- Humana (Columbia, SC)
- …conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately ... requires an in-depth evaluation of variable factors. The Senior Fraud and Waste Professional coordinates investigation with...ACFE + Currently designated as an Accredited Health Care Fraud Investigator (AHFI) granted by NHCAA +… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Sr. Fraud Investigator SIU (Special Investigations Unit) assists in the implementation and daily operation of the organization's ... applied to all audits and investigations conducted **Job Title: Sr. Fraud Investigator (SIU)** **Location: Pearland Administrative Office** **Department:**… more
- Tennessee Comptroller of the Treasury (Knoxville, TN)
- …of the Treasury is seeking an Investigator to investigate allegations of fraud , waste , and abuse in government and publicly funded entities. Candidates for ... Comptroller's mission of making government work better by investigating allegations of fraud , waste , and abuse in government and publicly funded entities and… more
- State of Michigan (MI)
- Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland, Wayne Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/3739587) Apply ... Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland,...Counties This Regulation Agent position will conduct investigations of fraud , waste or abuse by recipients, non-Medicaid… more
- Molina Healthcare (Louisville, KY)
- …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
- Providence (OR)
- …in health care fraud investigation, such as Accredited Healthcare Fraud Investigator (AHFI), Certification as an Internal Auditor (CIA), Healthcare ... to coding, medical record documentation requirements, healthcare compliance and fraud , waste and abuse to Health Plan...work product, including integrating checks on their own work product + Presents on fraud risk… more
- Commonwealth Care Alliance (Boston, MA)
- …reports. + Knowledge of federal and state laws and regulations pertaining to fraud , waste and abuse. + Desire to work in a collaborative and fast-paced team ... Role is Important to Us:** **Position Summary:** The FWA Investigator Coder Sr. Associate is an integral part of...Coder Sr. Associate is an integral part of the Fraud , Waste & Abuse (FWA) Special Investigation… more
- US Agency for International Development (Washington, DC)
- …package. The Office of Inspector General (OIG) is committed to detecting and preventing fraud , waste , and abuse within the U. S. Agency for International ... supervise and direct activities designed to identify, investigate, prosecute, and mitigate fraud , waste , abuse, public corruption, and other criminal and… more
- US Agency for International Development (Washington, DC)
- …you submit your application package. OIG is responsible for preventing and detecting fraud , waste , abuse, and violations of law, and for promoting economy, ... and Millennium Challenge Corporation (MCC). Responsibilities As a GS-13 Criminal Investigator you will: Conduct complex and large-scale criminal, civil, and… more
- CVS Health (Des Moines, IA)
- …to effectively pursue the prevention, detection, investigation and prosecution of healthcare fraud , waste , and abuse. Also reports suspected fraud , ... as important as what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone...years of Investigative experience in the area of healthcare fraud , waste and abuse + Strong knowledge… more
- New York State Civil Service (New York, NY)
- …financial investigations, forensic audits, and systemic reviews concerning allegations of fraud , waste , and abuse, utilizing advanced investigative techniques, ... NY HELP No Agency State Inspector General, Office of Title Investigator Auditor Occupational Category Financial, Accounting, Auditing Salary Grade NS Bargaining Unit… more
- US Agency for International Development (Washington, DC)
- Summary OIG is responsible for preventing and detecting fraud , waste , abuse, and violations of law, and for promoting economy, efficiency, and effectiveness of ... examination and the use expert witnesses. Lead teams or work directly with employees and other federal agencies' experts...appointment. Applicants that have no prior series 1811 criminal investigator experience must meet the maximum age for entry… more
- Molina Healthcare (New York, NY)
- …delivery systems + Understanding of datamining and use of data analytics to detect fraud , waste , and abuse + Proven ability to research and interpret regulatory ... position must have the ability to determine correct coding, documentation, potential fraud , abuse, and over utilization by providers and recipients. The position… more
- Centene Corporation (Jefferson City, MO)
- …and measure potential healthcare fraud and abuse. + Conduct investigations of potential waste , abuse, and fraud + Document activity on each case and refer ... + Develop new queries and reports to detect potential waste , abuse, and fraud + Provide case...time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work… more
- Government Accountability Office (Washington, DC)
- …agency rules and regulations, with particular emphasis on conduct that involves fraud , waste , abuse, and government corruption. Develops investigative plans and ... Summary This vacancy is for a Supervisory Investigator (Assistant Inspector General for Investigations) in the...investigative teams. Specifically, responsible for planning and directing the work of OIG special agents; the timeliness, quality, and… more
- Navy Exchange Services (NEX) (Newport, RI)
- …detect and detain individuals suspected of shoplifting. Investigates other suspected incidents of fraud waste and abuse as directed. - Prepares case reports ... Title: A/P SAFETY INVESTIGATOR / PART TIME Location: United States-Rhode Island-Newport...disciplinary proceedings and administrative hearings. - Adheres to prescribed work schedules as determined to be in the best… more
- Port Authority of New York and New Jersey (Hoboken, NJ)
- …corruption-free. To accomplish this, the OIG detects, receives, and investigates allegations of fraud , corruption, waste , and abuse with respect to employees, or ... Director of the Police Integrity Division, the Senior Confidential Investigator will participate in conducting highly sensitive, confidential investigations… more
- Department of State - Agency Wide (Rosslyn, VA)
- …degree of effectiveness and efficiency. Takes positive actions to identify means of avoiding fraud , waste , and mismanagement. Serves as an authority on the most ... possesses the following qualities: Ability to assign, review, and supervise the work of others; Objectivity and fairness in judging people on their ability,… more
- TEKsystems (Baltimore, MD)
- …of losses through the detection investigation and resolution of low to medium levels fraud waste and abuse schemes resulting in the savings and recovery of ... to all levels low to medium investigations of suspected fraud waste and abuse. In conjunction with...as Certified Fraud Examiner CFE Accredited Health Fraud Investigator AHFI RN/LPN or Certified Professional… more
- Washington Metropolitan Area Transit Authority (Washington, DC)
- …Advanced degree in criminal justice, law, accounting, or similar field. + Certified Fraud Examiner (CFE) or Certified Inspector General Investigator (CIGI) + ... and/or sensitive investigations of allegations or indications of employee misconduct and fraud , waste and abuse in METRO's operations and activities, including… more