• SIU Investigator

    Allied Universal (Charlottesville, VA)
    …professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law ... an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant… more
    Allied Universal (06/05/25)
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  • Fraud Investigator

    City of Norfolk, Virginia (Norfolk, VA)
    Fraud Investigator Print (https://www.governmentjobs.com/careers/norfolk/jobs/newprint/4913545) Apply  Fraud Investigator Salary $50,624.00 - $82,557.00 ... to its citizens. The NDHS is currently seeking a Fraud Investigator . The primary role of the...and sick leave, employer paid pension plan, basic life insurance , voluntary participation in medical and dental, Section 457… more
    City of Norfolk, Virginia (06/12/25)
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  • Fraud and Waste Investigator

    Humana (Richmond, VA)
    …part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of ... reported, alleged or suspected fraud involving Virgina's Medicaid Program. The Fraud ...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
    Humana (06/12/25)
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  • Senior Fraud and Waste Investigator

    Humana (Richmond, VA)
    …of our caring community and help us put health first** The Senior Fraud and Waste Professional (Program Integrity Lead) is responsible for overseeing the monitoring ... and enforcement of the Fraud , Waste, and Abuse (FWA) program. This role aims...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
    Humana (06/12/25)
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  • Investigator

    Highmark Health (Richmond, VA)
    …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year… more
    Highmark Health (05/08/25)
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  • Surveillance Investigator -Experienced

    Command Investigations (Richmond, VA)
    …for investigative excellence. What you'll get: + A dedicated position as a surveillance investigator on a part-time to a full-time basis. + A steppingstone into the ... + Minimum of 1 year experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Be able to hold...surveillance + Be able to hold a valid Private Investigator license/PERC card - where applicable. + Possession of… more
    Command Investigations (05/07/25)
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  • Investigator II

    Elevance Health (Richmond, VA)
    ** Investigator II** _Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator II is responsible for the identification, investigation and development… more
    Elevance Health (06/07/25)
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  • Investigator Senior

    Elevance Health (Roanoke, VA)
    ** Investigator Senior** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per week, ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** is responsible for the independent identification, investigation… more
    Elevance Health (06/07/25)
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  • Insider Threat Investigator

    Parsons Corporation (Springfield, VA)
    …for. **Job Description:** Parsons is looking for an amazingly talented **Insider Threat Investigator ** to join our team! In this role you will get to **Identify ... . **What You'll Be Doing:** + Investigate complaints of fraud , waste and abuse, data spills, and network penetrations....as medical, dental, vision, paid time off, 401(k), life insurance , flexible work schedules, and holidays to fit your… more
    Parsons Corporation (05/31/25)
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  • Director, Clinical Operations

    Bausch + Lomb (Richmond, VA)
    …updates on progress and changes in scope, schedule, and resources. + Organize investigator and expert meetings relevant to the indication and assist with the ... handled by the CRAs and responded to by the site/ investigator in a timely manner. May assist in the...including:** + Medical, Dental, Eye Health, Disability and Life Insurance begins on your hire date + 401K Plan… more
    Bausch + Lomb (06/07/25)
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