• AVP, Special Investigations Unit

    BlueCross BlueShield of North Carolina (NC)
    …**Bonus Points** **_(preferred qualifications)_** **:** + Relevant certifications (eg, Certified Fraud Examiner (CFE), accredited healthcare fraud ... AVP Special Investigations Unit (SIU) is responsible for overseeing and managing fraud , waste, and abuse (FWA) detection, investigation, and prevention efforts to… more
    BlueCross BlueShield of North Carolina (01/07/26)
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  • SIU Program Integrity Investigator - Remote (In…

    Magellan Health Services (Boise, ID)
    …Accredited Healthcare Fraud Investigator - EnterpriseEnterprise, CFE - Certified Fraud Examiner - EnterpriseEnterprise, CPC - Certified Professional Coder - ... This position is responsible for comprehensive management and ownership of fraud , waste and abuse investigations including development and presentation of… more
    Magellan Health Services (12/27/25)
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  • Associate Investigator

    Highmark Health (Pittsburgh, PA)
    …or CERTIFICATIONS** **Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified ... The job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training...includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for… more
    Highmark Health (12/18/25)
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  • Medical Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    …with a program integrity related professional certification, such as: Certified Fraud Examiner ; Accredited Healthcare Fraud Investigator; Certified ... Medical Health Care Program Analyst position will support the fraud and abuse prevention efforts within the Bureau of...responsible for developing novel methods and technologies to fight fraud , abuse, and waste. To do this, these highly… more
    MyFlorida (01/21/26)
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  • Business Process Red Team Operator

    JPMorgan Chase (Wilmington, DE)
    …Specialist), SANS (GPEN, GWAPT), fraud -specific certifications such as Certified Fraud Examiner or Certified Anti-Money Laundering Specialist (CAMS) + ... engineering** **and** **assessments of critical business processes** such as payment operations, fraud , and supplier management. The primary focus of this role will… more
    JPMorgan Chase (12/29/25)
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  • Fintech Investigator

    MyFlorida (Tampa, FL)
    …technology skills or training in technology and investigations. + CFE (Certified Fraud Examiner ), CFCI (Certified Financial Crimes Investigator), or CFCS ... This position plays a lead role and responsibility for developing complex fraud investigations relating to the enforcement of FDUTPA, presenting findings to… more
    MyFlorida (01/14/26)
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  • Financial Crimes Governance Specialist I

    Truist (Winston Salem, NC)
    …**Preferred Qualifications:** 1. Certified Anti-Money Laundering Specialist (CAMS), Certified Fraud Examiner (CFE), Certified risk management specialist, or ... and drive enterprise-wide Bank Secrecy Act/Anti-Money Laundering (BSA/AML) and Fraud operational and compliance efforts. **ESSENTIAL DUTIES AND RESPONSIBILITIES**… more
    Truist (01/14/26)
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  • SIU Investigator

    Kemper (Doral, FL)
    …(FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred. + A valid driver's ... will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies. A laptop computer,… more
    Kemper (12/05/25)
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  • Executive Director, Compliance Programs…

    MD Anderson Cancer Center (Houston, TX)
    …Juris Doctorate Degree. Required Certification: One or more of the following: Certified Fraud Examiner (CFE) issued by the Association of Certified Fraud ... (ELS). Adobe Certified Expert (ACE). Preferred Certification: [Preferred Certification] Certified Fraud Examiner (CFE). Certified in Health Care Compliance… more
    MD Anderson Cancer Center (01/17/26)
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  • Auditor 1/2/3

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …methods, or statistics; OR A Certified Public Accountant (CPA) license, Certified Fraud Examiner (CFE), or Certified Internal Auditor (CIA) designation. ... of your application. + Certified Public Accountant (CPA) + Certified Fraud Examiner (CFE) + Certified Internal Auditor (CIA) + Certified Information Systems… more
    Louisiana Department of State Civil Service (01/09/26)
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