- 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...visible role, and a successful candidate is a seasoned investigator , comfortable working with data to derive patterns and… more
- 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… more
- Point32Health (Canton, MA)
- …Investigation Unit (SIU) responsible for leading complex provider investigations related to fraud , waste, and abuse , and developing action plans to address ... future loss, and monitor provider activity post-investigation + Identify root causes of fraud , waste and abuse and recommending internal and external corrective… more
- Gilead Sciences, Inc. (Miami, FL)
- …relevant legal concept, including intellectual property, the Lanham Act, criminal anti-counterfeiting, fraud , and abuse laws, and the 340B drug pricing program. ... We empower our leaders to step up, share ideas, listen, learn, and lead . We're welcoming bright, diverse, and imaginative minds; we're nurturing them to foster… more
- State of Massachusetts (Boston, MA)
- … reports to the Director and Deputy Directors. This position will serve as lead investigator on complex reviews and investigations as assigned and is responsible ... is an independent agency charged with preventing and detecting fraud , waste and abuse in the use...include but are not limited to:* * Acting as lead investigator on complex investigations of all… more
- Highmark Health (Columbus, OH)
- …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
- Elevance Health (Columbus, OH)
- …send you a check, or ask you for payment as part of consideration for employment. ** Lead Investigator ** + Job Family: FRD > Investigation + Type: Full time + ... West Virginia, Charleston + Maine, South Portland + New Jersey, Morristown **Description** ** Lead Investigator ** **Schedule:** 1-2 days per week in the office… more
- State of Minnesota (St. Paul, MN)
- …investigate, and take administrative or legal action in response to suspected fraud , over-utilization and/or abuse of the Minnesota Health Care Programs ... **Working Title: Investigator OR Senior Investigator ** **Job Class:...are not limited to: + Investigation of activities related fraud , abuse or over utilization by Minnesota… more
- MyFlorida (Tallahassee, FL)
- …(EG), R, and/or Excel. Preferred Qualifications: Industry certifications, eg, Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified ... will perform data mining and investigative activities to identify fraud , waste, or abuse in claims data...Financial Crimes Investigator ; Certified Insurance Fraud Investigator , Certified Compliance and Ethics Professional.… more
- 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 ... elements of proof, and identifying investigative tasks. Manage and lead the development and implementation of strategies for gathering...and detect violations of laws, rules and regulations and fraud and abuse . Manage and guide the… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Investigator Assistant** + Job Family: FRD > Investigation + Type: Full time + Date ... North Carolina, Winston + District of Columbia, Washington **Description** ** Investigator Assistant** **Supports the Payment Integrity line of business** _Location:… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Investigator Assistant** + Job Family: FRD > Investigation + Type: Full time + Date ... + Maine, South Portland + New Jersey, Morristown **Description** Job Description ** Investigator Assistant** **Schedule:** 1-2 days per week in the office (Hybrid 1)… more
- The Cigna Group (St. Louis, MO)
- **POSITION SUMMARY** The Fraud Investigator role is responsible for the development, investigation, and presentation of complex fraud and/or abuse cases. ... result in an in-depth referral to impacted clients. **ESSENTIAL FUNCTIONS** + Perform fraud , waste, and abuse virtual investigations of members identified with… more