- MVP Health Care (Rochester, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Clinical Investigator ** to join #TeamMVP. This is the opportunity for you if you have ... investigation experience involving economic or insurance related matters. + A clinical investigator must have in addition to the above requirements: A duly licensed… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The DSS Accountability ... SOS 366-a(2)(a). MID review cases identified as susceptible to fraud and examine Medicaid enrollee documents found...state data sources. BFI is recruiting for three (3) Fraud Investigator II to function as Senior… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE The DSS Accountability Office (DSS-AO) is responsible for protecting ... also responsible for evaluating and assessing the resources of Medicaid Nursing Home residents through computer bank matches, assessing...levels. Claims and Collections (C&C) is recruiting (1) one Fraud Investigator II to function as a… 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 ... also responsible for evaluating and assessing the resources of Medicaid Nursing Home residents through computer bank matches. Claims...allowable levels. C&C is recruiting for (1) one Associate Fraud Investigator II to function as a… more
- CVS Health (Albany, NY)
- …every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more