- Humana (Louisville, KY)
- …Healthcare Compliance (CHC), Health Care Anti- Fraud Associate (HCAFA), Accredited Health Care Fraud Investigator (AHFI), Certified Fraud Examiner ... a part of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and… more
- Molina Healthcare (Albuquerque, NM)
- …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner ... detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse. Duties include performing accurate… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …(RN), Certified Professional Coder (CPC), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI) preferred. + (2) years of ... and regulatory agencies. + May attend webinars and conferences like BCBSA, National Health Care Anti- Fraud Association (NHCAA), and Association of Certified … more
- Humana (Indianapolis, IN)
- …of our caring 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 enforcement of the fraud , waste, and abuse (FWA) compliance program to prevent...areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities… more
- Capital One (Richmond, VA)
- …3 (12073), United States of America, Richmond, Virginia Anti-Money Laundering (AML) Fraud Investigator II The qualified candidate will support various Anti-Money ... Laundering (AML) Fraud processes for our various lines of business, which...Structures occasional tasks independently + Typically reports to: Sr. Investigator **Basic Qualifications:** + High school diploma, GED, or… more
- New York State Civil Service (New York, NY)
- Agency State Inspector General, Office of Title Workers' Compensation Fraud Investigator Occupational Category Enforcement or Protective Services Salary Grade NS ... Notes on Applying Please email resume and cover letter, with Job ID #24-0234 "Workers Compensation Fraud Investigator " in the subject line, to: ###@ig.ny.gov more
- State of Georgia (Fulton County, GA)
- Investigator - Medicaid Fraud Division Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/37043/other-jobs-matching/location-only) Hot ... through this announcement will serve in the Investigations section of our Medicaid Fraud Division. Duties & Responsibilities: Investigators conduct health care … more
- IT Concepts (Woodlawn, MD)
- …driven and innovative individuals to join our team. IT Concepts is seeking a Fraud Analyst/ Investigator who will support several projects at a federal agency. ... as well as input from other sources to identify fraud + Communicates with internal and external sources related...401(k) with company matching with NO vesting period. ITC Health benefits have a $0 premium for certain plans… more
- Umpqua Bank (Tigard, OR)
- Senior Fraud Investigator Corporate Risk Tigard, Oregon **Description** **About Us:** Umpqua Bank is headquartered in the Pacific Northwest with 5,000+ employees ... Teamwork, Heart, Enjoyment, and Relationships. **About the Role:** Investigate potential fraud identified. + Partners with store managers, associates and various… more
- Point32Health (Canton, MA)
- …computer science, or criminal justice. + 1-3 years related experience in health insurance and/or fraud investigations. + Certified Professional Coder ("CPC"); ... **Who We Are** Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our… more
- Zions Bancorporation (Midvale, UT)
- …are endless. You bring the talent; we bring the opportunity. We are currently seeking a Fraud Investigator to join our team. This position will be full time work ... customer transaction activity including the case management system. + Keeps current on fraud and BSA/AML investigative operations and the application of the BSA and… more
- State of Michigan (MI)
- Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland, Wayne Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/3739587) Apply ... Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland,...Full Time Remote Employment Flexible/Hybrid Job Number 4301-22-OIG-039-FILL Department Health and Human Services - Central Office Opening Date… more
- Gilead Sciences, Inc. (Miami, FL)
- …across the globe. We continue to fight against the world's biggest health challenges, and our mission requires collaboration, determination and a relentless drive ... their economic status. **About the Role** The global pharmaceutical crime and healthcare fraud market is currently estimated at $400 billion annually. It is too… more
- US Bank (Fargo, ND)
- …skills and discover what you excel at-all from Day One. **Job Description** As a Fraud Application Investigator , you will play a crucial role in identifying and ... and prevent fraudulent applications and claims. Stay abreast of emerging fraud trends, techniques, and technologies to continuously improve detection capabilities. +… more
- EverBank (Irvine, CA)
- **Bank Fraud Analyst II** The Bank Fraud Analyst II participates in investigations regarding the control, detection and analysis of frauds to eliminate any ... to the company. Working under general supervision, this role identifies potential fraud cases and takes appropriate action. **Key Responsibilities and Duties** +… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** Humana Healthy Horizons in Oklahoma is seeking a Fraud and Waste Professional 2 who ... investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers 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
- MyFlorida (Miami, FL)
- FINANCIAL INVESTIGATOR -CRIMINAL ENFORCE - 43004823 Date: Mar 27, 2024 Location: MIAMI, FL, US, 33101 The State Personnel System is an E-Verify employer. For more ... No: 825559 Agency: Office of Financial Regulation Working Title: FINANCIAL INVESTIGATOR -CRIMINAL ENFORCE - 43004823 Pay Plan: Career Service Position Number:… more
- CVS Health (Springfield, IL)
- … Fraud Examiners (CFE), or an accreditation from the National Health Care Anti- Fraud Association (AHFI)*Knowledge of Aetna's policies and ... personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of...*Bachelor's degree or an additional 5 years of working health care fraud , waste and abuse investigations.… more
- CVS Health (Hartford, CT)
- …of claims and correspondence to effectively pursue the prevention, investigation and prosecution of health care fraud and abuse, to recover lost funds, and to ... Bring your heart to CVS Health . Every one of us at CVS ...comply with state regulations mandating fraud plans. Fundamental Components: - Conducts more high level,… more