- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This ... claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will serve as Humana's Program Integrity Officer,… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Senior Fraud and Waste Professional (Program Integrity Lead) is responsible for overseeing the ... monitoring and enforcement of the Fraud , Waste , and Abuse (FWA) program. This role aims to prevent and detect potential FWA activities in accordance with state… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of ... reported, alleged or suspected fraud involving Virgina's Medicaid Program. The Fraud and Waste Professional 2 coordinates investigation with law enforcement… more
- Amazon (Arlington, VA)
- …a data-driven, highly motivated, eager to identify threat actors, and organized Investigator of Corporate Fraud Prevention. The selected individual will 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
- 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
- New York State Civil Service (New York, NY)
- …prevention, detection, identification, elimination and exposing of criminal activity, misconduct, fraud , waste , abuse, corruption, and other improper behavior ... NY HELP No Agency Insurance Fund, State Title Investigator 1, Senior Investigative Officer Occupational Category Other...arrest and indictment of individuals and businesses suspected of fraud involving NYSIF. DCI's mission is to reduce the… more
- CVS Health (Charleston, WV)
- … 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
- State of Minnesota (Minneapolis, MN)
- …Minnesota Department of Education (MDE), you will plan, coordinate, and conduct fraud , waste , or abuse investigations in MDE's public programs. Responsibilities ... Strong organizational and time management skills. **Preferred Qualifications** + Certified Fraud Examiner (CFE), Certified Forensic Investigator (CFI), or… 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
- 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
- MyFlorida (Miami, 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 ; or Certified Compliance and Ethics… more
- MyFlorida (Miami, 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 ; or Certified Compliance and Ethics… 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 ; or Certified Compliance and Ethics… 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 ; or Certified Compliance and Ethics… more
- CVS Health (Hartford, CT)
- …to effectively pursue the prevention, detection, investigation and prosecution of healthcare fraud , waste , and abuse. Also reports suspected fraud , ... Conducts investigations of known or suspected acts of healthcare fraud , waste , and abuse - Communicates with...in Employee Competencies - Exhibits behaviors outlined in SIU Investigator Competencies - May include travel to testify in… more
- Robert Half Management Resources (Phoenix, AZ)
- …* Preferred certifications include Certified Fraud Examiner, Accredited Health Care Fraud Investigator , Health Care Anti- Fraud Associate, or Certified ... This role involves conducting in-depth investigations to detect and prevent healthcare fraud , waste , and abuse, contributing to the integrity of healthcare… more
- MyFlorida (West Palm Beach, FL)
- … investigations and provides support in the recovery of funds lost due to waste , fraud , or abuse. Incumbent is qualified to have specified personal information ... of Public Benefits Integrity (OPBI) is responsible for investigating public assistance fraud or misuse regarding the SNAP (Food Assistance), D-SNAP (Disaster Food… more
- City of New York (New York, NY)
- …entities that receive City funds. DOI's Squad 1 conducts investigations into corruption, fraud , waste , and other criminal conduct, occurring at or involving the ... in managing or assisting in larger complex investigations into fraud , waste , or other criminal activity. The...of Management & Budget approval for budgeted headcount SPECIAL INVESTIGATOR - 31130 Qualifications Juris Doctor (JD) degree from… more
- City of New York (New York, NY)
- …AIG will be expected to independently conduct complex financial investigations to identify fraud , waste , and misconduct, and to prepare written work product ... in and conduct confidential and sensitive financial investigations regarding allegations of fraud or other corrupt activities that may involve New York City… more
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