- State of Colorado (Pueblo, CO)
- …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... one on one interactions per ID team direction. Collaborates with all investigations and other authorities as needed. Administer medications and treatments in… more
- MVP Health Care (Schenectady, NY)
- …new SIU personnel. + Keep abreast of Federal and State Anti- Fraud investigation and reporting requirements including HIPAA, CMS, Medicare , Medicaid, and any ... New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or COC credential. +… more
- State of Colorado (Arapahoe County, CO)
- …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... all subject areas. + Pass CBI and FBI background investigations + The Diana Screen(R), a sexual risk screening...Veterans Community Living Centers). + Included in the background investigation is a current/previous employer check. Your current and… more
- State of Colorado (Denver, CO)
- …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... private sector experience related to Child Welfare Experience focus on investigations , counseling and evaluating programs, and interviewing children and adolescents… more
- State of Colorado (Denver, CO)
- …employees (non-direct contact): CBI name check, ICON Colorado court database, Medicare fraud database, Reference checks, Professional License verification ... years of relevant experience in Human services, social services, casework, investigations , social work, psychology, gerontology or other aging related topics, public… more
- State of Colorado (Denver, CO)
- …employees (non-direct contact): CBI name check, ICON Colorado court database, Medicare fraud database, Reference checks, Professional License verification ... populations + Knowledge demonstrated experience, and comprehensive understanding of complaint investigation , resolution skills, and data analysis + Ability to work… more
- State of Colorado (Jefferson County, CO)
- …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... of fingerprinting, polygraph, drug screen, physical exam and an extensive background investigation ) will be conducted as part of the selection process. Felony… more
- Corewell Health (Grand Rapids, MI)
- Job Summary Performs activities related to the detection and investigation of fraud and abuse within Priority Health. Utilizes knowledge/expertise of health care ... provider and agent agreements, products offered, State and Federal laws related to fraud , waste or abuse, Medicare and Medicaid regulations, etc. + Ability… more
- 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 ... seeking an experienced investigator to join the Colorado Medicaid Fraud , Abuse & Neglect Unit ("MFANU"). The MFANU is...and evaluates them to determine if they warrant further investigation and criminal prosecution in state court. Often, the… 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 ... investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct...federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud . +… more