• Senior Healthcare Fraud Investigator

    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 ... will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
    CVS Health (07/22/25)
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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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  • Investigator , Special Investigative Unit…

    Molina Healthcare (St. Petersburg, FL)
    …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
    Molina Healthcare (07/24/25)
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  • Nurse Investigator

    State of Georgia (Fulton County, GA)
    …Job Alerts The Office of the Attorney General Georgia Department of Law Nurse Investigator - Medicaid Fraud Division *To move forward in the recruiting process ... Nurse Investigator Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/64040/other-jobs-matching/location-only) Hot...will serve within the Audits section of the Medicaid Fraud Division. Job Summary Under the direction of the… more
    State of Georgia (06/19/25)
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  • Manager Special Investigation Unit

    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 the… more
    Corewell Health (07/19/25)
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