- MVP Health Care (Rochester, NY)
- …to MD or RN. + New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or ... At MVP Health Care, we're on a mission to create...if you have a passion for problem solving and investigations , commitment to compliance and ethical standards and dedication… more
- Highmark Health (Albany, NY)
- …**Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year ... fraud , waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to...in Financial Analysis in an acute care hospital or health insurance setting + 1 year in… more
- New York State Civil Service (New York, NY)
- …and support personnel, tasked with analyzing and assessing financial and insurance fraud referrals;* Manages an Assistant Chief Investigator supervising ... and trends to help set investigative direction and focus;* Manages financial and insurance fraud referral intake procedures for thoroughness and timeliness, and… more
- City of Rochester, New York (Rochester, NY)
- …years of experience conducting financial, compliance or operational audits which included investigations into potential fraud . For full-time employees: The City ... Senior Field Auditor/ Investigations /Part-Time Print (https://www.governmentjobs.com/careers/cityofrochester/jobs/newprint/5057436) Apply Senior Field Auditor/… more
- New York State Civil Service (New York, NY)
- …and administrative personnel tasked with analyzing and assessing financial and insurance fraud referrals and providing intelligence support and analysis ... day-to-day activities, including planning and assigning work;* Directs the financial and insurance fraud referral intake process under the general supervision of… more
- Citizenship and Immigration Services (Albany, NY)
- …and intelligence agencies and participate in inter-agency task forces and partner-agency investigations to combat fraud , and deter and detect national security ... Summary This position is located in Fraud Detection and National Security Directorate, Fraud...offers competitive salaries and an attractive benefits package, including health , dental, vision, life, and long-term care insurance… more
- L3Harris (Rochester, NY)
- …and geographic location. L3Harris also offers a variety of benefits, including health and disability insurance , 401(k) match, flexible spending accounts, EAP, ... Compliance Officer (ECO) who will be responsible for conducting investigations of allegations of disrespectful behavior, harassment, retaliation, discrimination,… more
- New York State Civil Service (New York, NY)
- …the following:* Excellent judgement and proven ability to successfully conduct complex fraud investigations and lead investigative teams. * Ability to work ... of Assistant Chief Investigator - Field Operations within the Department's Investigations and Intelligence Division, Insurance Frauds Bureau. The position… more
- New York State Civil Service (Albany, NY)
- …responsible for empowering consumers and protecting them from financial harm; ensuring the health of the entities we regulate; driving economic growth in New York ... or early Department attention;* Decisions on the need for deeper investigations stemming from proactive monitoring to identify regulated entity programmatic… more
- New York State Civil Service (New York, NY)
- …to serve as an Investigative Counsel to conduct confidential and sensitive investigations regarding allegations of fraud , abuse, corruption, conflicts of ... investigations or prosecutions, government contracting and procurement processes, and insurance , health care, or other complex frauds are particularly… more