• Investigator 1 - FWA Prepayment Review

    Point32Health (Canton, MA)
    …about who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Investigator I is an essential team member of the Special Investigation Unit ... the direction of the Manager, FWA Prepayment Review. The Investigator I works closely with other members of the...internal and external research, detailed data analysis, review of medical records, and interviews of members, providers, and other… more
    Point32Health (10/31/25)
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  • Fraud Investigation Analyst

    Zelis (Boston, MA)
    …the healthcare industry. + Professional industry certification as a Certified Fraud Examiner (CFE), Accredited Health Care Fraud Investigator (AHFI), Health Care ... Anti-Fraud Associate (HCAFA), Certified Financial Crimes Investigator (CFCI), or Certified Financial Crime Specialist (CFCS), preferred. + Proficient knowledge of… more
    Zelis (10/23/25)
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