• Medicaid Fraud Investigator

    State of Colorado (Denver, CO)
    Medicaid Fraud Investigator ( Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply  Medicaid ... an experienced investigator to join the Colorado Medicaid Fraud , Abuse & Neglect Unit ("MFANU")....DOL is currently offering a sign-on bonus for new Special Agent hires of $1,500. Eligible only to hires… more
    State of Colorado (08/27/25)
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  • Investigator / Special Agent 1-4

    Louisiana Department of State Civil Service (LA)
    …and provides investigative services in cybercrimes, white collar crimes, and public corruption. Medicaid Fraud Control Unit: The Louisiana Medicaid Fraud ... Investigator / Special Agent 1-4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4951050) Apply  Investigator / Special Agent 1-4… more
    Louisiana Department of State Civil Service (08/23/25)
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  • Investigator , Special Investigative…

    Molina Healthcare (Lexington, KY)
    …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...when appropriate, recovery of money related to health care fraud , waste, and abuse. Duties include performing accurate and… more
    Molina Healthcare (08/28/25)
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  • Clinical Investigator

    MVP Health Care (Rochester, NY)
    …thinking and continuous improvement. To achieve this, we're looking for a **Clinical Investigator ** to join #TeamMVP. This is the opportunity for you if you have ... investigation experience involving economic or insurance related matters. + A clinical investigator must have in addition to the above requirements: A duly licensed… more
    MVP Health Care (09/13/25)
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  • Special Investigation Unit Lead Review…

    CVS Health (Harrisburg, PA)
    …Care Anti- Fraud Association (AHFI), or have a minimum of three years Medicaid Fraud , Waste and Abuse investigatory experience. * Billing and Coding ... each and every day. **Position Summary** **Position Summary** TThe SIU Investigator conducts investigations to effectively pursue the prevention, investigation and… more
    CVS Health (08/20/25)
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  • Senior Analyst, Special Investigative Unit

    CVS Health (Albany, NY)
    …every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... Aetna's Special Investigations Unit. In this role, you will manage...complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct… more
    CVS Health (09/02/25)
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  • Audit Evaluation & Review Analyst

    MyFlorida (Tampa, FL)
    …30% Serve as lead investigator on cases involving suspected Cost Report Fraud and Prospective Payment System Medicaid provider fraud involving: 1) ... in the Office of the Attorney General within the Medicaid Fraud Control Unit in Tampa, Florida...DRUG FREE WORKPLACE: All OAG positions are "sensitive or special trust" and require favorable results on a background… more
    MyFlorida (09/11/25)
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