• Investigator , Special Investigative Unit…

    Molina Healthcare (St. Petersburg, FL)
    …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud ... reporting, and when appropriate, recovery of money related to health care fraud , waste, and...on allegations of FWA and/or may determine appropriateness of care . The SIU Investigator is also responsible… more
    Molina Healthcare (07/24/25)
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  • Special Investigations Unit (SIU)…

    Centene Corporation (Austin, TX)
    …US. Ideal candidate has strong background in healthcare fraud investigations and Accredited Health Care Fraud Investigator or a Certified Fraud ... for our 28 million members. Centene is transforming the health of our communities, one person at a time.... Examiner. _** **Position Purpose:** Investigate allegations of healthcare fraud and abuse activity. Assist in planning, organizing, and… more
    Centene Corporation (08/01/25)
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  • Manager Special Investigation Unit

    Corewell Health (Grand Rapids, MI)
    …or equivalent experience with a managed care payer. Preferred + Preferred + CRT-Accredited Health Care Fraud Investigator (AHFI) - NHCAA National ... (SIU) with a focus on identifying, investigating, and resolving health insurance fraud , waste, and abuse (FWA)....Health Care Anti- Fraud Association preferred + CRT-Coding Specialist, Certified-Physician Based (CCS-P)… more
    Corewell Health (07/19/25)
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  • Manager, Special Investigative Unit-Kentucky

    Molina Healthcare (Owensboro, KY)
    …+ 5-7 years + Required License, Certification, Association + Active and unrestricted Accredited Health Care Fraud Investigator (AHFI) designation or ... Experience** + 7-9 years + Preferred License, Certification, Association + Health Care Anti- Fraud Associate (HCAFA) designation To all current Molina… more
    Molina Healthcare (07/18/25)
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  • Investigator - Medicaid Fraud

    State of Georgia (Fulton County, GA)
    …of our Medicaid Fraud Division. Duties & Responsibilities: Investigators conduct health care fraud investigations. Assists criminal justice personnel, ... Investigator - Medicaid Fraud Georgia -...limited to, Analysts, Auditors, and Prosecutors in conducting on-site health care fraud and patient… more
    State of Georgia (07/30/25)
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  • Senior Healthcare Fraud Investigator

    CVS Health (Hartford, CT)
    …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...**Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations… more
    CVS Health (07/22/25)
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  • Senior Investigator (Hybrid)

    CareFirst (Baltimore, MD)
    …or law enforcement, at least 3 of which must be health care specific and includes independently conducting healthcare fraud , waste, and abuse investigations ... **Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified Expert Coder-AHIMA or… more
    CareFirst (07/12/25)
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  • Investigator , Special Investigations Unit…

    CVS Health (Jefferson City, MO)
    …of fraud and abuse **Required Qualifications** + 1 year experience working on health care fraud , waste, and abuse investigatory and audits required. + ... arbitrations, depositions, etc. **Preferred Qualifications** + 1-3 years experience working on health care fraud , waste, and abuse investigations and… more
    CVS Health (07/12/25)
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  • Investigator /Special Agent 1-4

    Louisiana Department of State Civil Service (LA)
    …is a state law enforcement agency, and it's mission is to investigate and prosecute health care providers who have defrauded the Medicaid program. The MFCU also ... Investigator /Special Agent 1-4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4951050) Apply  ...prosecutes allegations of abuse, and neglect of residents in health care facilities. The MFCU utilizes a… more
    Louisiana Department of State Civil Service (05/24/25)
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  • Global Security Investigator

    JPMorgan Chase (Jersey City, NJ)
    …and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a ... assets on a global scale. As a Global Security Investigator within our Global Security team, you will report...Investigations Manager. You will need a basic understanding of fraud and technology risk, and will work extensively with… more
    JPMorgan Chase (07/18/25)
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  • Analyst, Investigator (Aetna SIU)

    CVS Health (Annapolis, MD)
    …- Bachelor's degree and/or an Associate's degree with three additional years working in health care fraud , waste, and abuse investigations and audits. ... Certified Fraud Examiners (CFE) - An accreditation from the National Health Care Anti- Fraud Association (AHFI). - Billing and Coding certifications such… more
    CVS Health (07/26/25)
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  • SIU Field Investigator

    Travelers Insurance Company (Downers Grove, IL)
    **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... potential risks and combat fraudulent practices. As an SIU Investigator , you will analyze, summarize and prioritize information to...+ Serves as the subject matter expert (liaison) on fraud to business and industry partners. + Applies rules… more
    Travelers Insurance Company (07/08/25)
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  • Senior Fire Investigator

    EFI Global (Detroit, MI)
    …If this does not apply to you please use the 'Apply' option.** IF YOU CARE , THERE'S A PLACE FOR YOU HERE EFI Global is a full-service engineering, fire ... investigation, environmental, health and safety, and specialty consulting services firm serving...grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony,… more
    EFI Global (06/27/25)
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  • Senior Fire Investigator - Iaai-CFI

    EFI Global (Los Angeles, CA)
    …If this does not apply to you please use the 'Apply' option.** IF YOU CARE , THERE'S A PLACE FOR YOU HERE EFI Global is a full-service engineering, fire ... investigation, environmental, health and safety, and specialty consulting services firm serving...grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony,… more
    EFI Global (07/01/25)
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  • Manager, Specialty Compliance and Ethics - AML…

    Walmart (Bentonville, AR)
    …the Financial Intelligence Unit (FIU) for the world's largest retailer. The AML Investigator , Specialty Compliance and Ethics role is critical to ensure that Walmart ... new home office in Bentonville, AR.** **https://corporate.walmart.com/news/2025/01/17/the-future-of-better-begins-here-welcome-to-walmarts-new-home-office** The AML Investigator , Specialty Compliance and Ethics is an investigative function… more
    Walmart (07/31/25)
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  • Investigator , NS

    New York State Civil Service (Albany, NY)
    NY HELP No Agency Financial Services, Department of Title Investigator , NS Occupational Category Other Professional Careers Salary Grade NS Bargaining Unit PS&T - ... consumers and protecting them from financial harm; ensuring the health and stability of the financial entities we regulate;...Services (DFS) is seeking candidates for the position of Investigator to work in various business units to investigate… more
    New York State Civil Service (06/03/25)
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  • Global Security - Vice President…

    JPMorgan Chase (Jersey City, NJ)
    …and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a ... a safer and more secure future for all. As a Special Investigations Unit Investigator within the Global Security team, you will be responsible for conducting complex… more
    JPMorgan Chase (07/18/25)
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  • Supervisory Criminal Investigator

    Office of the Inspector General (Washington, DC)
    …Information DHS offers competitive salaries and an attractive benefits package, including: health , dental, vision, life, and long-term care insurance; retirement ... enhance program effectiveness and efficiency and to detect and prevent waste, fraud , and mismanagement in DHS programs and operations. Responsibilities The incumbent… more
    Office of the Inspector General (08/01/25)
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  • SIU Property Investigator (WA, OR, CA)

    American Family Insurance - Corporate (Seattle, WA)
    …to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health . We also offer a competitive 401(k) contribution, a ... You will Investigate low to moderately complex insurance fraud activity involving property claims, develop meaningful industry social network and assist special… more
    American Family Insurance - Corporate (07/25/25)
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  • EDD Investigator III

    Banc of California (Santa Ana, CA)
    …employee resource groups, and more. TOGETHER WE WIN(R) **THE OPPORTUNITY** The EDD Investigator III will conduct analyses of high-risk customers through a variety of ... of policies and procedures. + Perform the position safely, without endangering the health or safety to themselves or others and will be expected to report… more
    Banc of California (07/11/25)
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