- Highmark Health (Albany, NY)
- …+ Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge ... 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in Financial Analysis… more
- Molina Healthcare (Rochester, NY)
- …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
- New York State Civil Service (New York, NY)
- …approximately eight to ten investigators assigned to investigate insurance, financial and healthcare fraud across upstate and downstate regions.The duties of ... schemes and other emerging criminal activity affecting insurance, financial and healthcare companies;* Monitors investigator performance to ensure that matters… more
- Elevance Health (Latham, NY)
- …independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client ... ** Investigator Senior** **Supports the Payment Integrity line of...+ Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than… more
- Mount Sinai Health System (New York, NY)
- …for Enhancing and expanding the Use Case and IOC management for threat, fraud and compliance monitoring, detection, and response. + Responsible for providing expert ... legacy of achievement, education, and innovation as we work together to transform healthcare . We encourage all team members to actively participate in creating a… more