• Fraud & Investigations , Clinical…

    MVP Health Care (Rochester, NY)
    …New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or COC credential. + ... training of new SIU personnel. + Keep abreast of Federal and State Anti- Fraud investigation and reporting requirements including HIPAA, CMS, Medicare, Medicaid,… more
    MVP Health Care (08/26/25)
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  • Senior Fraud Investigations Analyst…

    BlueCross BlueShield of North Carolina (NC)
    …$62,100.00 - $111,800.00 **Skills** Depositions, Evidence Collection, Forensic Accounting, Fraud Investigations , Investigation Techniques, Investigative ... is responsible to conduct timely and thorough health care fraud investigations on behalf of the Company....gaps on the business/organization. + In the course of investigation , may be required to provide deposition and/or testimony… more
    BlueCross BlueShield of North Carolina (07/25/25)
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  • Fraud Investigations Analyst

    Guidehouse (Richardson, TX)
    …gain employment with our rapidly growing firm. Guidehouse is seeking experienced Fraud Investigations Analyst's to conduct, identify, and investigate potential ... to appropriately document and escalate such matters. The responsibilities of the Fraud Investigations Analyst will include, but are not limited to: + Gathering,… more
    Guidehouse (07/18/25)
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  • Fraud Investigation Analyst

    MUFG (Tampa, FL)
    …(Vice President) of Fraud Operations. The Investigator will complete fraud investigations to ensure that potentially suspicious transactions are ... Senior Fraud Prevention Manager. Individuals on the Fraud Investigation team focus on the ...of investigative or related experience with specific emphasis on fraud investigations at a financial institution, regulatory… more
    MUFG (08/16/25)
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  • CAG - Fraud Investigation Services…

    Conduent (San Antonio, TX)
    …and be part of a culture where individuality is noticed and valued every day. ** Fraud Investigation Services Associate III** **$19.50 per hour** As a ** Fraud ... while providing them with exceptional customer service. **About the Role ** As a Fraud Investigation Services Associate III, you will be responsible for: +… more
    Conduent (08/27/25)
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  • Director Market Planning - Fraud

    RELX INC (Alpharetta, GA)
    …commercialization strategy. + Proactively identifies key solution delivery requirements for fraud investigation solutions and coordinates with the product ... for fraud investigative solutions + Understands customer needs around fraud investigative solutions to address investigation /manual review activities within … more
    RELX INC (08/16/25)
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  • Investigator - Medicaid Fraud

    State of Georgia (Fulton County, GA)
    …documentation for investigation and prosecutorial purposes in health care fraud and patient abuse investigations . Utilizes computers and the appropriate ... Fraud Division. Duties & Responsibilities: Investigators conduct health care fraud investigations . Assists criminal justice personnel, including, but not… more
    State of Georgia (07/30/25)
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  • Assistant Attorney General - Consumer Fraud

    State of Colorado (Denver, CO)
    …Office about those complaints. While your primary responsibility will be managing our fraud filing complaint investigations and processes, you will also have the ... and businesses affected by fraudulent business filings. In addition to managing our fraud filing complaint investigations , you will also be responsible for other… more
    State of Colorado (08/27/25)
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  • GFCC Investigator (Brokerage) - Specialized AML…

    Bank of America (Chicago, IL)
    …Investment Management. In the investigative role, the Investigator conducts complex investigations , including fraud committed by external parties, securities ... GFCC Investigator (Brokerage) - Specialized AML & Fraud Charlotte, North Carolina;Jersey City, New Jersey; Pennington, New Jersey; Dallas, Texas; Chicago, Illinois… more
    Bank of America (08/28/25)
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  • Medicaid Fraud Investigator (Special Agent…

    State of Colorado (Denver, CO)
    Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply  Medicaid Fraud Investigator ... seeking an experienced investigator to join the Colorado Medicaid Fraud , Abuse & Neglect Unit ("MFANU"). The MFANU is...and evaluates them to determine if they warrant further investigation and criminal prosecution in state court. Often, the… more
    State of Colorado (08/27/25)
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