- 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 ... Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud , Abuse & Neglect Unit ("MFANU"). The MFANU is crucial to preventing and… more
- CVS Health (Hartford, CT)
- …within the Special Investigations Unit (SIU) plays a key role in supporting fraud , waste, and abuse investigations by managing and responding to Requests for ... efforts. **Required Qualifications** + 5+ years of experience in healthcare investigations , compliance, or data analysis (or equivalent professional experience) +… more
- American Express (New York, NY)
- …cross functional initiatives related to Issues, Events & Remediation with Credit & Fraud Risk. Lead all investigations and root cause analytics to address ... us define the future of American Express. Credit & Fraud Risk (CFR) is a global organization that manages...markets and portfolios to minimize the company's credit and fraud losses while promoting business growth and delivering superior… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …identify fraudulent provider/member activity and develop cases to refer to the Investigations or prepayment team. This position reports directly to the Data Science ... Fraud Manager and assists in the development of investigation...Facilitate requests for ad hoc reports required to support investigations . + Conduct special assignments as needed. Qualifications (knowledge/skills/abilities/behaviors):… more
- Intuit (Mountain View, CA)
- …and payments. This individual will monitor suspicious activity, perform in-depth investigations , identify behavioral patterns and develop fraud prevention ... fun team, then we encourage you to apply. The Fraud Risk Analyst will be responsible for identifying and...Drive process excellence in manual review of applications and investigations of accounts while meeting resolution timelines + Stay… more
- The Clorox Company (Durham, NC)
- …**Investigation & Risk Management** + Assist in managing and conducting internal investigations related to fraud , misconduct, and compliance violations. + ... internal audit strategy, with a strong focus on compliance and investigations . This role assists in identifying and mitigating business, financial, technology,… more
- Sanford Health (Fargo, ND)
- …insurance investigation/audit. - Master's Degree preferred - Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) ... experience highly preferred **Job Summary** Responsible for conducting audits and investigations of potentially fraudulent claim activity. Will plan, develop, and… more
- Allied Universal (Conshohocken, PA)
- …internal and external inquiries + Provide support and oversight related to ethics, fraud and other compliance investigations , including but not limited to, ... North America. The Director of Compliance also supports and oversees ethics investigations and oversees the development, enhancement and management of the company's… more
- Ankura (Dallas, TX)
- …Litigation, Arbitration, and Disputes, which includes: + Forensic Accounting and Financial Investigations . + Accounting, Fraud , and Independent Fact-Finding ... An ideal candidate should have an interest in forensic accounting, investigations , litigation consulting, and the other related areas described above.… more
- First Horizon Bank (Atlanta, GA)
- …Law Enforcement, or Military. 10+ years combined experience in banking, investigations , or Fin-Tech. Certificates, Licenses, Registrations: Certified Fraud ... from 9:00 AM to 5:00 PM** **Key Responsibilities:** Simulating Fraud Scenarios: Design and execute realistic fraud ...Simulating Fraud Scenarios: Design and execute realistic fraud scenarios to test the effectiveness of existing security… more