- Highmark Health (Tallahassee, FL)
- …**Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year ... fraud , waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to...in Financial Analysis in an acute care hospital or health insurance setting + 1 year in… more
- Guidehouse (Richardson, TX)
- …gain employment with our rapidly growing firm. Guidehouse is seeking experienced Fraud Recovery Investigations Analyst's to conduct, identify, and investigate ... document and escalate such matters. The responsibilities of the Fraud Recovery Investigations Analyst will include, but...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
- MyFlorida (Tampa, FL)
- …the three (3) years of required experience. + Investigative experience in fraud or white-collar crimes, financial investigations , cybercrime investigations , ... limited to, the following: + Perform analysis and conduct investigations in the Cyber Fraud area which...and one Personal Holiday each year. + State Group Insurance coverage options, including health , life, dental,… more
- State of Montana (Helena, MT)
- …prosecution of civil and criminal violations. The Bureau conducts criminal and administrative investigations of theft, insurance fraud , and other violations ... insurance activities. Duties include coordinating and conducting statewide fraud investigations and compliance audits; coordinating various aspects of… more
- State of Colorado (Denver, CO)
- …units and groups, specifically focusing on program integrity, provider payment reviews, fraud investigations , waste and abuse reviews and recoveries, RAC, FWA ... Full Time Job Number UHA01380 03/08/2025 Department Department of Health Care Policy and Financing Division Medicaid Operations Office...areas of FWA, such as program integrity, RAC, and fraud investigations . How did you ensure cohesion… more
- TEKsystems (Honolulu, HI)
- … trends. Required Qualifications + Minimum 3 years of experience in digital fraud investigations , risk management, or business analysis within the financial ... to detect suspicious activity. + Set up and document fraud cases, conducting in-depth investigations using internal...Plan - Pre-tax and Roth post-tax contributions available* Life Insurance (Voluntary Life & AD&D for the employee and… more
- System One (Ashburn, VA)
- …, validation reviews, discrepancies associated with information provided, and assess potential fraud risk + Create detailed reports of investigations to include ... Job Title: Fraud Investigator Location: Onsite in Pensacola, FL or...channels. + Review transactional activities, internal/external inquiries, and perform investigations to protect client and its members' financials and… more
- Walmart (Bentonville, AR)
- …fraud in digital payments, gift cards, credit cards and other cyber-related fraud activities. + Experience in overseeing investigations that prioritize stolen ... online investigations to identify, isolate and prosecute large scale fraud schemes executed against e-commerce platforms. + You can manage multiple complex… more
- State of Michigan (Detroit, MI)
- …+ Yes + No 02 Please select your level of experience conducting identity theft and/or fraud investigations . + Less than one year + One to two years + Two ... state agencies through our fiscal, IT, and HR systems. Insurance Benefits:The State of Michigan offers health ,...03 Please describe your experience conducting identity theft and/or fraud investigations . 04 Please select all areas… more
- RELX INC (Washington, DC)
- …not limited to analysis of call detail record data provided by the customer, fraud investigations , etc Requirements: + Bachelor's or Master's degree in a ... and recovering revenue, and making timely and informed decisions to enhance investigations . About the Team: The Public Safety Special Investigative Unit (SIU) is… more
- Humana (Baton Rouge, LA)
- …of our caring community and help us put health first** Humana's Special Investigations Unit is seeking a Fraud and Waste Investigator to join the Louisiana ... to include multiple practice areas + 2+ years of fraud investigations and auditing experience + Knowledge...offers a variety of benefits to promote the best health and well-being of our employees and their families.… more
- PNC (Louisville, KY)
- …and have an opportunity to contribute to the company's success. As a Fraud Strategy & Analytics Manager within PNC's Technology organization, you will be based ... As Manager of Incident Response team in the Adapt fraud pillar, primary responsibilities include managing a team of...followed. In addition, Incident Response Managers also aid in investigations and data analysis to help identify impacted customer… more
- CBRE (Los Angeles, CA)
- …CBRE's applicable benefit program. This role will provide the following benefits: 401(K), Dental insurance , Health insurance , Life insurance , and Vision ... ethical excellence, accountability, and continuous development. - Oversee complex internal investigations into allegations of serious misconduct including fraud ,… more
- UMB Bank (Kansas City, MO)
- …abuse (including Credit Card 'Bust Out', OLB Scams. + Conduct detailed investigations and reporting on new account origination fraud , first-party abuse ... company sponsored benefit plan including medical, dental, vision, and other insurance coverage; health savings, flexible spending, and dependent care… more
- Zions Bancorporation (Midvale, UT)
- …and Disability Insurance , Paid Parental Leave and Adoption Assistance . Health Savings (HSA), Flexible Spending (FSA) and dependent care accounts . Paid ... we bring the opportunity. We are currently seeking a Fraud Investigator to join our team. This position will...Arizona area. What you'll do: . Conducts financial crimes investigations of external and customer activity. . Writes clear… more
- Conduent (Guaynabo, PR)
- …incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and ... of a culture where individuality is noticed and valued every day. **CAG - Fraud Investigation Services Associate III** **$14.65 per hour** **Are you looking to put… more
- The Cigna Group (St. Louis, MO)
- We are looking for an experienced attorney skilled in compliance investigations to be part of the Legal Department's Enterprise Investigations unit. Our team of ... responsible for assessing and investigating reports and allegations of healthcare fraud (including False Claims Act, Anti-Kickback statutes, and Stark Law),… more
- Walmart (Miami, FL)
- …you'll do ** Job Description **What youll do:** + Conducting highly complex investigations (with a focus on Organized Retail Crime ORC), Consumer/Financial Fraud ... on investigative development. + Planning and executing proactive strategy for Investigations while utilizing analytics to identify potential risk trends. + Liaison… more
- Humana (Frankfort, KY)
- …part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ... **Required Qualifications** + Bachelor's degree + At least 2 years of healthcare fraud investigations and auditing experience + Inquisitive nature with ability… more
- State of Michigan (MI)
- …(OIG) - CAREER BROCHURE (https://www.michigan.gov/documents/mdhhs/OIG\_Career\_Brochure4\_668607\_7.pdf) To conduct investigations of fraud , waste or abuse ... Regulation Agent 9-P11 ( Fraud Investigator) - MDHHS OIG - Ingham &...state agencies through our fiscal, IT, and HR systems. Insurance Benefits:The State of Michigan offers health ,… more
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