- City of Spring Hill Kansas (Spring Hill, KS)
- …2 and above may be eligible for consideration as a department investigator . This employee should possess excellent communication and public relations skills. The ... of management, formally or informally, either verbally or in writing. Special Knowledge, Skills and Abilities: Ability to perform basic mathematical calculation,… more
- City of New York (New York, NY)
- …recruiting (2) two Investigator Discipline II's to function as Senior Special Investigator who will: - Conduct investigations involving interviews, computer ... statements. May also be called upon to testify at criminal proceedings. INVESTIGATOR (DISCP)(ONLY FOR P - 06316 Qualifications 1. A four-year high school diploma… more
- State of Colorado (Denver, CO)
- Special Prosecutions Investigator ( Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5142984) Apply Special ... date. The Criminal Justice Section is seeking an experienced investigator to join the Special Prosecutions Unit. In this role, you'll investigate allegations of… more
- Louisiana Department of State Civil Service (LA)
- Investigator / Special Agent 1-4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5143725) Apply Investigator / Special Agent 1-4 ... Office of Attorney General Liz Murrill, is seeking applications for an Investigator / Special Agent 1-4. As part of a Career Progression Group, vacancies may… more
- Bureau of Alcohol, Tobacco, Firearms, and Explosives (Washington, DC)
- …Open Continuous Announcement (OCA) that will be used to fill multiple Criminal Investigator ( Special Agent) vacancies at the Washington Field Office. Eligible ... and conspiracy type violations of laws administered and enforced by ATF. As a Special Agent, your typical work assignments may include: Performs the full range of… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
- CVS Health (Topeka, KS)
- …States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), dedicated ... to a specific self-funded plan sponsor. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex investigations of known or suspected… more
- AmeriHealth Caritas (Columbus, OH)
- …services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported, ... **Major Accountabilities:** + Ensures compliance with all requirements related to Special Investigation Units and fraud, waste and abuse investigations. + Conducts… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Corrections and Community Supervision, Department of Title Investigator - Office of Special Investigations Occupational Category Enforcement or ... Be Determined Street Address NYS DOCCS - Office of Special Investigations Multiple Locations - see additional comments City...seeking qualified candidates for consideration to serve as an Investigator in one of its five divisions with cross-over… more
- The County of Los Angeles (Los Angeles, CA)
- …will be removed from the eligible list pursuant to Civil Service Rule 6.04. SPECIAL INFORMATION: INVESTIGATOR AIDE FIVE WEEK CORE TRAINING Commencing with a ... INVESTIGATOR AIDE, PROBATION Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5130110) INVESTIGATOR AIDE, PROBATION Salary $57,984.00 -… more
- Humana (Dayton, OH)
- …community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring ... and claims processing areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities + Assist in… more
- The Robison Group (Brooklyn, NY)
- …and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator , you will be joining ... an incredible team of investigators and industry leaders. PRINCIPAL RESPONSIBILITIES: + Complete recorded detailed interviews of those insured, claimants, witnesses, and others as identified. + Complete scene investigations, including photographing. + Conduct… more
- Molina Healthcare (Cincinnati, OH)
- …**Job Summary** Under direct supervision of the Manager, SIU, the Team Lead is responsible to lead a small team of investigators and provide oversight on daily ... investigative activities as a back-up to the SIU Manager. This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight and guidance throughout the life of an investigation as well as QA reviews and… more
- Humana (Tallahassee, FL)
- …+ Bachelor's Degree or equivalent years of relevant work experience in Fraud & Abuse Investigations required + At least 2 years of healthcare fraud investigations and ... auditing experience + Knowledge of healthcare payment methodologies + Strong organizational, interpersonal, and communication skills + Inquisitive nature with ability to analyze data to metrics + Computer literate (MS, Word, Excel, Access) + Strong personal… more
- Allied Universal (Ashland, VA)
- …a career with us and make a difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) ... reporting to the appropriate state agency for prosecution. + **Private Investigator 's license** **required** **prior to applying** + **Must** **possess** **a valid… more
- Molina Healthcare (Ann Arbor, MI)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... providers. This position uses information from a tip, member benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely turn around. This position… more
- Office of the Inspector General (Arlington, VA)
- …the Department of Commerce OIG, Office of Investigations. As a Supervisory Criminal Investigator , Special Agent in Charge (SAC), you will perform the following ... per week on your resume. Age Requirement: Incumbents selected for Criminal Investigator positions are covered under special law enforcement provisions. This… more
- Bureau of Alcohol, Tobacco, Firearms, and Explosives (Seattle, WA)
- …Complete or have previously completed the basic criminal investigative courses (Criminal Investigator Training Program, Special Agent Basic Training) at the ... between HQ or field division personnel with either the Special Agent in Charge (SAC), Director of Industry Operations...(SAC), Director of Industry Operations (DIO) or the Assistant Special Agent(s) in charge (ASACs), other components of ATF,… more
- Bureau of Alcohol, Tobacco, Firearms, and Explosives (Washington, DC)
- …Complete or have previously completed the basic criminal investigative courses (Criminal Investigator Training Program, Special Agent Basic Training) at the ... the mobility plan will facilitate the movement of employees through special short-term assignments or permanent reassignments throughout the Bureau. Applicants who… more
- Command Investigations (Detroit, MI)
- …Investigations) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator . SuperiorX Investigations ... increasing demand for quality investigations to gather critical information, conduct special investigations, examine coverage/loss, and combat fraud, one case at a… more
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