- City of New York (New York, NY)
- …surveillance; interviewing witnesses, suspects, customers and preparing investigative reports. ASSOCIATE FRAUD INVESTIGATOR ( - 31118 Qualifications 1. A ... combined law enforcement and regulatory agency with jurisdiction over the trade waste industry and the public wholesale markets. Under supervision, with some… more
- CVS Health (Hartford, CT)
- …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In ... manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
- Molina Healthcare (St. Petersburg, FL)
- …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste , and abuse. Duties include performing accurate and reliable… more
- CareFirst (Baltimore, MD)
- …**Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified Expert Coder-AHIMA or ... and resolution of all levels (low to complex), of fraud , waste , and abuse schemes, resulting in...fraud software analysis, and appropriately sourced reference materials. Investigator ensures timely maintenance and organization of case file… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The DSS Accountability ... state data sources. BFI is recruiting for three (3) Fraud Investigator II to function as Senior...who will: - Conduct complex investigations into allegations of fraud , waste , and/or abuse of social services… more
- Office of Inspector General (Lombard, IL)
- Summary This office works within DOT to detect and prevent waste , fraud and abuse in departmental programs. The OIG reports to the Secretary and Congress and ... for planning, directing and conducting complex investigations of suspected fraud , waste , and abuse, and mismanagement in...have in the past worked as a GS-1811 Criminal Investigator in a federal OIG office must clearly demonstrate… more
- Highmark Health (Dover, DE)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... for conducting investigations of organizational or functional activities related to alleged fraud , waste and abuse perpetrated by providers, members, facilities,… more
- CVS Health (Jefferson City, MO)
- … and abuse **Required Qualifications** + 1 year experience working on health care fraud , waste , and abuse investigatory and audits required. + Knowledge of ... etc. **Preferred Qualifications** + 1-3 years experience working on health care fraud , waste , and abuse investigations and audits required or equivalent… more
- MyFlorida (Tallahassee, FL)
- …of Investigations, conducting investigations designed to deter, detect, prevent, and eradicate fraud , waste , mismanagement, misconduct, and other abuses in State ... INVESTIGATOR - 55013607 Date: Jul 21, 2025 The...Specific Responsibilities: Accepts and documents allegations and complaints of fraud or misconduct by citizens, Department employees, contractors, vendors… more
- CVS Health (Annapolis, MD)
- …referred to as COMAR. - - Over 3 years in healthcare field working in fraud , waste and abuse investigations and audits. - Strong analytical and research skills. ... Associate's degree with three additional years working in health care fraud , waste , and abuse investigations and audits. **Anticipated Weekly Hours** 40 **Time… more
- City of New York (New York, NY)
- …of clean drinking water for New Yorkers. DOI is seeking a Confidential Investigator who will be responsible for investigating fraud , corruption, and ... will be responsible for the investigation of matters involving fraud , waste and abuse related to the...of Management & Budget approval for budgeted headcount. CONFIDENTIAL INVESTIGATOR - 31143 Qualifications 1. A four-year high school… more
- Parsons Corporation (Springfield, VA)
- …disaster recovery operations.** . **What You'll Be Doing:** + Investigate complaints of fraud , waste and abuse, data spills, and network penetrations. + Respond ... Parsons is looking for an amazingly talented **Insider Threat Investigator ** to join our team! In this role you...of fraudulent recruitment practices. To learn more about recruitment fraud and how to report it, please refer to… 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 ; Certified Compliance and Ethics Professional,… more
- Corewell Health (Grand Rapids, MI)
- …experience with a managed care payer. Preferred + Preferred + CRT-Accredited Health Care Fraud Investigator (AHFI) - NHCAA National Health Care Anti- Fraud ... Unit (SIU) with a focus on identifying, investigating, and resolving health insurance fraud , waste , and abuse (FWA). This role provides operational oversight to… more
- Aveanna Healthcare (Homestead, FL)
- …to individual approved protocols. Complete clinical trial visits on-site with investigator teams, or in an off-site capacity, working remotely visiting patients' ... (RNPM), Research nurse manager, site staff and the Principal Investigator , to ensure a smooth and efficient flow of...that may be required Report any suspected misconduct or fraud to Aveanna & Illingworth and associated companies Where… more
- Molina Healthcare (Owensboro, KY)
- …Required License, Certification, Association + Active and unrestricted Accredited Health Care Fraud Investigator (AHFI) designation or Certified Fraud ... + Works with leadership to maintain and revise policies and procedures, fraud , waste , and abuse plans, annual audit work plans, including department guidance… more
- CNO Financial Group (Carmel, IN)
- …Group** is hiring a **Business Analyst Corporate Investigations and Support** to work Fraud , Waste , and Abuse (FWA) referrals received from internal and external ... of action including conducting desktop research alongside the assigned SIU investigator , maintain and complete documentation, and propose recommendation for next… more
- City of New York (New York, NY)
- …entities that receive City funds. DOI's Squad 1 conducts investigations into corruption, fraud , waste , and other criminal conduct, occurring at or involving the ... in managing or assisting in larger complex investigations into fraud , waste , or other criminal activity. The...of Management & Budget approval for budgeted headcount SPECIAL INVESTIGATOR - 31130 Qualifications Juris Doctor (JD) degree from… more
- City of New York (New York, NY)
- …AIG will be expected to independently conduct complex financial investigations to identify fraud , waste , and misconduct, and to prepare written work product ... in and conduct confidential and sensitive financial investigations regarding allegations of fraud or other corrupt activities that may involve New York City… more
