- CVS Health (Hartford, CT)
- …all with heart, each and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special ... you will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level,… more
- Humana (Oklahoma City, OK)
- …community and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid ... to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator ,...**Must be an Oklahoma resident** + 2+ years of healthcare fraud investigations and auditing experience +… more
- Elevance Health (Atlanta, GA)
- **Clinical Fraud Investigator Senior ** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... accommodation is granted as required by law. The **Clinical Fraud Investigator Senior ** is responsible...and medical records prior to payment. + Researches new healthcare related questions as necessary to aid in investigations.… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Senior Investigator is to assist in the reduction and recuperation of ... in part of an assigned team develop and conduct healthcare fraud , waste, and abuse investigations of...result in an overall achievement of unit goals. + Senior Investigator will develop documentation that supports… more
- SGI Global, LLC (Mobile, AL)
- …(or equivalent experience). + Background in law enforcement, forensic accounting, healthcare fraud , civil litigation, or legal investigations. + Experience ... clearance | Full Time SGI Global is seeking a Senior Civil Investigator to support the Affirmative...plays a vital role in investigating and developing civil fraud cases and other enforcement actions that protect taxpayer… more
- Experian (Allen, TX)
- …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....more at experianplc.com. Overview We are looking for a Senior Cyber Forensic Investigator to join our… more
- New York State Civil Service (New York, NY)
- …approximately eight to ten investigators assigned to investigate insurance, financial and healthcare fraud across upstate and downstate regions.The duties of ... schemes and other emerging criminal activity affecting insurance, financial and healthcare companies;* Monitors investigator performance to ensure that matters… more
- Elevance Health (Louisville, KY)
- …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... ** Investigator II** **Hybrid 1:** This role requires associates...claims. + Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company… more
- Sanofi Group (Cambridge, MA)
- …prior experience with investigations or audits focused on issues such as healthcare compliance, bribery, corruption, fraud and/or white-collar investigations. + ... **Job Title:** Investigator , Ethics and Business Integrity, North America **Location:**...assisting with compliance-related matters. We are an innovative global healthcare company with one purpose: to chase the miracles… more