• Investigator II Health Care Fraud

    Geisinger (Danville, PA)
    …Salary would commensurate with experience. Position Details Preferred Certification(s) -Certified Fraud Examiner -Accredited HealthCare Fraud Investigator ... investigations and research relating to preventing, detecting and correcting fraud , waste and abuse in all lines...dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of… more
    Geisinger (05/01/24)
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  • Sr Fraud Investigator , Vendor…

    Amazon (Arlington, VA)
    Description Amazon is seeking a data-driven, highly motivated and organized Investigator and Risk Manager of Corporate Fraud Prevention, to support ... such as invoices and payments as indicators of theft, fraud , waste or abuse. We are looking...clear, concise and persuasive narrative creation that documents complex fraud investigations, new program ideas, and periodic senior more
    Amazon (03/21/24)
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  • Senior Investigator , AOI FY…

    State of Massachusetts (Boston, MA)
    …the misuse of public funds, even when no crime or civil action is involved. * Senior Investigator : Position Overview* The Senior Investigator reports to ... is an independent agency charged with preventing and detecting fraud , waste and abuse in the use...reports, and administrative document requests and summonses. Additionally, the Senior Investigator will also recommend improvements to… more
    State of Massachusetts (04/24/24)
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  • Senior Investigator

    Highmark Health (Harrisburg, PA)
    …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... for conducting investigations of organizational or functional activities related to alleged fraud , waste and abuse perpetrated by providers, members, facilities,… more
    Highmark Health (02/15/24)
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  • Special Investigations Unit Senior

    CVS Health (Springfield, IL)
    …make health care more personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of ... EDUCATION: *Bachelor's degree or an additional 5 years of working health care fraud , waste and abuse investigations. Pay Range The typical pay range for this… more
    CVS Health (03/23/24)
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  • Senior Investigator , Special…

    CVS Health (Columbus, OH)
    …Required Qualifications + Minimum three years in healthcare field working in fraud , waste and abuse investigations and audits utilizing analytical and ... investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state… more
    CVS Health (03/29/24)
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  • SIU Senior Investigator

    CVS Health (Tallahassee, FL)
    …Qualifications - 3-5 years Investigative experience in the area of healthcare fraud , waste and abuse. - Strong knowledge of medical terminology/CPT/HCPCS ... pursue the prevention, investigation and prosecution of health care fraud and abuse, to recover lost funds, and to...lost funds, and to comply with state regulations mandating fraud plans. Fundamental Components: - Conducts high level, complex… more
    CVS Health (05/04/24)
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  • Criminal Investigator

    Headquarters, NASA (Houston, TX)
    …reviews, and investigations of NASA programs and operations to prevent and detect fraud , waste , abuse, and mismanagement. The Office of Investigations (OI) ... investigates allegations of crime, cyber-crime, fraud , waste , abuse, and misconduct having impact on NASA programs, projects, operations, and resources.… more
    Headquarters, NASA (05/09/24)
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  • Supervisory Investigator

    Office of the Director of National Intelligence (Reston, VA)
    …and conduct inquiries into possible violations of laws, rules and regulations, mismanagement, fraud , gross waste of funds, and abuse of authority within the ... to identify and make recommendations to ODNI and IC senior leaders regarding actions they should take to address...and detect violations of laws, rules and regulations and fraud and abuse. Manage and guide the development and… more
    Office of the Director of National Intelligence (04/19/24)
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  • Supervisory Criminal Investigator (Special…

    Office of the Inspector General (IN)
    …We improve the effectiveness of the Department's programs and operations. We also investigate waste , fraud , and abuse in the Department and those who do business ... of Commerce OIG, Office of Investigation. As a Supervisory Criminal Investigator (Special Agent-in-Charge), you will manage a criminal investigation division under… more
    Office of the Inspector General (05/02/24)
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  • Compliance Investigations Specialist

    MD Anderson Cancer Center (Houston, TX)
    …alleged fraud , waste , and abuse activities as an auditor or fraud investigator . With preferred degree, five years of experience required. May substitute ... compliance investigations. JOB SPECIFIC COMPETENCIES General Compliance Activities The Investigator , Research Compliance, will be responsible for consistently managing… more
    MD Anderson Cancer Center (02/17/24)
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