• Senior Investigator II-TMO Fraud

    Capital One (Mclean, VA)
    Senior Investigator II-TMO Fraud **The Anti-Money Laundering (AML) Sr. Investigator II -TMO Fraud ** supervises various AML processes, which might include ... for planning and conducting processes related to anti-money laundering, fraud and global sanction activities as well as managing...the workflow of the AML analysts. The AML Sr Investigator II coaches their team and teaches others about… more
    Capital One (07/23/25)
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  • Analyst , Investigator (Aetna SIU)

    CVS Health (Annapolis, MD)
    …investigations to effectively pursue the prevention, investigation, and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state ... regulations mandating fraud plans and practices. - Conducts investigations of known...Conducts investigations of known or suspected acts of healthcare fraud and abuse. - Communicates with federal, state, and… more
    CVS Health (07/26/25)
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  • Fraud Investigations Analyst

    Guidehouse (Richardson, TX)
    …gain employment with our rapidly growing firm. Guidehouse is seeking experienced Fraud Investigations Analyst 's to conduct, identify, and investigate potential ... **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:**...document and escalate such matters. The responsibilities of the Fraud Investigations Analyst will include, but are… more
    Guidehouse (07/18/25)
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  • Cyber Fraud Analyst

    Bank OZK (Little Rock, AR)
    …related proactive and ongoing investigative work in support of the Cyber Fraud Investigator . + Monitors external data sources, collaborates with internal ... cyber financial crime data-driven investigations and analytics in support of cyber fraud incident management. Essential Job Functions + Provides key input into the… more
    Bank OZK (06/14/25)
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  • Senior Fraud Investigations Analyst

    BlueCross BlueShield of North Carolina (NC)
    **Job Description** The Special Investigations Unit (SIU) Investigator is responsible to conduct timely and thorough health care fraud investigations on behalf ... + Prepares and conducts presentations and/or provides content for health care fraud and abuse education and awareness **What You'll Bring** + Bachelor's degree… more
    BlueCross BlueShield of North Carolina (07/25/25)
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  • Medical/Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified ... for law enforcement investigation. This Medical Health Care Program Analyst position will support the fraud and...Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; Certified Compliance and Ethics Professional,… more
    MyFlorida (07/25/25)
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  • Audit Evaluation & Review Analyst

    MyFlorida (Miami, FL)
    …Attorneys General, Lead Investigators and Medical Investigators. 30% Serve as lead investigator on cases involving suspected Cost Report Fraud and Prospective ... AUDIT EVALUATION & REVIEW ANALYST - 41000827 Date: Jul 21, 2025 The...the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami or West Palm Beach,… more
    MyFlorida (07/23/25)
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  • Financial Crimes Compliance Analyst

    Guidehouse (Richardson, TX)
    **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** + Perform reviews and investigations of ... Customer Due Diligence (CDD), Enhanced Due Diligence (EDD), Ongoing Monitoring, fraud and other financial crime investigations to mitigate risks associated with… more
    Guidehouse (07/25/25)
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  • Special Investigation Unit: Coordinator

    Kemper (Lake Mary, FL)
    …+ Completion of the NICB Basic and/or Analytics Academies are desirable. + Certified Insurance Fraud Analyst (CIFA), Fraud Claims Law Specialist (FCLS) or ... Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are +… more
    Kemper (07/02/25)
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  • Business Specialist, Corporate Investigations…

    CNO Financial Group (Carmel, IN)
    …work experience, skills and location. **CNO Financial Group** is hiring a **Business Analyst Corporate Investigations and Support** to work Fraud , Waste, and ... and prompt handling of high priority items. **As a** **Business Analyst Corporate Investigations and Support,** **your responsibilities will include:** + Meet… more
    CNO Financial Group (06/25/25)
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  • IT Security Incident Response Leader

    University of Miami (Miami, FL)
    …generation, maintenance, and protection of required incident records, such as investigator journals. + Organizes, participates in and, if required, chair ... for other events that fall outside the security incident realm, such as fraud attempts based on electronic channels or high-impact outages due to reasons other… more
    University of Miami (07/06/25)
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