- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive ... practices. The Fraud and Waste Professional 2 work assignments are varied...independent determination of the appropriate courses of action. The Fraud and Waste Professional 2 coordinates investigation with law… more
- State of Georgia (Fulton County, GA)
- Investigator - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/67636/other-jobs-matching/location-only) Hot ... Office of the Attorney General Department of Law Medicaid Fraud Division - Investigator The mission of...Analysts, Auditors, and Prosecutors in conducting on-site health care fraud and patient abuse investigations. Develops necessary… more
- State of Michigan (MI)
- Regulation Agent 9-P11 ( Fraud Investigator ) - MDHHS OIG - Ingham & Jackson Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4906105) Apply ... Regulation Agent 9-P11 ( Fraud Investigator ) - MDHHS OIG - Ingham & Jackson Co Salary $1,996.00 - $3,063.20 Biweekly Location Various, MI Job Type Permanent… more
- Bank OZK (Clearwater, FL)
- …and maintains professional working relationships with local law enforcement and peer bank fraud professionals. + Investigates possible elder abuse and reports to ... required. + Certification in a relevant discipline (ie, Certified Fraud Examiner-CFE, Certified Financial Crimes Investigator -CFCI, Certified Anti-Money… more
- Humana (Baton Rouge, LA)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Fraud and Waste Investigator to join the Louisiana Medicaid Team. This team ... of Investigators conducts investigations into allegations of fraud , waste, and abuse involving providers who...as collaborate with Humana's Program Integrity partners. As a Fraud and Waste Investigator , you will conduct… more
- MyFlorida (Tampa, FL)
- …judicial proceedings. 65% Conducts routine and complex investigations of possible Medicaid fraud and/or patient abuse , including interviews with witnesses and ... LAW ENFORCEMENT INVESTIGATOR II - 41001248 Date: May 7, 2025...administrative referrals. 10% Assist in the prosecution of Medicaid fraud and/or patient abuse to include testimony… more
- Molina Healthcare (NE)
- …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse . Duties include performing accurate and reliable… more
- Highmark Health (Tallahassee, FL)
- …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
- MyFlorida (Miami, FL)
- FINANCIAL CRIME INVESTIGATOR I - 43061934 Date: May 22, 2025... Fraud is to aggressively identify and eliminate fraud , waste, and abuse to safeguard the ... . Requisition No: 844434 Agency: Financial Services Working Title: FINANCIAL CRIME INVESTIGATOR I - 43061934 Pay Plan: Career Service Position Number: 43061934… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The DSS Accountability ... state data sources. BFI is recruiting for three (3) Fraud Investigator II to function as Senior...who will: - Conduct complex investigations into allegations of fraud , waste, and/or abuse of social services… more
- New York State Civil Service (Albany, NY)
- …No Agency Corrections and Community Supervision, Department of Title Senior Investigator - All Divisions Occupational Category Enforcement or Protective Services ... (OSI) is seeking qualified candidates for consideration to serve as a Senior Investigator in one of its five divisions with cross-over and collaboration among… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …uncover abuse and neglect of residents and complex financial fraud committed by healthcare providers, including hospitals, nursing homes, pharmacies, physicians, ... Investigator /Special Agent 1-6 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4950889) Apply ...in cybercrimes, white collar crimes, and public corruption. Medicaid Fraud Control Unit: The Louisiana Medicaid Fraud … more
- MTA (New York, NY)
- …of the MTA capital construction contracts, processes, procurement, billings, and management to identify fraud and abuse , and to see that any wrongdoers are held ... Construction Auditor/ Investigator Series Job ID: 10587 Business Unit: MTA...disciplines. Construction oversight staff investigate allegations of wrongdoing or fraud and conduct proactive reviews to identify and uncover… more
- Molina Healthcare (NM)
- …investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse . Duties include performing accurate and reliable ... may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to...and/or health plan members in order to determine whether fraud , waste, or abuse may have occurred.… more
- New York State Civil Service (Albany, NY)
- …HELP No Agency Corrections and Community Supervision, Department of Title Investigator - Office of Special Investigations Occupational Category Enforcement or ... (OSI) is seeking qualified candidates for consideration to serve as an Investigator in one of its five divisions with cross-over and collaboration among… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Ensures compliance with all requirements related to Special Investigation Units and fraud , waste and abuse investigations. + Conducts investigations of ... potential; fraud , waste and/or abuse with a focus on thoroughness and attention to detail, quality, timeliness and cost control. + Conducts comprehensive… more
- New York State Civil Service (New York, NY)
- …of the MTA capital construction contracts, processes, procurement, billings, and management to identify fraud and abuse , and to see that any wrongdoers are held ... HELP No Agency MTA Inspector General, Office of Title Construction Auditor/ Investigator Series Occupational Category Other Professional Careers Salary Grade NS… more
- City of New York (New York, NY)
- …identity theft; financial crimes; violent crime; special victim cases; domestic violence; welfare fraud ; child abuse ; gangs; hate crimes; firearms. - Assist in ... veteran law enforcement professionals for the position of the Senior Detective Investigator . The responsibilities of the position include, but are not limited to… more
- Golden Route Operations (Laughlin, NV)
- …and procedures. + Food and Beverage operations, policies and procedures. + Occupational Fraud and Abuse Training. + Nevada GCB Regulations and Minimum Internal ... NV Shift Varies Type of Shift Full Time Department Surveillance Surveillance Investigator Trainee Aquarius (Laughlin, NV) Description: General Summary It is the… more
- City of New York (New York, NY)
- …of clean drinking water for New Yorkers. DOI is seeking a Confidential Investigator who will be responsible for investigating fraud , corruption, and ... will be responsible for the investigation of matters involving fraud , waste and abuse related to the...of Management & Budget approval for budgeted headcount. CONFIDENTIAL INVESTIGATOR - 31143 Qualifications 1. A four-year high school… more