- CVS Health (Annapolis, MD)
- …referred to as COMAR. - - Over 3 years in healthcare field working in fraud , waste and abuse investigations and audits. - Strong analytical and research skills. ... Associate's degree with three additional years working in health care fraud , waste , and abuse investigations and audits. **Anticipated Weekly Hours** 40 **Time… more
- Office of Inspector General (District Of Columbia, DC)
- …of Transportation (DOT) to promote efficiency and effectiveness, and prevent or stop waste , fraud and abuse in departmental programs. OIG also consults with ... forensics and data analysis in support of a larger program fraud investigations. Experience in planning, implementing, and guiding national Information Technology… more
- City of New York (New York, NY)
- …of clean drinking water for New Yorkers. DOI is seeking a Confidential Investigator who will be responsible for investigating fraud , corruption, and ... will be responsible for the investigation of matters involving fraud , waste and abuse related to the...of Management & Budget approval for budgeted headcount. CONFIDENTIAL INVESTIGATOR - 31143 Qualifications 1. A four-year high school… more
- Office of the Inspector General (Washington, DC)
- …to enhance program effectiveness and efficiency and to detect and prevent waste , fraud , and mismanagement in DHS programs and operations. Responsibilities ... to senior special agents concerning investigations related to national security, fraud , abuse, and/or other misconduct in programs or operations administered or… more
- Parsons Corporation (Springfield, VA)
- …disaster recovery operations.** . **What You'll Be Doing:** + Investigate complaints of fraud , waste and abuse, data spills, and network penetrations. + Respond ... Parsons is looking for an amazingly talented **Insider Threat Investigator ** to join our team! In this role you...of fraudulent recruitment practices. To learn more about recruitment fraud and how to report it, please refer to… more
- Centene Corporation (Sacramento, CA)
- …and measure potential healthcare fraud and abuse. + Conduct investigations of potential waste , abuse, and fraud + Document activity on each case and refer ... in claims + Develop new queries and reports to detect potential waste , abuse, and fraud + Provide case updates on progress of investigations and coordinate with… more
- MyFlorida (Tallahassee, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified ... is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste . The Bureau of...Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; Certified Compliance and Ethics Professional,… more
- AmeriHealth Caritas (Newtown Square, PA)
- …of interest to law enforcement and regulators. + Credentials such as Certified Fraud Examiner, Accredited Healthcare Fraud Investigator , Certified Insurance ... training of staff, and coordination with other departments to mitigate and remedy fraud , waste and abuse. ;Develop, implement and manage strategic fraud , … more
- Corewell Health (Grand Rapids, MI)
- …experience with a managed care payer. Preferred + Preferred + CRT-Accredited Health Care Fraud Investigator (AHFI) - NHCAA National Health Care Anti- Fraud ... Unit (SIU) with a focus on identifying, investigating, and resolving health insurance fraud , waste , and abuse (FWA). This role provides operational oversight to… more
- Molina Healthcare (Covington, KY)
- …Required License, Certification, Association + Active and unrestricted Accredited Health Care Fraud Investigator (AHFI) designation or Certified Fraud ... + Works with leadership to maintain and revise policies and procedures, fraud , waste , and abuse plans, annual audit work plans, including department guidance… more