- Molina Healthcare (Idaho Falls, ID)
- …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste , and abuse. Duties include performing accurate and reliable… more
- City of Detroit (Detroit, MI)
- … Fraud Investigator performs complex investigative tasks relating to the fraud , waste or abuse committed against the Detroit Water and Sewerage Department ... Fraud Investigator Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/5027572) Apply ...fair, thorough, unbiased and timely investigations into allegations of fraud , waste or abuse, committed by/against DWSD.… more
- CVS Health (Hartford, CT)
- …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In ... manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
- City of New York (New York, NY)
- …surveillance; interviewing witnesses, suspects, customers and preparing investigative reports. ASSOCIATE FRAUD INVESTIGATOR ( - 31118 Qualifications 1. A ... combined law enforcement and regulatory agency with jurisdiction over the trade waste industry and the public wholesale markets. Under supervision, with some… more
- CareFirst (Baltimore, MD)
- …**Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified Expert Coder-AHIMA or ... and resolution of all levels (low to complex), of fraud , waste , and abuse schemes, resulting in...fraud software analysis, and appropriately sourced reference materials. Investigator ensures timely maintenance and organization of case file… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The DSS Accountability ... state data sources. BFI is recruiting for three (3) Fraud Investigator II to function as Senior...who will: - Conduct complex investigations into allegations of fraud , waste , and/or abuse of social services… more
- Office of Inspector General (Lombard, IL)
- Summary This office works within DOT to detect and prevent waste , fraud and abuse in departmental programs. The OIG reports to the Secretary and Congress and ... for planning, directing and conducting complex investigations of suspected fraud , waste , and abuse, and mismanagement in...have in the past worked as a GS-1811 Criminal Investigator in a federal OIG office must clearly demonstrate… more
- CVS Health (Jefferson City, MO)
- … and abuse **Required Qualifications** + 1 year experience working on health care fraud , waste , and abuse investigatory and audits required. + Knowledge of ... etc. **Preferred Qualifications** + 1-3 years experience working on health care fraud , waste , and abuse investigations and audits required or equivalent… more
- MyFlorida (Tallahassee, FL)
- …of Investigations, conducting investigations designed to deter, detect, prevent, and eradicate fraud , waste , mismanagement, misconduct, and other abuses in State ... INVESTIGATOR - 55013607 Date: Jul 21, 2025 The...Specific Responsibilities: Accepts and documents allegations and complaints of fraud or misconduct by citizens, Department employees, contractors, vendors… more
- New York State Civil Service (New York, NY)
- …will participate in and conduct confidential and sensitive investigations regarding allegations of fraud , waste and abuse or other corrupt activities that may ... reports.Duties and Responsibilities:* Conduct high-quality, complex, comprehensive, investigations into allegations of fraud , waste , and abuse by the MTA and its… more