• Fraud Investigator

    System One (Ashburn, VA)
    Job Title: Fraud Investigator Location: Onsite in Pensacola, FL or Vienna, VA with option to work remote 1x/week. Pay Rate: Open to Both C2C and W2 options Position ... financial institution. Description + To identify, review, investigate fraud activity, claims /cases and risk exposures from various delivery channels. + Review… more
    System One (05/14/25)
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  • Environmental, Health and Safety…

    City of New York (New York, NY)
    …Safety seeks to hire an Environmental, Health and Safety Incident/Workplace Violence Investigator located in Flushing, New York. Under general direction, but with ... selected candidate will be responsible for the following: 1) As a lead Investigator or part of an investigation team conduct investigations into incidents such as… more
    City of New York (05/14/25)
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  • Special Investigator

    AmeriHealth Caritas (Newtown Square, PA)
    …services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported, ... Proactively performs research using the Internet, data analysis tools, etc., to analyze aberrant; claims billing and practice patterns. + Analyzes data as part of the… more
    AmeriHealth Caritas (05/20/25)
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  • Group Supervisor (Medicaid)

    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 ... all statutory, regulatory, and contractual standards. The Division of Claims and Collections Division (C&C) is housed within the...the allowable levels. C&C is recruiting for (1) one Associate Fraud Investigator II to function as… more
    City of New York (03/26/25)
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  • Fraud and Abuse Investigator

    Humana (Frankfort, KY)
    …**Use your skills to make an impact** **WORK STYLE:** Mostly remote/work at home. Associate would be expected to attend five annual site visits within the state of ... Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate… more
    Humana (05/22/25)
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  • Director Complex Claims

    Sedgwick (Fort Worth, TX)
    …from an accredited college or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI), or Certified Fraud ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Director Complex Claims **PRIMARY PURPOSE** **:** To be responsible for managing SIU investigations… more
    Sedgwick (05/08/25)
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  • Supervisor IV-Patient Financial Services (Medicare…

    Mount Sinai Health System (New York, NY)
    **Job Description** Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... resources activity, payroll, purchasing and budgetary participation. **Qualifications** + Associate ?s degree or equivalent work experience. Bachelor?s degree preferred.… more
    Mount Sinai Health System (04/28/25)
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  • Senior Research Associate

    Tufts Medicine (Boston, MA)
    …professionals, resolving difficult and often complex problems. **Job Overview** The Senior Research Associate will be a member of the Center of the Evaluation of ... at Tufts Medical Center in Boston. The Senior Research Associate will work both independently and with the research...and publish manuscripts, analyze large datasets (eg, health care claims data and electronic medical record) to estimate health… more
    Tufts Medicine (05/17/25)
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  • Research Associate

    Montana State University (Bozeman, MT)
    …McPhee ###@montana.edu ### Classification Title Research Professional Working Title Research Associate Brief Position Overview Research in the Pulse Crop Breeding ... routine of research trials including field and greenhouse experiments. The Research Associate will be expected to carry out research trials with some oversight… more
    Montana State University (05/16/25)
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  • Research Associate - HSR-PC - Kern Center

    Mayo Clinic (Jacksonville, FL)
    …led by Dr. Benjamin Pollock, is seeking a dedicated and highly skilled Research Associate to join our Kern Center team. Kern Center has nearly 200 staff members ... with over 120 practice partners across all Mayo Clinic sites. A Research Associate in Health Service Research (HSR) works independently and leads projects. The… more
    Mayo Clinic (04/04/25)
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