- Elevance Health (Las Vegas, NV)
- …a check, or ask you for payment as part of consideration for employment. **Clinical Fraud Investigator II** + Job Family: FRD > Investigation + Type: Full time ... 1-2 days in office per week The **Clinical Fraid Investigator II** is responsible for identifying issues and/or entities...and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**… more
- City of New York (New York, NY)
- …as stipulated in their agreement to repay. Claims &Collection is recruiting for (4) four Fraud Investigator II to function as a Senior Fraud Investigator ... nature involving public or private funds; or 2. An associate degree or 60 semester credits from an accredited...and one year of satisfactory, full-time experience as an investigator as described in "1" above; or 3. A… more
- Humana (Oklahoma City, OK)
- …us put health first** Humana Healthy Horizons in Oklahoma is seeking a Fraud and Waste Professional 2 who conducts investigations of allegations of fraudulent and ... abusive practices. The Fraud and Waste Professional 2 work assignments are varied...(collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and… more
- Ventura County (Ventura, CA)
- District Attorney Investigator I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4165939) Apply District Attorney Investigator I/II ... for prosecution. The Bureau is staffed with a chief investigator , a deputy chief investigator , 3 commanders,...wide range of investigations from homicide to complex white-collar fraud schemes. The Bureau of Investigation has three divisions:… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Associate Investigator works with a growing team conducting and managing Health Care Fraud , Waste and Abuse ... interviews and data analysis to identify, evaluate and measure potential healthcare fraud and abuse to determine valid cases for appropriate action. + Document… more
- Allied Universal (Lincoln, NE)
- … Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + ... jobs! Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator - Part-Time. Special Investigations Unit (SIU) Specialists investigate claims… more
- System One (Baltimore, MD)
- ALTA IT is hiring an Associate Investigator to support a leading health insurance customer. The individual will work with the Special Investigations Unit (SIU) ... and recuperation of losses. You will research and analyze data using company anti- fraud software, Excel, and other tools to proactively identify new potential cases.… more
- Allied Universal (Charleston, WV)
- … Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + ... and investigation jobs! Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for...the following: + Bachelor's degree in Criminal Justice + Associate 's degree in Criminal Justice with a minimum of… more
- The County of Los Angeles (Los Angeles, CA)
- INVESTIGATOR , DA Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2434815) Apply INVESTIGATOR , DA Salary $79,495.68 - $107,128.32 Annually ... Job Functions What you will do: As a DA investigator you will work under the direction of a...including those involving the investigation of various types of fraud (eg, auto insurance, workers' compensation, health care, real… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- INVESTIGATOR /SPECIAL AGENT (1-3) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4372786) Apply INVESTIGATOR /SPECIAL AGENT (1-3) Salary ... Justice, Office of Attorney General, Liz Murrill, is seeking applications for an Investigator /Special Agent. As part of a Career Progression Group, vacancies may be… more
- AmeriHealth Caritas (Washington, DC)
- **Special Investigator Managed Care - DMV Counties only** Location: Washington, DC Primary Job Function: Compliance ID**: 29509 **Job Brief** This position will work ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Investigator is responsible for conducting comprehensive investigations of reported,… more
- Capital One (Richmond, VA)
- …3 (12073), United States of America, Richmond, Virginia Anti-Money Laundering (AML) Sr. Investigator I The Enhanced Due Diligence (EDD) Sr. Investigator I ... reviews across the Capital One enterprise. The EDD Sr. Investigator I will work closely with EDD management across...or equivalent experience - At least 1 year of fraud , or at least 1 year of investigative experience,… more
- Capital One (Richmond, VA)
- …States of America, Richmond, Virginia Anti-Money Laundering (AML) Sr. Investigator III, Transaction Monitoring Operations Team (TMO) **The Anti-Money Laundering ... (AML) Investigator II supervises various AML processes, which might include...screening, enhanced due diligence or other AML processes. The associate will work closely with AML Process Managers to… more
- CVS Health (Richmond, VA)
- …investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state ... regulationsmandating fraud plans and practices.- Conducts investigations of known or...policies and procedures Education - Bachelor's degree and/or an Associate 's degree with three additional years working in health… more
- Burlington (Baltimore, MD)
- …in the nation, join the Burlington Stores team as an **Asset Protection Field Investigator ** ! Are you an expert multitasker who would thrive in a high-energy retail ... met? If so, this may be the right opportunity for you! The Field Investigator supports the shortage and objectives of the company by directing Asset Protection… more
- JPMorgan Chase (San Antonio, TX)
- …status quo and striving to be best-in-class. The Senior Anti Money Laundering Investigator position is an integral part of the Firm's Global Financial Intelligence ... product, customer/entity type and other ML/TF risk categories. As a seasoned investigator on the GFIU, you will independently develop, analyze, and report on… more
- PNC (Charlotte, NC)
- …the company's success. We are looking to hire a Detection & Investigation Associate Sr within the Special Investigations Unit in PNC's Financial Intelligence Unit ... not be available in all geographic locations. The Detection & Investigation Investigator Sr should have extensive knowledge and experience with AML investigations… more
- Bausch + Lomb (Rochester, NY)
- …protocol development, case report form (CRF) development, IRB submissions, investigator agreements, informed consent form (ICF) development, site selection, Trial ... platforms. To learn more please read Bausch+Lomb's Job Offer Fraud Statement (https://hcm2preview.sapsf.eu/bauschhealT4/Bausch\_job\_posting\_statement.docx) . Our Benefit Programs: https://www.bausch.com/careers/benefits/ Applicants… more
- The Walt Disney Company (Anaheim, CA)
- …research data analysis through various investigative techniques and practices. The Investigator Research Specialist will be working in conjunction with an ... experienced Investigator on Security-related investigations, programs, and projects and conduct...professional manner. + Track and analyze emerging trends regarding fraud , theft, and other potential criminal activity. + Use… more
- City of New York (New York, NY)
- …The Investigation, Revenue and Enforcement Administration includes the Bureau of Fraud Investigation (BFI). BFI, as mandated by Social Service Law, conducts ... NYSDOH. BFI investigates active and closed cases suspected of fraud and abuse based on computer match data and...governmental entities. BFI is recruiting for (1) one Administrative Investigator NM II to function as a Director, who… more