- US Bank (Cincinnati, OH)
- …liaison between the Line of Business and the Lines of Defense. **The Special Investigations Team is responsible for investigating large or complex cases ... on the bank and/or its customers.** **The ideal candidate will have prior investigations experience and an intermediate knowledge of fraud trends and typologies,… more
- Elevance Health (Mason, OH)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- Molina Healthcare (Cincinnati, OH)
- …opinions. + Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations . + Knowledge of Managed Care and the Medicaid and ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is...Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud… more
- Molina Healthcare (Covington, KY)
- …Required License, Certification, Association + Active and unrestricted Accredited Health Care Fraud Investigator (AHFI) designation or Certified Fraud ... accountability for compliance by overseeing, follow-up and resolution of investigations . **KNOWLEDGE/SKILLS/ABILITIES** + Provides oversight and review of the SIU… more