- State of Colorado (Denver, CO)
- Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply Medicaid Fraud ... 009. The Consumer Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud ,...experienced investigator to join the Colorado Medicaid Fraud , Abuse & Neglect Unit ("MFANU"). The MFANU is… more
- Robert Half Accountemps (Davenport, IA)
- Description Our client is growing and we are recommending a detail-oriented and driven Fraud Investigator to join their team. As part of the Fraud and Risk ... for occasional in-office collaboration or travel to branch locations. As a Fraud Investigator , you will: + Monitor, review, and analyze fraud alerts… more
- TEKsystems (Honolulu, HI)
- TEKsystems is looking for a Fraud Investigator for a large financial customer! 6 month contract to hire in Honolulu, HI! Description As a Fraud ... and digital platforms from financial crimes. You'll investigate suspicious activity, analyze fraud trends, and collaborate across departments to enhance fraud … more
- Sanford Health (Fargo, ND)
- …health insurance investigation/audit. - Master's Degree preferred - Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud ... in health insurance investigation/audit. Master's Degree preferred Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud … more
- Fannie Mae (Washington, DC)
- …IN PLANO, TX; WASHINGTON, DC; OR RESTON, VA *THE IMPACT YOU WILL MAKE* The Mortgage Fraud Investigator role will offer you the opportunity to work in a high ... on our team, you will contribute your knowledge of mortgage fraud schemes to fraud investigations. In this role, you will operate with considerable latitude… more
- Elevance Health (Richmond, VA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- Insight Global (Blue Ash, OH)
- …in the Blue Ash/Cincinnati, Ohio area is seeking a detail-oriented and analytical Fraud Investigator to join it's retail grocery Asset Protection team. This ... activity. Using data from the MAX Asset Protection system, the Fraud Investigator will identify suspicious patterns and investigate potential internal fraud… more
- Elevance Health (Norfolk, VA)
- **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... unless an accommodation is granted as required by law. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that may pose… more
- Enterprise Bank & Trust (St. Louis, MO)
- …of supporting our communities.** **Together, there's no stopping you!** **Job Title:** Fraud Investigator **Job Description:** **Summary:** Provide fraud and ... loss prevention, investigation, recovery and restitution on external fraud , including but not limited to check, debit card, and electronic transactions. **Essential… more
- City of New York (New York, NY)
- …surveillance; interviewing witnesses, suspects, customers and preparing investigative reports. ASSOCIATE FRAUD INVESTIGATOR ( - 31118 Qualifications 1. A ... four-year high school diploma or its educational equivalent and five years of satisfactory, full-time experience, acquired within the United States in one or a combination of the following: performing investigations involving criminal and/or fraudulent… more
- State of Georgia (Fulton County, GA)
- Investigator - Medicaid Fraud Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/67636/other-jobs-matching/location-only) Hot ... Job Alerts The Office of the Attorney General Department of Law Medicaid Fraud Division - Investigator The mission of the Department of Law is to serve the… more
- Bank OZK (Little Rock, AR)
- …related cases + Certification in a relevant discipline (ie, Certified Fraud Examiner-CFE, Certified Financial Crimes Investigator -CFCI, Certified Anti-Money ... Job Purpose & Scope Responsible for performing complex fraud incident investigations and case management, including collaboration with internal and external… more
- Bank of America (Charlotte, NC)
- GFC Investigator (Brokerage - AML/ Fraud ) Phoenix, Arizona;Pennington, New Jersey; Plano, Texas; Dallas, Texas; Tampa, Florida; Jersey City, New Jersey; Chicago, ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Phoenix/GFC- Investigator --Brokerage AML- Fraud -\_25035332) **Job Description:** At Bank of… more
- Guardian Life (Bethlehem, PA)
- …+ Ability to spot trends, red flags, suspicions of money laundering and fraud through the review of automated alert scenarios and manual exception reports and ... filings, including, but not limited to Suspicious Activity Reports and state fraud reporting. + Provides subject matter expertise to business partners. Assists in… more
- 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 responsible for supporting the prevention, detection, investigation,… more
- Allied Universal (Palm Coast, FL)
- …+ One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with red… 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 ... with federal and state data sources. BFI is recruiting for three (3) Fraud Investigator II to function as Senior Investigators, who will: - Conduct complex… more
- NTT DATA North America (Boston, MA)
- … Examiner (CFE), Certified Professional Coder (CPC), or Accredited Health Care Fraud Investigator (AHFI) preferred Familiarity with Partial Hospitalization and ... as part of an overall sourcing strategy. NTT DATA's Client is seeking a Investigator for Health Plan Special Investigations Unit ( "SIU ) REMOTE EAST COAST The… more
- Allied Universal (Fargo, ND)
- …+ One or more of the following professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... **Job Description:** Allied Universal(R) is hiring a Surveillance / Claims Investigator . Surveillance / Claims Investigators validate the facts of loss for… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE The DSS Accountability Office (DSS-AO) is responsible for protecting ... exceed the allowable levels. Claims and Collections (C&C) is recruiting (1) one Fraud Investigator II to function as a Senior Investigator , who will: -… more
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