- City of Detroit (Detroit, MI)
- … Fraud Investigator performs complex investigative tasks relating to the fraud , waste or abuse committed against the Detroit Water and Sewerage Department ... Fraud Investigator Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/5027572) Apply ...fair, thorough, unbiased and timely investigations into allegations of fraud , waste or abuse, committed by/against DWSD.… 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
- 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
- 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
- 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
- Centene Corporation (Austin, TX)
- …has strong background in healthcare fraud investigations and Accredited Health Care Fraud Investigator or a Certified Fraud Examiner. _** **Position ... integrity and compliance in billing and claims payment + Investigate possible waste , abuse and fraud leads and document activity on each lead and refer issues… 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
- New York State Civil Service (New York, NY)
- …will participate in and conduct confidential and sensitive investigations regarding allegations of fraud , waste and abuse or other corrupt activities that may ... reports.Duties and Responsibilities:* Conduct high-quality, complex, comprehensive, investigations into allegations of fraud , waste , and abuse by the MTA and its… 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
- Office of the Inspector General (Washington, DC)
- …to enhance program effectiveness and efficiency and to detect and prevent waste , fraud , and mismanagement in DHS programs and operations. Responsibilities ... to senior special agents concerning investigations related to national security, fraud , abuse, and/or other misconduct in programs or operations administered or… 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
- Centene Corporation (Sacramento, CA)
- …and measure potential healthcare fraud and abuse. + Conduct investigations of potential waste , abuse, and fraud + Document activity on each case and refer ... in claims + Develop new queries and reports to detect potential waste , abuse, and fraud + Provide case updates on progress of investigations and coordinate with… 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
- 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