- Humana (Oklahoma City, OK)
- …help us put health first** Humana Healthy Horizons in Oklahoma is seeking a Fraud and Waste Professional 2 who conducts investigations of allegations of ... fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and independent… more
- Amazon (Arlington, VA)
- Description Amazon is seeking a data-driven, highly motivated and organized Investigator and Risk Manager of Corporate Fraud Prevention, to support ... such as invoices and payments as indicators of theft, fraud , waste or abuse. We are looking...visible role, and a successful candidate is a seasoned investigator , comfortable working with data to derive patterns 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 (Omaha, NE)
- …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
- State of Massachusetts (Boston, MA)
- …money and property. The OIG is an independent agency charged with preventing and detecting fraud , waste and abuse in the use of public funds and public property. ... functions. Together the bureaus work to prevent and detect waste , fraud and abuse of public resources...when no crime or civil action is involved. *Senior Investigator : Position Overview* The Senior Investigator reports… more
- Highmark Health (Harrisburg, PA)
- …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
- Office of Inspector General (Raleigh, NC)
- 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
- Premera Blue Cross (Mountlake Terrace, WA)
- …Professional Coder (CPC), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI) preferred. + (2) years of active experience in ... the ** Investigator III** will be responsible for investigating allegations of external fraud , waste , and abuse (FWA). The reports prepared by this position… more
- AmeriHealth Caritas (Washington, DC)
- …Ensures compliance with all requirements related to Special Investigation Units and fraud , waste and abuse investigations. + Conducts investigations of potential ... **Special Investigator Managed Care - DMV Counties only** Location: Washington, DC... fraud , waste and / or abuse with a focus on thoroughness and… more
- MyFlorida (Miami, FL)
- …Division of Public Assistance Fraud is to aggressively identify and eliminate fraud , waste , and abuse to safeguard the integrity of taxpayer funded public ... FINANCIAL CRIME INVESTIGATOR II (PENDING RECLASSIFICATION) - 43061892 Date: May 9, 2024 Location: MIAMI, FL, US, 33128 The State Personnel System is an E-Verify… more
- Environmental Protection Agency (Denver, CO)
- …& investigations of the EPA to promote economy, efficiency, and to prevent and detect fraud , waste and abuse. We strive to provide solutions to problems that ... (OIG) Office of Investigations (OI). OI criminal investigators investigate allegations of fraud , waste , abuse and misconduct impacting EPA programs and… more
- CVS Health (Baton Rouge, LA)
- …situation.Education: - Bachelor's degree or an additional 5 years of working health care fraud , waste and abuse investigations. Pay Range The typical pay range ... health care more personal, convenient and affordable. Position SummaryAs a Senior Investigator you will conduct high level, complex investigations of known or… more
- CVS Health (Springfield, IL)
- …information EDUCATION: *Bachelor's degree or an additional 5 years of working health care fraud , waste and abuse investigations. Pay Range The typical pay range ... care more personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of known or suspected… more
- Amentum (Richland, WA)
- …Reporting alleged violations of law, regulations, or policy, including incidents of fraud , waste , abuse, misuse, corruption, criminal acts, or mismanagement, ... Title Ethics & Compliance Investigator Position Number 39038 Company WA River Protection...for conducting investigations related to ethics, conflict of interest, fraud , and other issues as assigned. In addition, the… more
- Headquarters, NASA (Houston, TX)
- …reviews, and investigations of NASA programs and operations to prevent and detect fraud , waste , abuse, and mismanagement. The Office of Investigations (OI) ... investigates allegations of crime, cyber-crime, fraud , waste , abuse, and misconduct having impact...programs, projects, operations, and resources. Responsibilities As a Criminal Investigator at the GS-1811-12/13 grade level, some of your… more
- Environmental Protection Agency (Denver, CO)
- …& investigations of the EPA to promote economy, efficiency, and to prevent and detect fraud , waste and abuse. We strive to provide solutions to problems that ... (OIG) Office of Investigations (OI). OI criminal investigators investigate allegations of fraud , waste , abuse and misconduct impacting EPA programs and… more
- Office of the Inspector General for Tax Administration (New York, NY)
- …impact the IRS' ability to administer the nation's tax laws. We detect and deter waste , fraud and abuse in IRS programs and operations and protect the IRS ... Investigations- Deputy Inspector General for Investigations. As a Supervisory Criminal Investigator (Assistant Special Agent in Charge), you will supervise an… more
- Point32Health (Canton, MA)
- …team member of the SIU, responsible for leading complex provider investigations related to fraud , waste and abuse, and developing action plans to address the ... investigative findings and prevent future loss. The Investigator works closely with other members of the SIU...monitor provider activity post-investigation + Identifying root causes of fraud , waste and abuse and recommending internal… more
- Commonwealth Care Alliance (Boston, MA)
- … Investigator works with a growing team conducting and managing Health Care Fraud , Waste and Abuse investigation and prevention activities under the general ... 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… more
- CVS Health (Richmond, VA)
- …Department of Medical Assistance Services- 3 years in healthcare field working in fraud , waste and abuse investigations and audits.- Strong analytical and ... an Associate's degree with three additional years working in health care fraud , waste , and abuse investigationsand audits. Pay Range The typical pay range for… more