investigator Iposition which ... FINANCIAL CRIME INVESTIGATOR I - 43061893 Date: Nov 22, 2025... Fraud is to aggressively identify and eliminate fraud , waste , and abuse to safeguard the… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …use of Microsoft Word, Excel, PowerPoint and Visio. * Accredited Health Insurance Fraud Investigator (AHFI) in good standing through the National Health Care ... prospective and retrospective investigations of suspected claims and the development of fraud , waste , abuse and over-payment recovery cases. This includes… more
- Point32Health (Canton, MA)
- …prevent future loss. This role will be responsible for conducting high-volume Pre-Payment Fraud Waste & Abuse ("FWA") investigations under the direction of the ... Investigation Unit ("SIU") responsible for leading complex provider investigations related to fraud , waste , and abuse, and developing action plans to address… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …this position is responsible for the accurate and thorough clinical investigation of potential fraud , waste and abuse (FWA) for all lines of business. The scope ... + Prepares recommendations on preventive/corrective measures for the deterrent of future fraud . + Supports other SIU investigators and analysts with their cases by… more
- Zelis (Boston, MA)
- …certification as a Certified Fraud Examiner (CFE), Accredited Health Care Fraud Investigator (AHFI), Health Care Anti- Fraud Associate (HCAFA), Certified ... Fraud in prevention, detection, reporting, and monetary recovery related to financial fraud and healthcare fraud , waste , and abuse. What You'll Do… more
- MyFlorida (Tallahassee, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified ... is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste . The Office of...Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; Certified Compliance and Ethics Professional,… more
- MyFlorida (Tallahassee, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified ... is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste . The Office of...Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; Certified Compliance and Ethics Professional,… more
- MyFlorida (Tallahassee, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified ... responsible for developing novel methods and technologies to fight fraud , abuse, and waste . To do this,...Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; Certified Compliance and Ethics Professional,… more
- MyFlorida (Miami, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified ... is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste . The Bureau of...Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; Certified Compliance and Ethics Professional,… more
- MyFlorida (Miami, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified ... is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste . The Bureau of...Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; Certified Compliance and Ethics Professional,… more
- General Dynamics Information Technology (Fairfax, VA)
- …Qualifications** + Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI) designation strongly desired. + Experience with Tableau, ... the TTP which was established in 2012 to reduce fraud , waste and abuse in healthcare data....of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k)… more
- MyFlorida (Tallahassee, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified ... is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste . The Bureau of...Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; or Certified Compliance and Ethics… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …feedback and encourage growth and development of staff. * Accredited Healthcare Fraud Investigator (AHFI) in good standing through the National Health ... concise and effective manner. Effectively identify, investigate, and evaluate complex potential fraud , waste , or abuse, including pre-pay and/or post-pay medical… more
- Texas A&M University System (College Station, TX)
- …the Ethics and Compliance Lead Investigator to conduct complaint investigations regarding fraud , waste , and abuse. + Management Review Team: serves as a ... a comprehensive benefit package including the following: + Health, dental , vision, life and long-term disability insurance (https://www.tamus.edu/benefits/) with… more