- Navy Exchange Services (NEX) (Newport, RI)
- Title: A/P SAFETY INVESTIGATOR / PART TIME Location: United States-Rhode Island-Newport Job Number: 250002OT Job Summary: Responsible for the protection of Navy ... and detain individuals suspected of shoplifting. Investigates other suspected incidents of fraud waste and abuse as directed. - Prepares case reports investigative… more
- Citizens (Pittsburgh, PA)
- Description Corporate Security and Resilience Investigator II position will lead investigations, including Internal investigations of a sensitive nature. Position ... software applications. + Bachelor's degree in finance or related field + Certified Fraud Examiner certification preferred. Hours & Work Schedule Hours per Week: 40… more
- Tompkins Community Bank (Brewster, NY)
- …within financial institutions required. + Professional certifications such as Certified Fraud Examiner (CFE), Certified Financial Crimes Investigator (CFCI), or ... Overview The Fraud Quality Assurance and Controls Supervisor is responsible...is responsible for overseeing the quality and integrity of fraud detection and prevention activities across the organization. This… more
- CVS Health (Atlanta, GA)
- …investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state ... regulations mandating fraud plans and practices. - Conducts investigations of known...Conducts investigations of known or suspected acts of healthcare fraud and abuse. - Communicates with federal, state, and… more
- Molina Healthcare (Covington, KY)
- …position must have the ability to determine correct coding, documentation, potential fraud , abuse, and over utilization by providers and recipients. The position ... tools, or strategy. + Effectively investigate and manage complex and non-complex fraud allegations. + Develop and maintain relationships with key business units… more
- Centene Corporation (Columbus, OH)
- …NE, and OH.** **Position Purpose:** Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims ... or audits that identify, evaluate and measure potential healthcare fraud and abuse. + Conduct investigations of potential waste,...abuse. + Conduct investigations of potential waste, abuse, and fraud + Document activity on each case and refer… more
- Elevance Health (St. Louis, MO)
- …the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent ... Candidate Must Reside in Missouri + Healthcare experience strongly preferred + Fraud certification from CFE, AHFI, AAPC or coding certificates preferred + Knowledge… more
- Marriott (Bethesda, MD)
- …Required 3 years of experience in customer service, operations, risk management, fraud mitigation or related field BS/BA in accounting, finance, or related field ... preferred. CORE WORK ACTIVITIES + Timely independent investigation and resolution of reported fraud and abuse incidents. + Research to understand use case issue and… more
- State of Arkansas (Little Rock, AR)
- …data analysis, and strategic problem-solving. Specialized certifications (eg, Certified Fraud Examiner, Certified Forensic Investigator ) may be required. ... detailed investigations into internal, regulatory, and external issues-ranging from fraud and misconduct to compliance violations and process irregularities. This… more
- Sysco (Houston, TX)
- …2 years in Audit or Investigations **Licenses/Certification Preferred:** CFE (Certified Fraud Examiner), CFI (Certified Forensic Investigator ), and/or CISA ... success working in a large, complex, multi-national company. + CFE (Certified Fraud Examiner), CFI (Certified Forensic Investigator ), and/or CISA (Certified… more