- Allied Universal (Charlottesville, VA)
- …(5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud + Ability to be properly licensed as ... Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is… more
- Elevance Health (Richmond, VA)
- …prior to payment. Researches new healthcare-related questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other ... clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims...including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any… more
- PenFed Credit Union (Alexandria, VA)
- …about being a part of the PenFed family. PenFed is hiring a (Hybrid) Fraud Recovery Specialist at our Omaha, Nebraska or Alexandria, Virginia service center. The ... primary responsibility of the Fraud Recovery Specialist will be to use sound reasoning...complaint of discrimination or harassment or participating in an investigation of same. PenFed will also reasonably accommodate qualified… more
- PenFed Credit Union (Alexandria, VA)
- …being a part of the PenFed family. PenFed is hiring a (Hybrid) Sr Fraud Specialist at our Alexandria, Virginia service center. The primary responsibility of the ... Senior Fraud Specialist (SFS) will be to use sound reasoning...complaint of discrimination or harassment or participating in an investigation of same. PenFed will also reasonably accommodate qualified… more
- CVS Health (Richmond, VA)
- …Job Description **A Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud to recover lost ... of investigators and analysts to effectively pursue the prevention, investigation and prosecution of healthcare fraud and...Leads a team in the planning and execution of investigations of acts of healthcare fraud and… more
- Citizens (Glen Allen, VA)
- Description As the Special Investigations / Consumer QA QC Lead, the primary function of this position is to ensure loans suspected to contain potential ... misrepresentation and/or fraud . Qualified to QC/ Fraud Underwriter to ensure a thorough re-underwrite was completed, review all underwriting decisions were made,… more
- Coinbase (Richmond, VA)
- …connection, and alignment. Attendance is expected and fully supported. Senior AML Investigations Trainer provides end to end learning services, and management for ... job requirements): * Minimum 2 years of formal experience training AML, Fraud or other Compliance-related pillars. * Proven track record of successfully managing… more
- US Army Criminal Investigation Command (Quantico, VA)
- …the entirety of the DoD, biometrics operations, major cybercrime and procurement fraud investigations , protective services for designated US high risk personnel ... position and will receive no further consideration. Responsibilities The Criminal Investigation Division (CID) Director leads a 24/7 world-wide organization which is… more
- CVS Health (Richmond, VA)
- …Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record ... federal policies, and identify potential billing errors, abuse, and fraud . + Identify opportunities for savings related to potential...of 2 years of managing staff within a Special Investigation Unit (SIU). + Excellent analytical skills and the… more
- Highmark Health (Richmond, VA)
- …years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in Financial Analysis in ... project, potential fraud , waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to fraud , waste… more