• Audit Manager

    Robert Half Management Resources (Phoenix, AZ)
    fraud -related trends. * Preferred certifications include Certified Fraud Examiner, Accredited Health Care Fraud Investigator , Health Care ... This role involves conducting in-depth investigations to detect and prevent healthcare fraud , waste, and abuse, contributing to the integrity of healthcare services.… more
    Robert Half Management Resources (06/05/25)
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  • Investigator - Medicaid Fraud

    State of Georgia (Fulton County, GA)
    …of our Medicaid Fraud Division. Duties & Responsibilities: Investigators conduct health care fraud investigations. Assists criminal justice personnel, ... Investigator - Medicaid Fraud Georgia -...limited to, Analysts, Auditors, and Prosecutors in conducting on-site health care fraud and patient… more
    State of Georgia (04/30/25)
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  • Fraud and Waste Investigator

    Humana (Baton Rouge, LA)
    …help us put health first** Humana's Special Investigations Unit is seeking a Fraud and Waste Investigator to join the Louisiana Medicaid Team. This team of ... as collaborate with Humana's Program Integrity partners. As a Fraud and Waste Investigator , you will conduct...millions of people we serve to achieve their best health - delivering the care and service… more
    Humana (06/04/25)
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  • Fraud Investigator - UT, NV, AZ

    Zions Bancorporation (Midvale, UT)
    …endless. You bring the talent; we bring the opportunity. We are currently seeking a Fraud Investigator to join our team. This position will be full time remote, ... including the case management system. . Keeps current on fraud and BSA/AML investigative operations and the application of...Health Savings (HSA), Flexible Spending (FSA) and dependent care accounts . Paid Training, Paid Time Off (PTO)… more
    Zions Bancorporation (06/06/25)
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  • Fraud and Waste Investigator

    Humana (Tallahassee, FL)
    …* Bachelor's Degree * A minimum of 2 years' experience conducting comprehensive health care fraud investigations (Medical Coding or Healthcare (Medical ... part of our caring community and help us put health first** The Fraud and Waste Professional...millions of people we serve to achieve their best health - delivering the care and service… more
    Humana (06/06/25)
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  • Law Enforcement Investigator II - 1

    MyFlorida (Tampa, FL)
    …of patients, investigate the alleged misappropriation of patients private funds in health care facilities. This is independent work conducting investigations of ... LAW ENFORCEMENT INVESTIGATOR II - 41000697 1 Date: May 28,...investigate the alleged misappropriation of patients private funds in health care facilities, and safeguarding the privacy… more
    MyFlorida (05/28/25)
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  • Senior Investigator - 1

    MyFlorida (West Palm Beach, FL)
    …of experience with any of the following: financial crimes investigations, financial examinations, health care fraud and/or insurance fraud ... SENIOR INVESTIGATOR - 41000687 1 Date: May 30, 2025...any of the following: financial crimes investigations, financial examinations, health care fraud and/or insurance… more
    MyFlorida (05/31/25)
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  • Investigator

    Highmark Health (Tallahassee, FL)
    …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations...+ 1 year in Financial Analysis in an acute care hospital or health insurance setting +… more
    Highmark Health (05/08/25)
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  • Investigator /Special Agent 1-4

    Louisiana Department of State Civil Service (LA)
    …is a state law enforcement agency, and it's mission is to investigate and prosecute health care providers who have defrauded the Medicaid program. The MFCU also ... Investigator /Special Agent 1-4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4951050) Apply  ...prosecutes allegations of abuse, and neglect of residents in health care facilities. The MFCU utilizes a… more
    Louisiana Department of State Civil Service (05/24/25)
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  • CDOC - Criminal Investigator (Buena Vista)

    State of Colorado (Chaffee County, CO)
    …Training (POST) certified employees are prohibited from the use of marijuana. Health care professionals must check their licensing requirements regarding ... CDOC - Criminal Investigator (Buena Vista) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4965155) Apply  CDOC - Criminal Investigator more
    State of Colorado (06/06/25)
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