- Molina Healthcare (Yonkers, NY)
- … Services , Member Services , Claims) to gather documentation pertinent to investigations . + Detects potential health care fraud , waste, and abuse through ... opinions. + Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations . + Knowledge of Managed Care and the Medicaid and… more
- Molina Healthcare (Rochester, NY)
- …from opinions + Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations + Knowledge of Managed Care and the Medicaid and ... Association + Valid driver's license required. **Preferred Experience** + Healthcare Anti- Fraud Associate (HCAFA), Accredited Health Care Fraud … more
- Allied Universal (Batavia, NY)
- …Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services . Allied Universal(R) Compliance and Investigation ... demonstrated professional law enforcement experience with specific attention to investigations related to fraud + Ability to...+ Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + … more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible ... with all statutory, regulatory, and contractual standards. Bureau of Fraud Investigation (BFI) is mandated to detect...Legal Affairs (OLA). BFI/ID is recruiting for (2) two Associate Fraud Investigators II to function as… more
- Allied Universal (Saratoga Springs, NY)
- …Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services . Allied Universal(R) Compliance and Investigation ... the premier destination for a career in insurance claim investigation . As a global leader, we provide dynamic opportunities...+ Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + … more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible ... for protecting the integrity of social services programs administered by the New York City Department...the allowable levels. C&C is recruiting for (1) one Associate Fraud Investigator II to function as… more
- Humana (Albany, NY)
- …to include multiple practice areas + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment methodologies ... Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving Florida's Medicaid… more
- ManpowerGroup (Philadelphia, NY)
- …an AML Fraud Analyst, you will be part of the compliance and fraud investigation team supporting fraud detection and suspicious activity reporting ... services and risk management, is seeking an AML Fraud Analyst to join their team. As... prevention. + Gain valuable experience in AML and fraud investigation processes. + Work remotely with… more
- Capital One (Melville, NY)
- AML Supervisor, Transaction Monitoring Operations, Fraud **Job Description** The Anti-Money Laundering (AML) Supervisor supervises various AML processes, which might ... include suspicious activity investigations , currency transaction reporting, global sanctions screening, enhanced due...screening, enhanced due diligence or other AML processes. The associate will work closely with AML Process Managers to… more
- New York State Civil Service (Albany, NY)
- …Community Supervision, Department of Title Investigator - Office of Special Investigations Occupational Category Enforcement or Protective Services Salary Grade ... various forms of harassment or other misconduct; theft and fraud ; and escape plots. The Criminal Investigations ...law enforcement, or public safety experience; or a two-year associate degree or 60 college-level credits. Candidates should also… more