- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity ... areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities...state bordering Indiana. + At least 2 years of healthcare fraud investigations and auditing experience +… more
- CVS Health (WV)
- …each and every day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of ... known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, those that are national in scope, complex… more
- Elevance Health (Mendota Heights, MN)
- ** Investigator Senior ** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per week, ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior ** is responsible for the independent identification,… more
- Experian (Costa Mesa, CA)
- …around the world. We help to redefine lending practices, uncover and prevent fraud , simplify healthcare , create marketing solutions, and gain deeper insights ... across a range of markets, from financial services to healthcare , automotive, agribusiness, insurance, and many more industry segments....Learn more at experianplc.com. We are looking for a Senior Cyber Forensic Investigator to join our… more
- Centene Corporation (Frankfort, KY)
- …reside within the state of Kentucky. **Position Purpose:** Investigate allegations of healthcare fraud and abuse activity. Assist in planning, organizing, and ... special claims investigations or audits that identify, evaluate and measure potential healthcare fraud . + Assist in monitoring business processes and systems… more
- Providence (Oakland, CA)
- …data mining software/tools. **Preferred Qualifications:** + Current certification as an Accredited Healthcare Fraud Investigator (AHFI) upon hire. + ... **Description** ** Investigator External Audit Special Investigations Unit \*Remote The...providing education related to coding, medical record documentation requirements, healthcare compliance and fraud , waste and abuse… more
- Elevance Health (Metairie, LA)
- …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... ** Investigator II** **Location:** This role requires associates to...claims. + Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company… more
- Elevance Health (Nashville, TN)
- …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... ** Investigator II - Medicare** **Locations:** + GA-ATLANTA, 740...claims. + Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company… more
- Elevance Health (Mason, OH)
- …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... experience, which would provide an equivalent background. **Preferred Qualifications:** + Healthcare experience strongly preferred + Fraud certification from… more
- Teva Pharmaceuticals (West Chester, PA)
- Senior Manager, Office of Business Integrity Date: Sep 9, 2025 Location: West Chester, United States, Pennsylvania, 19380 Company: Teva Pharmaceuticals Job Id: 63497 ... with. **The opportunity** Teva Pharmaceuticals is seeking a motivated and detail-oriented investigator to support the Office of Business Integrity (OBI) & Global… more