- The County of Los Angeles (Los Angeles, CA)
- MEDICAL EXAMINER INVESTIGATOR TRAINEE Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4267937) Apply MEDICAL EXAMINER ... Examiner is seeking qualified candidates to fill emergency Medical Examiner Investigator Trainee vacancies related to the homelessness crisis. Under… more
- Wayne State University (Detroit, MI)
- Medical Investigator I - Medical Examiner Office Wayne State University is searching for an experiencedMedical Investigator I - Medical ... (job duties): Position Purpose : Investigate deaths that fall within the medical examiner jurisdiction in Wayne County. Evaluate and document the location of the… more
- State of Montana (Helena, MT)
- …and Insurance (CSI), has an exciting opportunity for a full-time*Securities Division Investigator and Financial Examiner *. The CSI is a small, family-friendly ... Act *About this Job Opportunity* We are currently seeking a*Securities Division Investigator and Financial Examiner *. This position supports the agency's mission… more
- Adams County Government (Brighton, CO)
- …of a one-year (1200+ hours), death investigation/autopsy assistant internship at a Coroner/ Medical Examiner Office. ~OR~ A Bachelor's Degree or higher, from ... Medicolegal Death Investigator I Print (https://www.governmentjobs.com/careers/adams/jobs/newprint/5188460) Apply Medicolegal Death...03 Do you possess previous experience working in a Coroner/ Medical Examiner Office? + Yes + No… more
- Lane County (OR)
- …Job Type Regular Job Number 202500325 Department District Attorney's Office Division DA Medical Examiner Opening Date 12/23/2025 Closing Date 1/19/2026 11:59 PM ... Medical Legal Death Investigator Supervisor Print...24/7 response to death scenes, coordinating with law enforcement, medical providers, the State Medical Examiner… more
- CareFirst (Baltimore, MD)
- …to the required work experience. **Licenses/Certifications Preferred:** + Certified Fraud Examiner (CFE) + Certified Insurance Fraud Investigator (CIFI) + ... in a health care or investigations related area such as Certified Fraud Examiner (CFE), Accredited Health Fraud Investigator (AHFI), RN/LPN, or Certified… more
- Philadelphia Insurance Companies (Ewing, NJ)
- …Top 50 and rated A++ by AM Best. We are looking for a Sr. Claims Examiner - SIU to join our team! Summary : Evaluate referred insurance claims for potential ... investigators conduct appropriate investigations. Review and evaluation of third-party investigator reports for thoroughness and accuracy. Review and evaluation of… more
- Monroe County, NY (Rochester, NY)
- Full Jobs List Full Exams List Medical Investigator , prov. - Part Time Location: Rochester, NY Title: Medical Investigator , prov. - Part Time Deadline: ... Duties This is an entry level position in the Medical Examiner 's Office responsible for investigating the...and works under the general supervision of the Senior Medical Investigator or other higher-level staff member… more
- Kemper (Doral, FL)
- …or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred. ... to our stakeholders that delivers on our promises._ **Position Summary:** The SIU Investigator will conduct field as well as desk investigations of insurance claims… more
- Duke Energy (Fort Mill, SC)
- …experience, law enforcement experience + ASIS Certifications desired + Certified Fraud Examiner (CFE) + CLEAR National Certified Investigator and Inspector + ... locations at their discretion. Job Summary The Senior Corporate Security Investigator (CSI) works independently with the stakeholders to conduct Investigation,… more
- Point32Health (Canton, MA)
- …about who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Investigator I is an essential team member of the Special Investigation Unit ... the direction of the Manager, FWA Prepayment Review. The Investigator I works closely with other members of the...internal and external research, detailed data analysis, review of medical records, and interviews of members, providers, and other… more
- Magellan Health Services (Boise, ID)
- …Required License and Certifications - Preferred AHFI - Accredited Healthcare Fraud Investigator - EnterpriseEnterprise, CFE - Certified Fraud Examiner - ... policies, Medicaid/Medicare rules and statutes, etc. + Conduct research on medical policies and practices, provider characteristics, and related topics + Interview… more
- State of Georgia (Fulton County, GA)
- Criminal Investigator - Medicaid Fraud Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/73115/other-jobs-matching/location-only) Hot ... Job Alerts The Office of the Attorney GeneralDepartment of LawMedicaid Fraud - Investigator Salary: High 50's (minimum) - POST Required and based on experience The… more
- Centene Corporation (Frankfort, KY)
- …in one of the following is required: Other Accredited Health Care Fraud Investigator (AHFI) or Certified Fraud Examiner (CFE). Other Pharmacy Investigator ... Access. Knowledge and understanding of managed care claims processing systems and medical claims coding preferred **Licenses and Certifications:** A license… more
- State of Indiana (Indianapolis, IN)
- Investigator - Securities & Financial Crimes Date Posted: Dec 25, 2025 Requisition ID: 467512 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a ... + Gather documents via applicable legal process. + Coordinate with Chief Investigator to review cases and determine the investigative plan. + Collaborate with… more
- Highmark Health (Pittsburgh, PA)
- …to prevent further improper payments. Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Develop and ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Other duties as assigned or requested. **EDUCATION**… more
- Highmark Health (Harrisburg, PA)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
- Citizens (Pittsburgh, PA)
- Description Corporate Security and Resilience Investigator II position will lead investigations, including Internal investigations of a sensitive nature. Position ... applications. + Bachelor's degree in finance or related field + Certified Fraud Examiner certification preferred. Hours & Work Schedule Hours per Week: 40 Work… more
- Molina Healthcare (Covington, KY)
- …over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare providers that ... programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems + Understanding of datamining… more
- ADP (San Dimas, CA)
- …Qualifications_ + Advanced degree + Professional Certifications: Certified Fraud Examiner (CFE), Certified Anti-Money Laundering Specialist (CAMS). + Experience with ... of bonus, equity or commissions. We offer the following benefits: Medical , Dental, Vision, Life Insurance, Matched Retirement Savings, Wellness Program, Short-and… more
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