• Senior Fraud and Waste Investigator

    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
    Humana (01/11/24)
    - Save Job - Related Jobs - Block Source
  • Investigator , SIU( New Mexico)

    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
    Molina Healthcare (03/21/24)
    - Save Job - Related Jobs - Block Source
  • Investigator III

    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
    Premera Blue Cross (03/02/24)
    - Save Job - Related Jobs - Block Source
  • Senior Fraud and Waste Investigator

    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
    Humana (03/06/24)
    - Save Job - Related Jobs - Block Source
  • Anti-Money Laundering (AML) Fraud

    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
    Capital One (02/29/24)
    - Save Job - Related Jobs - Block Source
  • Workers' Compensation Fraud

    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
    New York State Civil Service (01/19/24)
    - Save Job - Related Jobs - Block Source
  • Investigator - Medicaid Fraud

    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
    State of Georgia (01/17/24)
    - Save Job - Related Jobs - Block Source
  • Fraud Analyst/ Investigator

    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
    IT Concepts (03/01/24)
    - Save Job - Related Jobs - Block Source
  • Senior Fraud Investigator

    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
    Umpqua Bank (03/15/24)
    - Save Job - Related Jobs - Block Source
  • Fraud Investigator - Special…

    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
    Point32Health (03/20/24)
    - Save Job - Related Jobs - Block Source
  • Fraud Investigator

    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
    Zions Bancorporation (03/03/24)
    - Save Job - Related Jobs - Block Source
  • Regulation Agent 9-P11 ( Fraud

    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
    State of Michigan (01/17/24)
    - Save Job - Related Jobs - Block Source
  • Sr. Director, Pharmaceutical Crime/Healthcare…

    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
    Gilead Sciences, Inc. (03/09/24)
    - Save Job - Related Jobs - Block Source
  • Fraud Application Investigator

    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
    US Bank (03/19/24)
    - Save Job - Related Jobs - Block Source
  • Bank Fraud Investigator

    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
    EverBank (03/27/24)
    - Save Job - Related Jobs - Block Source
  • Fraud and Waste Investigator

    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
    Humana (01/11/24)
    - Save Job - Related Jobs - Block Source
  • District Attorney Investigator I/II

    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
    Ventura County (01/17/24)
    - Save Job - Related Jobs - Block Source
  • Financial Investigator -Criminal Enforce

    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
    MyFlorida (03/27/24)
    - Save Job - Related Jobs - Block Source
  • Special Investigations Unit Senior…

    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 (03/23/24)
    - Save Job - Related Jobs - Block Source
  • SIU Senior Investigator

    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
    CVS Health (03/17/24)
    - Save Job - Related Jobs - Block Source